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NCLEX RN Practice Exam Questions

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Question 1 of 5

If a client weighs 132 lb and has a caloric requirement of 28 calories per kg of body weight per day, what is the number of calories that the client needs each day to maintain body weight? Record your answer using a whole number.

Correct Answer: 1680

Rationale: Weight = 132 lb/ 2.2 = 60 kg. Calories = 60 kg X 28 cal/kg = 1,680 calories/day.

Question 2 of 5

Which type of endotracheal tube is recommended by the Centers for Disease Control (CDC) for reducing the risk of ventilator-associated pneumonia?

Correct Answer: B

Rationale: CASS (continuous aspiration of subglottic secretions) tubes reduce ventilator-associated pneumonia by removing secretions.

Question 3 of 5

A client is admitted for suspected bladder cancer. Which one of the following factors is most significant in the client's diagnosis?

Correct Answer: A

Rationale: Long-term smoking is a major risk factor for bladder cancer due to carcinogenic chemicals in tobacco being excreted in urine, irritating the bladder.

Question 4 of 5

The client is diagnosed with multiple myloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client?

Correct Answer: D

Rationale: Cyclophosphamide can cause hemorrhagic cystitis; adequate hydration (e.g., 8 glasses of water) helps prevent this.

Question 5 of 5

The physician orders an MRI of the spine with infusion for an adult female. Which of the following findings in the client's history should the nurse report to the physician?

Correct Answer: A

Rationale: Shellfish allergy may indicate iodine sensitivity, a concern for MRI contrast, requiring physician evaluation to prevent allergic reactions.

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