NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
Which would be included in the nursing care plan of a client experiencing severe delirium tremens?
Correct Answer: B
Rationale: Keeping closet and bathroom doors closed minimizes visual stimuli that could exacerbate hallucinations or confusion in delirium tremens, promoting a safe environment.
Question 2 of 5
The physician has ordered 50 mEq of potassium chloride for a client with a potassium level of 2.5 mEq. The nurse should administer the medication:
Correct Answer: C
Rationale: Potassium chloride should be administered slowly (e.g., over 5 hours for 50 mEq) to prevent cardiac complications, as rapid infusion can cause hyperkalemia.
Question 3 of 5
The nurse recognizes all of the following as type IV hypersensitivity reactions EXCEPT
Correct Answer: D
Rationale: Type IV hypersensitivity is cell-mediated (e.g., contact dermatitis, Crohn’s, GVH
D). Penicillin allergy is typically type I (IgE-mediated).
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
As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?
Correct Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency, reducing fetal oxygenation during contractions.