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NCLEX RN Practice Test Questions

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Question 1 of 5

A client is admitted to the intensive care unit after falling on an icy sidewalk and striking the right side of the head. An MRI revealed a right-sided epidural hematoma. Which physical force explains the location of the client's injury?

Correct Answer: A

Rationale: A coup injury occurs at the site of impact, explaining the right-sided epidural hematoma from striking the right side of the head.

Question 2 of 5

The nurse caring for a client with a head injury would recognize which assessment finding as the most indicative of increased ICP?

Correct Answer: D

Rationale: Papilledema (optic disc swelling) is a specific sign of increased ICP due to pressure on the optic nerve. Nausea, headache, and dizziness are less specific.

Question 3 of 5

In evaluating the effectiveness of IV Pitocin for a client with secondary dystocia, the nurse should expect:

Correct Answer: D

Rationale: Pitocin is effective if it promotes progressive cervical dilation, correcting secondary dystocia.

Question 4 of 5

An important intervention in monitoring the dietary compliance of a client with bulimia is:

Correct Answer: C

Rationale: Observing the client after meals prevents purging, a common behavior in bulimia, ensuring dietary compliance and safety.

Question 5 of 5

When providing care for a client with pancreatitis, the nurse would anticipate which of the following orders?

Correct Answer: B

Rationale: Pancreatitis often requires an NG tube with suction to reduce gastric secretions and pancreatic stimulation, aiding in symptom management.

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