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NCLEX RN Predictor Exam Questions

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Question 1 of 5

A client admitted to the emergency room with multiple injuries develops Cullen's sign. The nurse is aware that the client has sustained damage to the:

Correct Answer: C

Rationale: Cullen’s sign (periumbilical bruising) indicates intra-abdominal bleeding, often from trauma to abdominal organs like the liver or spleen. It is not associated with brain, lung, or spinal injuries.

Question 2 of 5

The nurse is assigning staff for the day. Which client should be assigned to the nursing assistant?

Correct Answer: B

Rationale: The 10-year-old two days post-appendectomy is stable and requires routine care (e.g., vital signs, hygiene), suitable for a nursing assistant. The other clients have conditions (bronchiolitis, cellulitis, fracture) requiring more complex assessments or interventions by licensed staff.

Question 3 of 5

Newborns are routinely screened for phenylketonuria. The nursery nurse ensures that this screening test is performed:

Correct Answer: B

Rationale: The infant has not ingested any protein immediately after birth, which is necessary to detect excessive serum phenylalanine. It is important that the infant take in 2-3 full days of milk or formula feedings to preclude a false-negative reading. At 2-3 days of age, inadequate milk could have been ingested owing to a delay in the initial feeding. The biochemical buildup of serum phenylalanine is detectable after 2-3 days of milk or formula ingestion.

Question 4 of 5

The nurse notes multiple bruises on the arms and legs of a newly admitted client with lupus. The client states, 'I get them whenever I bump into anything.' The nurse would expect to note a decrease in which of the following laboratory tests?

Correct Answer: A

Rationale: Thrombocytopenia, a decrease in platelets, occurs in lupus and causes a decrease in blood coagulation and thrombus formation. Clients with lupus will have a decrease in the WBC count decreasing their resistance to infection. Clients with lupus may have a decrease in the hemoglobin level causing anemia. Leukopenia, a decrease in white blood cells, is seen in lupus and decreases resistance to infection.

Question 5 of 5

Signs and symptoms of an allergy attack include which of the following?

Correct Answer: D

Rationale: Prolonged expiration occurs in allergy attacks due to constricted, edematous bronchial lumina, which impair air movement during exhalation.

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