NCLEX-RN V12 Question Bank (2025–2026) | Solved Exam with Rationales | RATED A+
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(A) Riding a stationary bicycle or walking on a treadmill is done during a stress test. (B)
During an echocardiogram, the client must lie supine while a technician performs the
test. To perform the test, the technician uses a conductive gel and a transducer to
obtain ultrasound tracings of the heart. (C) A physician need not be present during an
echocardiogram, and it is neither invasive nor painful. (D) There is no premedication
required for an echocardiogram.
NO.521 A 25-year-old outpatient presents with a diagnosis of compulsive personality
disorder. His coworkers become annoyed with his rigid, perfectionistic manner and
preoccupation with trivial details and schedules. A nursing intervention appropriate
for this client would include:
A. Encouraging him to engage in recreational activities
B. Avoiding discussion of his annoying behavior
C. Encouraging the client to set a time schedule and deadlines for himself
D. Contracting with him for the amount of time he will spend on the compulsive
behaviors
Answer: D
Explanatio
n:
(A)
This answer is incorrect. The client will work hard at the activity instead
of enjoying it. (B)
This answer is incorrect. The nurse should allow the client to discuss these thoughts,
within limits, not to avoid discussing them. (C) This answer is incorrect. The compulsive
client tends to control time to excess. It should not be encouraged. (D) This answer is
correct. A contract with the client regarding the amount of time that will be spent
,discussing the compulsive activities is appropriate. Time allotted should be gradually
decreased.
, NO.522 The nurse is assessing and getting a history from a client treated for
depression with a monoamine oxidase (MAO) antidepressant. The most serious
side effect associated with this antidepressant and the ingestion of tyramine in
aged foods may be:
A. Hypertensive crisis
B. Severe rash
C. Severe hypotension
D. Severe
diarrhea
Answer: A
Explanation:
(A) The most serious adverse reactions of MAO inhibitors involve blood pressure and
ingestion of tyramine-containing foods, which may provoke a hypertensive crisis. (B)
MAO inhibitors cause adverse reactions affecting the central nervous system and
serious adverse reactions involving blood pressure. (C) MAO inhibits false
neurotransmitters (phenylalanines) and may produce hypotensive reactions from
gradual accumulation of these neurotransmitters. (D) The most serious adverse
reactions of MAO inhibitors involve blood pressure.
NO.523 The nurse is developing a plan of care for a client with an electrolyte
imbalance and identifies a nursing diagnosis of decreased physical mobility. Which
alteration is most the etiology?
A. Hypernatremia
B. Hypocalcemia
C. Hypokalemia
D. Hypomagnese
mia Answer: C
Explanation:
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(A) Riding a stationary bicycle or walking on a treadmill is done during a stress test. (B)
During an echocardiogram, the client must lie supine while a technician performs the
test. To perform the test, the technician uses a conductive gel and a transducer to
obtain ultrasound tracings of the heart. (C) A physician need not be present during an
echocardiogram, and it is neither invasive nor painful. (D) There is no premedication
required for an echocardiogram.
NO.521 A 25-year-old outpatient presents with a diagnosis of compulsive personality
disorder. His coworkers become annoyed with his rigid, perfectionistic manner and
preoccupation with trivial details and schedules. A nursing intervention appropriate
for this client would include:
A. Encouraging him to engage in recreational activities
B. Avoiding discussion of his annoying behavior
C. Encouraging the client to set a time schedule and deadlines for himself
D. Contracting with him for the amount of time he will spend on the compulsive
behaviors
Answer: D
Explanatio
n:
(A)
This answer is incorrect. The client will work hard at the activity instead
of enjoying it. (B)
This answer is incorrect. The nurse should allow the client to discuss these thoughts,
within limits, not to avoid discussing them. (C) This answer is incorrect. The compulsive
client tends to control time to excess. It should not be encouraged. (D) This answer is
correct. A contract with the client regarding the amount of time that will be spent
,discussing the compulsive activities is appropriate. Time allotted should be gradually
decreased.
, NO.522 The nurse is assessing and getting a history from a client treated for
depression with a monoamine oxidase (MAO) antidepressant. The most serious
side effect associated with this antidepressant and the ingestion of tyramine in
aged foods may be:
A. Hypertensive crisis
B. Severe rash
C. Severe hypotension
D. Severe
diarrhea
Answer: A
Explanation:
(A) The most serious adverse reactions of MAO inhibitors involve blood pressure and
ingestion of tyramine-containing foods, which may provoke a hypertensive crisis. (B)
MAO inhibitors cause adverse reactions affecting the central nervous system and
serious adverse reactions involving blood pressure. (C) MAO inhibits false
neurotransmitters (phenylalanines) and may produce hypotensive reactions from
gradual accumulation of these neurotransmitters. (D) The most serious adverse
reactions of MAO inhibitors involve blood pressure.
NO.523 The nurse is developing a plan of care for a client with an electrolyte
imbalance and identifies a nursing diagnosis of decreased physical mobility. Which
alteration is most the etiology?
A. Hypernatremia
B. Hypocalcemia
C. Hypokalemia
D. Hypomagnese
mia Answer: C
Explanation:
