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NCLEX RN Predictor Exam Questions

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Question 1 of 5

A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices:

Correct Answer: D

Rationale: Ethambutol can cause optic neuritis, leading to changes in color vision, a serious side effect requiring immediate reporting. Gastric distress is common, and red fluids are unrelated.

Question 2 of 5

The nurse assesses a client on the second postpartum day and finds a dark red discharge on the peripad. The stain appears to be about 5 inches long. Which of the following correctly describes the character and amount of lochia?

Correct Answer: D

Rationale: Lochia alba occurs approximately 10 days after birth and is yellow to white. A discharge is classified as light when less than a 4-inch stain exists. Lochia serosa is pink to brown and occurs 3-4 days after delivery. A stain is classified as heavy when a peripad is saturated in 1 hour. Lochia granulosa is not a proper classification. Lochia rubra is red, consisting mainly of blood, debris, and bacteria, and lasts from the time of delivery to 3-4 days afterward. A stain is classified as moderate when less than a 6-inch stain exists.

Question 3 of 5

The client is admitted with a diagnosis of HELLP syndrome. Which laboratory finding is consistent with this diagnosis?

Correct Answer: C

Rationale: HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelets) is characterized by elevated liver enzymes and decreased platelet count reflecting liver damage and thrombocytopenia. Both findings are consistent with the diagnosis.

Question 4 of 5

The nurse is teaching a client with a history of sleep apnea about self-care. The nurse should tell the client to:

Correct Answer: A

Rationale: A CPAP machine maintains airway patency in sleep apnea, improving oxygenation and reducing apneic episodes.

Question 5 of 5

The nurse is caring for a client with leukemia who has received the drug Daunorubicin (Cerubidine). Which of the following common side effects would cause the most concern?

Correct Answer: C

Rationale: Cardiotoxicity, a serious side effect of Daunorubicin, can lead to heart failure and requires immediate attention. Nausea (
A), vomiting (
B), and alopecia (
D) are common but less life-threatening.

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