NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with systemic lupus erythematosis (SLE). The major complication associated with systemic lupus erythematosis is:
Correct Answer: A
Rationale: Nephritis is the major complication of SLE due to immune complex deposition in the kidneys, leading to lupus nephritis, which can cause renal failure if untreated.
Question 2 of 5
The physician has prescribed tranylcypromine sulfate (Parnate) 10 mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause:
Correct Answer: A
Rationale: Tyramine with MAOIs like tranylcypromine can cause a hypertensive crisis.
Question 3 of 5
The nurse is caring for a client with a stage II sacral ulcer. Which nursing intervention would be most effective in promoting healing?
Correct Answer: C
Rationale: Increased protein and calorie intake supports tissue repair and healing for a stage II ulcer, more than heat lamps, antibiotics (unless infection is present), or wet-to-dry dressings.
Question 4 of 5
When examining an 80-year-old client with chronic COPD receiving home health care, the nurse notes that over the previous 48 hours the client has developed scattered painful pustular lesions on the right arm near the elbow (see photo), on the back of the neck, the face, and on both legs. Which of the following does the nurse suspect is the most likely cause of the lesions?
Correct Answer: C
Rationale: Painful pustular lesions in a client with chronic illness suggest MRSA (
C), a common healthcare-associated infection. Psoriasis (
A) presents with scaly plaques, herpes zoster (
B) follows a dermatomal pattern, and contact dermatitis (
D) is typically itchy, not pustular.
Question 5 of 5
The nurse prepares a 25-year-old woman for a cesarean section. The patient says she had major surgery several years ago and asks if she will receive a similar 'shot' before surgery. The nurse’s response should be based on an understanding that the preoperative medication given before a cesarean section
Correct Answer: C
Rationale: decreased so less narcotic crosses the placental barrier causing respiratory depression in the infant