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NCLEX RN Predictor Exam Questions

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Question 1 of 5

The nurse is caring for a client with a history of scleroderma. The nurse should expect the client to have:

Correct Answer: A

Rationale: Scleroderma causes collagen overproduction, leading to skin thickening and hardening, a hallmark symptom.

Question 2 of 5

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?

Correct Answer: A

Rationale: Thrombocytopenia, a decrease in platelets, occurs in lupus and causes a decrease in blood coagulation and thrombus formation. Clients with lupus will have a decrease in the WBC count decreasing their resistance to infection. Clients with lupus may have a decrease in the hemoglobin level causing anemia. Leukopenia, a decrease in white blood cells, is seen in lupus and decreases resistance to infection.

Question 3 of 5

The nurse is assessing a client with suspected Cushing’s syndrome. Which finding is most consistent with this diagnosis?

Correct Answer: B

Rationale: Cushing’s syndrome causes cortisol excess, leading to a moon-shaped face due to fat redistribution. Weight gain, hypertension, and tachycardia are more common than weight loss, hypotension, or bradycardia.

Question 4 of 5

A client with a history of a lumbar laminectomy is being discharged. The nurse should teach the client to avoid:

Correct Answer: A

Rationale: Bending at the waist post-lumbar laminectomy strains the surgical site, risking injury. Sleeping, walking, and sitting (if brief) are generally safe with proper technique.

Question 5 of 5

The client is admitted with a diagnosis of hypoparathyroidism. Which electrolyte imbalance is the client at risk for?

Correct Answer: C

Rationale: Hypoparathyroidism reduces parathyroid hormone, decreasing calcium levels and causing hypocalcemia. Potassium, hypercalcemia, and hypermagnesemia are not directly related.

Similar Questions

A female client was employed as a client care technician in a hemodialysis unit. She recently began to experience extreme fatigue, being able to sleep for 16-20 hours at a time. She also noted that her urine was tea colored, which she rationalized was a result of the vitamins she began taking to alleviate fatigue. She was diagnosed with hepatitis B. After a brief hospital stay, she is discharged to her parent's home. Her mother asks the nurse if any precautions are necessary to prevent transmission to the client's family. The nurse explains necessary precautions, which include:
A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices:
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing. Which statement indicates understanding?
The physician has ordered an infusion of Osmitrol (mannitol) for a client with increased intracranial pressure. Which finding indicates the direct effectiveness of the drug?
The nurse is caring for a client with a head injury who has increased ICP. The physician plans to reduce the cerebral edema by constricting cerebral blood vessels. Which physician order would serve this purpose?

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