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NCLEX RN Predictor Exam Questions

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Question 1 of 5

The nurse is assessing the integumentary system of a dark-skinned individual. Which area would be the most likely to show a skin cancer lesion?

Correct Answer: D

Rationale: In dark-skinned individuals, skin cancer (e.g., acral lentiginous melanoma) is most common on palms or soles due to less pigmentation. Chest (
A), arms (
B), and face (
C) are less likely sites.

Question 2 of 5

Assessment of a newborn for Apgar scoring includes observation for:

Correct Answer: C

Rationale: Heart rate is a critical component of Apgar scoring, assessed at 1 and 5 minutes to evaluate newborn vitality.

Question 3 of 5

The client is admitted with a suspected myocardial infarction. Which laboratory value is most specific for confirming the diagnosis?

Correct Answer: A

Rationale: Troponin is the most specific and sensitive marker for myocardial infarction, as it is released during cardiac muscle damage and remains elevated for days. CK, myoglobin, and LDH are less specific.

Question 4 of 5

A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the nurse whether she should increase her insulin when she is planning to attend cheerleading practice sessions lasting from 8 to 11 AM. The most appropriate answer would be:

Correct Answer: D

Rationale: A nurse can give this information to a client. Exercise makes insulin more efficient in moving more glucose into the cells. No more insulin is needed. Exercise makes insulin more efficient unless the diabetes is poorly controlled. Exercise makes insulin more efficient in moving more glucose into the cells.

Question 5 of 5

A client with a history of chronic back pain is admitted with complaints of muscle spasms. The nurse should give priority to:

Correct Answer: A

Rationale: Muscle relaxants relieve spasms in chronic back pain, improving comfort and mobility.

Similar Questions

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In counseling a client, the nurse emphasizes the danger signals during pregnancy. On the next visit, the client identifies which of the following as a danger signal that should be reported immediately?
A 30-year-old client is exhibiting auditory hallucinations. In working with this client, the nurse would be most effective if the nurse:
A client with hepatitis C is scheduled for a liver biopsy. Which would the nurse include in the teaching plan for this client?
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:

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