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NCLEX RN Predictor Exam Questions

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Question 1 of 5

The nurse is assessing the circulation of a patient in a long leg cast. Which of the following assessments indicate adequate circulation to the extremity?

Correct Answer: D

Rationale: Brisk capillary refill of less than three seconds indicates adequate blood flow to the extremity as it shows that blood is returning quickly to the capillaries after compression. While the other options (no pain toe movement and sensation) are positive signs they do not directly assess circulation as effectively as capillary refill.

Question 2 of 5

The physician has prescribed tranylcypromine sulfate (Parnate) 10 mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause:

Correct Answer: A

Rationale: Tranylcypromine, a monoamine oxidase inhibitor, can cause a hypertensive crisis if tyramine-rich foods (e.g., aged cheese, wine) are consumed, due to tyramine’s effect on norepinephrine release. The other effects are not associated with this interaction.

Question 3 of 5

Endotracheal tube cuff pressure should never exceed:

Correct Answer: B

Rationale: Pressure in the endotracheal tube cuff should never exceed 20 mm Hg, because higher pressure places the client at risk for tracheal erosion.

Question 4 of 5

The nurse is caring for a client with a history of multiple miscarriages. Which diagnostic test is most likely to be ordered?

Correct Answer: C

Rationale: A hysterosalpingogram evaluates the uterine cavity and fallopian tubes for abnormalities (e.g. septum fibroids) that may cause recurrent miscarriages. Amniocentesis assesses fetal genetics Kleihauer-Betke detects fetal blood and non-stress tests monitor fetal well-being.

Question 5 of 5

Hyperstat (diazoxide) is ordered for a patient with hypertension. Which side effect is associated with the medication?

Correct Answer: C

Rationale: Diazoxide used for hypertensive emergencies can cause fluid retention and increased urinary frequency due to its diuretic-like effects. Photophobia numbness and alopecia are not commonly associated with this medication.

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The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which symptom is most likely to be present?
A female client has been recently diagnosed as bipolar. She has taken lithium for the past several weeks to control mania. What must be included in client education regarding lithium toxicity?
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?

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