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NCLEX RN Practice Exam Questions

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Question 1 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 2 of 5

A pediatric nurse would be concerned by which of the following sets of vital signs?

Correct Answer: B

Rationale: 12-month-old vitals (BP 65/55, RR 50, HR 130) show low BP (normal ~90/50) and high RR (normal 20-30), suggesting distress. Other options are age-appropriate.

Question 3 of 5

All of the following are common symptoms seen in clients diagnosed with tuberculosis (TB) EXCEPT

Correct Answer: C

Rationale: TB symptoms include night sweats, fever, and weight loss. Weight gain is not typical, and nail clubbing is more associated with chronic lung conditions like COPD.

Question 4 of 5

A vaginal exam reveals a breech presentation in a newly admitted client. The nurse should take which of the following actions at this time?

Correct Answer: B

Rationale: Applying the fetal heart monitor assesses fetal well-being in a breech presentation, guiding further management.

Question 5 of 5

A client visits the clinic after the death of a parent. Which statement made by the client's sister signifies abnormal grieving?

Correct Answer: D

Rationale: Denial of grief, as indicated by acting like nothing has happened, suggests abnormal grieving, as it may reflect an inability to process the loss.

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A client has orders for a heparin drip with 20,000 units in a 250 mL bag. The heparin must be delivered at 854 units per hour. What rate will the nurse set for the IV?
Someone sees a nursing assistant yell at an elderly client and throw his lunch tray off the table. The nursing assistant could likely be charged with
A client is recovering from a stroke and the nurse is doing range-of-motion exercises. Which movements should be included for ROM of the elbow on the weak side? Select all that apply.

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