NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A 26-year-old female client presents at 10 weeks' gestation. She currently is a G3 1-0-1-1. Her mother and grandmother have heart disease. Her grandmother also has insulin-dependent diabetes. The client's previous delivery was a term female infant weighing 9 lb 13 oz. The client is 5 ft 6 inches tall and her current weight is 130 lb. Based on her history, she is at risk for developing diabetes in pregnancy. Which of the following factors places her at risk for gestational diabetes?
Correct Answer: C
Rationale: Maternal age older than 30 years is an identified risk factor for diabetes. Age younger than 30 years is insignificant for diabetes unless there is a familial history of diabetes. The client's weight is appropriate for her height. Obesity or pregnancy weight >20% of the ideal weight is a contributing factor to the development of gestational diabetes. The birth of an infant weighing >9 lb (4000 g) is an identified risk factor for gestational diabetes. A familial history of heart disease is insignificant in the development of diabetes. However, a familial history of type II diabetes mellitus is identified as a risk factor in the development of diabetes during pregnancy.
Question 2 of 5
The nurse is caring for a client with a history of glaucoma. The nurse should expect the client to have:
Correct Answer: A
Rationale: Glaucoma causes increased intraocular pressure, damaging the optic nerve and leading to peripheral vision loss, a hallmark symptom.
Question 3 of 5
A 16-year-old client reports a weight loss of 20% of her previous weight. She has a history of food binges followed by self-induced vomiting (purging). The nurse should suspect a diagnosis of:
Correct Answer: C
Rationale: Bulimia is characterized by binge eating followed by purging, such as self-induced vomiting, leading to significant weight loss.
Question 4 of 5
One week ago, a 21-year-old client with a diagnosis of bipolar disorder was started on lithium 300 mg po qid. A lithium level is ordered. The client's level is 1.3 mEq/L. The nurse recognizes that this level is considered to be:
Correct Answer: A
Rationale: This answer is correct. The therapeutic range is 1.0-1.5 mEq/L in the acute phase. Maintenance control levels are 0.6-1.2 mEq/L. (B,
C) This answer is incorrect. A level of 1.3 mEq/L is within therapeutic range. This answer is incorrect.
Toxic poisoning is usually at the 2.0 level or higher.
Question 5 of 5
A client with a history of a heart failure is receiving Digoxin (Lanoxin). The nurse should monitor the client for:
Correct Answer: B
Rationale: Digoxin toxicity can cause visual disturbances (e.g., yellow-green halos), requiring monitoring. Tachycardia, hypotension, and weight loss are less specific.