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NCLEX RN Predictor Exam Questions

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Question 1 of 5

When a client with pancreatitis is discharged, the nurse needs to teach him how to prevent another occurrence of acute pancreatitis. Which of the following statements would indicate he has an understanding of his disease?

Correct Answer: C

Rationale: Avoiding alcohol entirely, as indicated by attending AA meetings, shows understanding of preventing pancreatitis, which is often triggered by alcohol consumption.

Question 2 of 5

A client with a history of a stroke is receiving speech therapy. The nurse should:

Correct Answer: C

Rationale: A quiet environment reduces distractions, aiding speech therapy post-stroke. Loud speech, complex sentences, and limiting sessions are unhelpful.

Question 3 of 5

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?

Correct Answer: C

Rationale: The client should maintain a normal diet including normal salt intake. A low-sodium diet can cause lithium retention, leading to toxicity. Lithium must be taken with meals because it is irritating to the gastric mucosa. Diarrhea, vomiting, or diaphoresis can cause dehydration, which will increase lithium blood levels. If these symptoms occur, the nurse should instruct the client to withhold lithium. Lithium is not to be taken with over-the-counter drugs without specific instruction. Some drugs raise lithium levels, whereas others lower lithium levels.

Question 4 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 5 of 5

The nurse monitors a client with SIADH for weight loss. A loss of 6 pounds since admission indicates a loss of liters of fluid.

Correct Answer: 2.7 liters

Rationale: In SIADH, 1 kg (2.2 lbs) of weight loss approximates 1 liter of fluid loss. 6 lbs ÷ 2.2 = 2.73 kg ≈ 2.7 liters.

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