NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 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: Tranylcypromine, a monoamine oxidase inhibitor, can cause a hypertensive crisis if tyramine-rich foods (e.g., aged cheese, wine) are consumed, due to tyramine’s effect on norepinephrine release. The other effects are not associated with this interaction.
Question 2 of 5
The nurse is teaching a client with a history of type 1 diabetes about insulin storage. The nurse should tell the client to:
Correct Answer: A
Rationale: Refrigerating unopened insulin vials preserves potency, ensuring effective diabetes management.
Question 3 of 5
A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:
Correct Answer: B
Rationale: Fetal heart tones detectable by Doppler around 10-12 weeks and consistently by 20 weeks are the most definitive sign of pregnancy. HCG uterine enlargement and breast changes are presumptive or probable signs.
Question 4 of 5
A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). He has a history of adult-onset diabetes and hypertension and is scheduled to undergo a resection of the prostate. When recording his health history, the nurse asks about his chief complaint. The most serious symptom that may accompany BPH is:
Correct Answer: A
Rationale: Acute urinary retention requires urgent medical attention. If measures such as a warm tub bath or warm tea do not occur after 6 hours, the client should go to the ED for catheterization.
Question 5 of 5
The client is admitted with a diagnosis of hypoparathyroidism. Which electrolyte imbalance is the client at risk for?
Correct Answer: C
Rationale: Hypoparathyroidism reduces parathyroid hormone, decreasing calcium levels and causing hypocalcemia. Potassium, hypercalcemia, and hypermagnesemia are not directly related.