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NCLEX RN Practice Exam Questions

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Question 1 of 5

The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

Correct Answer: C

Rationale: Unexplained weight loss is a common symptom of leukemia due to increased metabolic demand and systemic effects of the disease.

Question 2 of 5

The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

Correct Answer: C

Rationale: Neonates of diabetic mothers are often large for gestational age and at risk for hypoglycemia due to maternal glucose levels.

Question 3 of 5

The nursing assistant is taking vitals for a client on mechanical ventilation. Which of the following findings should the nursing assistant report to the nurse immediately?

Correct Answer: D

Rationale: Fever (102.1°F) in a ventilated client suggests infection (e.g., ventilator-associated pneumonia), requiring immediate reporting.

Question 4 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 5 of 5

A client is hospitalized with an acute myocardial infarction. Which nursing diagnosis reflects an understanding of the cause of acute myocardial infarction?

Correct Answer: B

Rationale: Impaired tissue perfusion due to coronary occlusion is the primary cause of acute myocardial infarction.

Similar Questions

A postoperative client whose oxygen saturation has been stable at 96% to 98% suddenly shows a drop to 80%. What initial response is most indicated?
A client is to receive 1,000 mL of potassium chloride in 5% dextrose injection (D5W) intravenously over 3 hours and 20 minutes using a drop factor of 15 drops/mL. What is the required flow rate (drops) per minute? Record your answer using a whole number.
A client is admitted for suspected bladder cancer. Which one of the following factors is most significant in the client's diagnosis?
The nurse is caring for a client admitted with chest pain and atrial fibrillation. The nurse accidentally gives the client the wrong dose of digoxin. The client is monitored throughout the shift and no ill effects are noted. Which actions by the nurse are correct? Select all that apply.
The nurse is working with a client in the psychiatric unit. The client has memory gaps, which she fills in with detailed fantasies that she believes to be true. The nurse understands that the client is exhibiting which type of abnormal thought process?

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