NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The physician has prescribed imipramine (Tofranil) for a client with depression. The nurse should continue to monitor the client's affect because the maximal effects of tricyclic antidepressant medication do not occur for:
Correct Answer: C
Rationale: Tricyclic antidepressants like imipramine take 2-4 weeks for maximal therapeutic effects due to gradual neurotransmitter changes. Monitoring affect is essential during this period.
Question 2 of 5
The mother of a male child with cystic fibrosis tells the nurse that she hopes her son's children won't have the disease. The nurse is aware that:
Correct Answer: B
Rationale: Cystic fibrosis often causes infertility in males due to congenital absence of the vas deferens, making most males sterile. This reduces the likelihood of passing the disease to offspring.
Question 3 of 5
The nurse is planning dietary changes for a client following an episode of acute pancreatitis. Which diet is suitable for the client?
Correct Answer: B
Rationale: A high-calorie, low-fat diet supports recovery from pancreatitis by reducing pancreatic stimulation while meeting energy needs. High-fat diets exacerbate symptoms, and low-calorie diets are inadequate.
Question 4 of 5
A client with a history of hepatitis C is admitted with complaints of fatigue. The nurse should expect the client to have:
Correct Answer: A
Rationale: Hepatitis C causes liver inflammation, leading to elevated liver enzymes (e.g., AST, ALT), a common finding reflecting hepatic damage.
Question 5 of 5
The nurse is caring for a client who is receiving oxytocin for labor induction. The fetal heart rate shows variable decelerations. The nurse’s first action should be to:
Correct Answer: B
Rationale: Variable decelerations suggest umbilical cord compression. Repositioning the client (e.g. to the left side or knee-chest position) may relieve compression and is the first action. Stopping oxytocin or notifying the physician may be needed if repositioning is ineffective.