NCLEX Questions, NCLEX-RN Exam Practice Questions, NCLEX-RN Questions, Nurselytic

Questions 157

NCLEX-RN

NCLEX-RN Test Bank

NCLEX-RN Exam Practice Questions

Extract:


Question 1 of 5

A client has ataxia following a cerebral vascular accident. The nurse should:

Correct Answer: A

Rationale: Ataxia post-stroke causes unsteady gait, increasing fall risk. Supervising ambulation ensures safety. Intake/output, speech therapy, and writing aids are unrelated to ataxia.

Question 2 of 5

A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken:

Correct Answer: C

Rationale: Acarbose delays carbohydrate absorption and should be taken with the first bite of a meal to be effective. Taking it before, after, or at bedtime is less effective.

Question 3 of 5

The client is admitted with a diagnosis of gestational trophoblastic disease. Which symptom is most characteristic?

Correct Answer: A

Rationale: Elevated hCG levels are the most characteristic symptom of gestational trophoblastic disease reflecting abnormal trophoblastic proliferation. Fetal heart tones are absent uterine size is larger and fever is not typical.

Question 4 of 5

While caring for an elderly patient with hypertension, the nurse notes the following vital signs: BP of 140/40, pulse 120, respirations 36. The nurse's initial action should be to:

Correct Answer: A

Rationale: The vital signs indicate a wide pulse pressure (140/40), tachycardia (pulse 120), and tachypnea (respirations 36), suggesting possible cardiovascular or respiratory distress. The nurse should report these findings to the physician immediately for further evaluation, as they may indicate a serious condition like heart failure or shock.

Question 5 of 5

A 30-year-old client has a history of several recent traumatic experiences. She presents at the physician's office with a complaint of blindness. Physical exam and diagnostic testing reveal no organic cause. The nurse recognizes this as:

Correct Answer: D

Rationale: Conversion disorder involves sensory or motor symptoms, like blindness, without an organic cause, often linked to psychological stress.

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