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NCLEX RN Predictor Exam Questions

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Question 1 of 5

A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on isolation. The nurse notices a family member entering the room without applying the appropriate apparel. The nurse will approach the family member using the following information as a basis for discussion:

Correct Answer: C

Rationale: Although clients with a compromised immune system may acquire infections, the primary emphasis is on protecting the client. (B,
D) Most people are aware of the guidelines once they see posted signs, so quoting regulations is not likely to result in consistent adherence to regulations. Clients with aplastic anemia have white cell counts of 2000 or lower, making them more vulnerable to infections from others.

Question 2 of 5

A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescribed meals. The most important intervention in monitoring her dietary compliance would be to:

Correct Answer: C

Rationale: The client should be observed eye-to-eye for at least 1 hour following meals to prevent discarding food stashed in her clothing at mealtime or engaging in self-induced vomiting.

Question 3 of 5

The physician prescribes a medical regimen of isoniazid, rifampin, and vitamin B6 for a tuberculosis client. The nurse instructs the client that B6 is given because it:

Correct Answer: D

Rationale: Isoniazid leads to Vitamin B6 deficiency, which is manifested as peripheral neuropathy.

Question 4 of 5

Assessment of the client's skin reveals numerous café au lait spots over the trunk. These changes are associated with which diagnosis?

Correct Answer: B

Rationale: Café au lait spots are characteristic of neurofibromatosis a genetic disorder affecting nerve tissue. They are not associated with polycythemia vera thalassemia major or acoustic neuroma.

Question 5 of 5

The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing. Which statement indicates understanding?

Correct Answer: B

Rationale: Pursed-lip breathing involves slow exhalation through pursed lips to prolong exhalation and reduce air trapping in COPD. Quick inhalation (
A), breath-holding (
C), and rapid breathing (
D) are incorrect.

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