VATI GREENLIGHT EXAM PREP: COMPLETE 200-QUESTION NCLEX-RN PRACTICE TEST BANK WITH 100% VERIFIED ANSWERS AND DETAILED RATIONALES – COVERING MENTAL HEALTH, MED-SURG, MATERNITY, PEDIATRICS, PHARMACOLOGY, AND LEADERSHIP MANAGEMENT

VATI GREENLIGHT EXAM PREP: COMPLETE 200-QUESTION NCLEX-RN PRACTICE TEST BANK WITH 100% VERIFIED ANSWERS AND DETAILED RATIONALES – COVERING MENTAL HEALTH, MED-SURG, MATERNITY, PEDIATRICS, PHARMACOLOGY, AND LEADERSHIP MANAGEMENT 1. A nurse is caring for a client with major depressive disorder who has been prescribed phenelzine. Which dietary instruction should the nurse include? A) Avoid foods containing tyramine B) Increase intake of dairy products C) Limit consumption of green leafy vegetables D) Avoid foods high in potassium Correct Answer: A - Phenelzine is an MAOI that requires dietary restriction of tyramine-rich foods to prevent hypertensive crisis. ________________________________________ 2. A nurse is assessing a newborn 5 minutes after birth. The newborn has a heart rate of 120/min, respiratory rate of 40/min, good muscle tone, and cries vigorously. The nurse notes acrocyanosis. What Apgar score should the nurse assign? A) 7 B) 8 C) 9 D) 10 Correct Answer: C - Score: Heart rate 2, Respiratory 2, Muscle tone 2, Reflex irritability 2, Color 1 (acrocyanosis) = 9. ________________________________________ 3. A nurse is preparing to administer digoxin to a client with heart failure. Which assessment finding should cause the nurse to withhold the medication? A) Apical pulse 52/min B) Blood pressure 138/88 mmHg C) Respiratory rate 18/min D) Serum potassium 4.2 mEq/L Correct Answer: A - Digoxin should be withheld if apical pulse is below 60/min in adults due to risk of bradycardia and toxicity. ________________________________________ 4. A nurse is caring for a client with borderline personality disorder who has self-inflicted lacerations. Which intervention should the nurse implement first? A) Assess the wounds and provide appropriate care B) Place the client on suicide precautions C) Discuss the client's feelings that led to self-harm D) Encourage the client to use coping skills Correct Answer: A - Physical safety is the priority; wounds must be assessed and treated before psychological interventions. ________________________________________ 5. A nurse is providing teaching to a client with a new prescription for warfarin. Which statement by the client indicates understanding? A) "I will increase my intake of green leafy vegetables" B) "I will take ibuprofen for headaches" C) "I will use an electric razor for shaving" D) "I will take my medication with grapefruit juice" Correct Answer: C - Electric razors reduce bleeding risk; green leafy vegetables contain vitamin K which reduces warfarin effectiveness. ________________________________________ 6. A nurse is assessing a client in active labor. The fetal heart rate baseline is 140/min with late decelerations. What is the priority nursing action? A) Administer oxygen via face mask B) Prepare for immediate cesarean delivery C) Position the client on her left side D) Increase the IV fluid rate Correct Answer: C - Left lateral position improves placental perfusion and is the first intervention for late decelerations. ________________________________________ 7. A nurse is caring for a child with acute glomerulonephritis. Which finding requires immediate intervention? A) Periorbital edema B) Blood pressure 150/95 mmHg C) Urine output 20 mL over 4 hours D) Hematuria Correct Answer: C - Oliguria (1 mL/kg/hr) indicates acute kidney injury requiring immediate intervention. ________________________________________ 8. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate for the nurse to delegate? A) Administering a tube feeding B) Suctioning a tracheostomy C) Assisting a client with ambulation D) Assessing a client's wound Correct Answer: C - Assisting with ambulation is within AP scope; assessments and sterile procedures require licensed personnel. ________________________________________ 9. A client with generalized anxiety disorder is prescribed buspirone. Which information should the nurse include in teaching? A) Medication takes 2-4 weeks to achieve therapeutic effect B) Drowsiness is not a side effect C) Medication works immediately like benzodiazepines D) Alcohol can be consumed in moderation Correct Answer: A - Buspirone has delayed onset of action, typically 2-4 weeks; not for PRN use. ________________________________________ 10. A nurse is caring for a postpartum client with suspected retained placental fragments. Which finding supports this diagnosis? A) Fundus firm at umbilicus B) Lochia serosa C) Bright red bleeding with clots D) Normal vital signs