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NCLEX RN Predictor Exam Questions

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Question 1 of 5

A client is in active labor and has been admitted to the labor and delivery unit. The RN has just done a sterile vaginal exam and determines that the client is dilated 5 cm, effaced 85%, and the fetus's head is at 0 station. She asks if she could have a lumbar epidural now. The epidural is started, and the anesthetic agent used is bupivacaine (Marcaine). After the client has received her lumbar epidural, it is important for the RN to monitor her for which of the following side effects:

Correct Answer: B

Rationale: Bupivacaine causes vasodilation, which can lead to hypotension, a common side effect that requires close monitoring.

Question 2 of 5

The client is admitted with a burn injury covering 30% of the body. Which fluid is most likely to be ordered for resuscitation?

Correct Answer: B

Rationale: Lactated Ringer’s is the preferred fluid for burn resuscitation (per Parkland formula) to replace intravascular volume and electrolytes lost in burns. Normal saline can cause hyperchloremia, dextrose is inadequate, and albumin is used later.

Question 3 of 5

Which diet is associated with an increased risk of colorectal cancer?

Correct Answer: C

Rationale: High-fat, refined carbohydrate diets are linked to colorectal cancer due to increased bile acid production and reduced fiber intake, which promote carcinogenesis. The other diets are less strongly associated.

Question 4 of 5

A female client at 10 weeks' gestation complains to her physician of slight vaginal bleeding and mild cramps. On examination, her physician determines that her cervix is closed. The client is exhibiting signs of:

Correct Answer: B

Rationale: An inevitable abortion includes the signs of cervical dilation and effacement as well as pain and bleeding. A threatened abortion is a condition in which intrauterine bleeding occurs early in pregnancy, the cervix remains undilated, and the uterine contents are not necessarily expelled. An incomplete abortion occurs when some portions of the products of conception are expelled from the uterus. A missed abortion occurs when the embryo dies in utero and is retained in the uterus.

Question 5 of 5

The nurse is caring for a client with a history of a fractured pelvis. The client is in pelvic traction. The nurse should:

Correct Answer: D

Rationale: Monitoring for infection at pin sites is critical in pelvic traction to prevent osteomyelitis. Turning is limited, weights must hang freely, and lotion is unnecessary.

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