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NCLEX RN Practice Exam Questions

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Question 1 of 5

A client is admitted for suspected bladder cancer. Which one of the following factors is most significant in the client's diagnosis?

Correct Answer: A

Rationale: Long-term smoking is a major risk factor for bladder cancer due to carcinogenic chemicals in tobacco being excreted in urine, irritating the bladder.

Question 2 of 5

The nurse caring for a client with chest tubes notes that the Pleuravac's collection chambers are full. The nurse should:

Correct Answer: D

Rationale: When the Pleuravac collection chambers are full, a new unit is needed to continue effective drainage and maintain the closed system.

Question 3 of 5

A client with recurrent episodes of gout has been advised to eat a low-purine diet. Which of the following foods should the nurse advise him to limit or avoid? Select all that apply.

Correct Answer: A,B,E

Rationale: High-purine foods like liver (
A), sardines (
B), and beef broth (E) should be limited to reduce gout flare-ups. Wine (
C), low-fat yogurt (
D), and potatoes (F) are low in purines and generally safe.

Question 4 of 5

A client is prescribed heparin 2,000 units SC q8 hours. The pharmacy sends heparin 5,000 units/mL. How many mL should the nurse administer every 24 hours?

Correct Answer: C

Rationale: Dose per injection: 2,000 units ÷ 5,000 units/mL = 0.4 mL. Q8 hours = 3 doses/day. 0.4 mL × 3 = 1.2 mL/day.

Question 5 of 5

A client is hospitalized with an acute myocardial infarction. Which nursing diagnosis reflects an understanding of the cause of acute myocardial infarction?

Correct Answer: B

Rationale: Impaired tissue perfusion due to coronary occlusion is the primary cause of acute myocardial infarction.

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The nurse is caring for the patient following removal of a large posterior oral lesion. The priority nursing measure would be to:
The nurse is caring for a client admitted with chest pain and atrial fibrillation. The nurse accidentally gives the client the wrong dose of digoxin. The client is monitored throughout the shift and no ill effects are noted. Which actions by the nurse are correct? Select all that apply.
A child with thrush has been prescribed fluconazole (Diflucan). The child's mother asks what this medication is used for, and the nurse correctly replies,

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