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NCLEX RN Predictor Exam Questions

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Question 1 of 5

A client with a history of chronic back pain is admitted with complaints of muscle spasms. The nurse should give priority to:

Correct Answer: A

Rationale: Muscle relaxants relieve spasms in chronic back pain, improving comfort and mobility.

Question 2 of 5

A client with a head injury has an intracranial pressure (ICP) monitor in place. Cerebral perfusion pressure calculations are ordered. If the client's ICP is 22 and the mean pressure reading is 70, what is the client's cerebral perfusion pressure?

Correct Answer: 58

Rationale: Cerebral perfusion pressure (CPP) is calculated as CPP = MAP - ICP. Given MAP = 70 mmHg and ICP = 22 mmHg, CPP = 70 - 22 = 48 mmHg. Thus, the correct answer is 48.

Question 3 of 5

The client is admitted to the family-planning clinic with a desire to use a diaphragm as her method of contraception. Which instructions should be included in the teaching plan?

Question Image

Correct Answer: B, E

Rationale: Diaphragms require contraceptive gel (
B) for efficacy and must remain in place 6 hours post-intercourse (E). Hot water (
A) may damage the diaphragm; douching (
C) is discouraged; resizing occurs every 2 years or after weight changes (
D).

Question 4 of 5

The nurse is planning for discharge teaching to a client after a total hip replacement. Which teaching points will be included?

Question Image

Correct Answer: A, B, C, D

Rationale: Hip replacement teaching includes avoiding leg separation (
A), maintaining hydration/fiber (
B), monitoring for dislocation signs (
C), and limiting hip flexion (
D). Sleeping on affected side (E) is not advised to prevent dislocation.

Question 5 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.

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