NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The physician prescribes a medical regimen of isoniazid, rifampin, and vitamin B6 for a tuberculosis client. The nurse instructs the client that B6 is given because it:
Correct Answer: D
Rationale: Isoniazid leads to Vitamin B6 deficiency, which is manifested as peripheral neuropathy.
Question 2 of 5
An 8-year-old child is admitted to the hospital for surgery. She has had no previous hospitalizations, and both she and her family appear anxious and fearful. It will be most helpful for the nurse to:
Correct Answer: B
Rationale: This action provides security by preparing the child and the family for what will happen and will help to relieve fear and anxiety.
Question 3 of 5
The nurse is caring for a client with a diagnosis of preeclampsia. Which laboratory finding is most concerning?
Correct Answer: A
Rationale: A platelet count of 80 000 indicates thrombocytopenia a serious complication in preeclampsia that increases bleeding risk and may signal HELLP syndrome. The other findings while concerning are less immediately alarming.
Question 4 of 5
A client's record from the ED indicates that she overdosed on phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor. Which diet would be the most appropriate at this time?
Correct Answer: D
Rationale: Tyramine is an amino acid activated by MAO in the liver and intestinal wall. It is released as proteins are hydrolyzed through aging, pickling, smoking, or spoilage of foods. When MAO is inhibited, tyramine levels rise, stimulating the adrenergic system to release large amounts of norepinephrine, which can produce a hypertensive crisis.
Question 5 of 5
During his hospitalization, a 3-year-old child has become unusually aggressive in his play activities. His parents report this change in behavior to the primary nurse. How could the nurse explain the child's change in behavior?
Correct Answer: D
Rationale: Play provides the child with opportunities for coping and adaptation. Aggression during play activities indicates a coping response to hospitalization.