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LATTEST UPDATE ON Secure Predictor Test B (NCLEX-Style) 2025- 2026 VERSION WITH QUALIFIED QUESTIONS AND VERRIFIED ANSWERS 100% CORRECT. 1. A nurse is assessing a client with increased intracranial pressure (ICP). Which finding requires immediate

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LATTEST UPDATE ON Secure Predictor Test B (NCLEX-Style) 2025- 2026 VERSION WITH QUALIFIED QUESTIONS AND VERRIFIED ANSWERS 100% CORRECT. 1. A nurse is assessing a client with increased intracranial pressure (ICP). Which finding requires immediate action? A. Headache B. Vomiting C. Decreased level of consciousness D. Papilledema Answer: C Rationale: A decreased level of consciousness is the earliest and most critical sign of worsening ICP and requires immediate intervention. 2. A client with heart failure is prescribed furosemide. Which lab value requires the nurse to hold the medication? A. Sodium 138 mEq/L B. Potassium 2.9 mEq/L C. Creatinine 1.0 mg/dL D. Calcium 9.2 mg/dL Answer: B Rationale: Furosemide causes potassium loss; a level of 2.9 indicates hypokalemia and risk of dysrhythmias.

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LATEST UPDATE FOR
Secure Predictor Test
A:WITH
QUALIFIED QUESTIONS
AND VERRIFIED
ANSWERS
100% CORRECT 2025-
2026 VERSION.

,1. A nurse is caring for a client with increased
intracranial pressure (ICP). Which finding requires
immediate intervention?
A. BP 150/90
B. HR 52
C. Respirations 10 and irregular
D. Temperature 37.5°C
Answer: C
Irregular respirations indicate worsening ICP and
possible brainstem involvement—this is life-
threatening.


2. Which client should the nurse assess first?
A. Post-op day 1 with pain 7/10
B. COPD client with O2 sat 90%
C. New onset confusion in elderly
D. Stable angina requesting meds

,Answer: C
Acute confusion may indicate hypoxia, stroke, or
sepsis—priority assessment.


3. A client receiving heparin develops bleeding
gums. What is the priority action?
A. Stop infusion
B. Notify provider
C. Check aPTT
D. Administer protamine
Answer: A
First action is to stop the anticoagulant to prevent
further bleeding.


4. Which lab value is critical for a client on digoxin?
A. K+ 3.0
B. Na+ 140
C. Ca2+ 9.5
D. Mg2+ 2.0

, Answer: A
Hypokalemia increases risk of digoxin toxicity.


5. Which intervention is priority for a client with
neutropenia?
A. Limit visitors
B. Hand hygiene
C. Private room
D. No fresh flowers
Answer: B
Hand hygiene is the most effective infection
prevention method.


6. A nurse is delegating to a UAP. Which task is
appropriate?
A. Assess pain
B. Administer meds
C. Ambulate stable client
D. Evaluate teaching

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