NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:
Correct Answer: B
Rationale: Tacrine (Cognex) is associated with hepatotoxicity, and jaundice is a sign of liver dysfunction that should be monitored.
Question 2 of 5
Physician's orders for a client with acute pancreatitis include the following: strict NPO and nasogastric tube to low intermittent suction. The nurse recognizes that witholding oral intake will:
Correct Answer: A
Rationale: Withholding oral intake (NPO) reduces stimulation of the pancreas, thereby decreasing the secretion of pancreatic enzymes that can exacerbate pancreatitis.
Question 3 of 5
A neonatal nurse assesses a premature newborn baby using the Apgar score. All of the following assessments are given a score EXCEPT
Correct Answer: D
Rationale: The Apgar score evaluates appearance, pulse, grimace, activity, and respiration. Rooting (a feeding reflex) is not part of the Apgar assessment.
Question 4 of 5
A client receiving Parnate (tranylcypromine) is admitted in a hypertensive crisis. Which food is most likely to produce a hypertensive crisis when taken with the medication?
Correct Answer: D
Rationale: Parnate, a monoamine oxidase inhibitor (MAOI), interacts with tyramine-rich foods like aged cheeses (e.g., cheddar) to cause hypertensive crisis due to increased norepinephrine release.
Question 5 of 5
A nurse working in ICU has a client on a propofol (Diprivan) drip while on the mechanical ventilator. The nurse needs another bottle, which must be picked up in person in the hospital pharmacy. Which is the correct action by the nurse concerning this medication?
Correct Answer: D
Rationale: The nurse must ensure continuous client monitoring, so asking another nurse to cover while retrieving the controlled medication is the safest action.