NCLEX Questions, RN NCLEX Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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Question 1 of 5

A client is experiencing visual problems at school. She has complained of difficulty seeing the blackboard and squinting. She no longer likes to participate in physical activities such as softball. The client has displayed possible classic symptoms of which refractive error?

Correct Answer: C

Rationale: Visual images are blurred and distorted. Symptoms are headaches, burning eyes, fatigue, squinting, and difficulty reading. These symptoms are classic for myopia. Amblyopia is not a refractive error. It is a loss of vision in one or both eyes.

Question 2 of 5

A client with a history of a hiatal hernia is being taught about dietary management. The nurse should encourage the client to:

Correct Answer: B

Rationale: Caffeine relaxes the lower esophageal sphincter, worsening hiatal hernia symptoms. Small meals, avoiding lying down post-meals, and low-fat foods are recommended.

Question 3 of 5

The nurse is caring for a client with a diagnosis of chorioamnionitis. Which intervention is most appropriate?

Correct Answer: D

Rationale: Chorioamnionitis requires antibiotics for infection fetal heart tone monitoring for distress and preparation for delivery (vaginal or cesarean) if maternal or fetal condition worsens. All interventions are appropriate.

Question 4 of 5

The nurse is caring for a client with a history of a hysterectomy. The client complains of hot flashes. The nurse should:

Correct Answer: C

Rationale: Hot flashes post-hysterectomy are due to hormonal changes. Discussing hormone replacement therapy with the physician is appropriate. Heating pads, fluid restriction, and acetaminophen are ineffective.

Question 5 of 5

A client with a history of chronic kidney disease is admitted with complaints of edema. The nurse should expect the client to have:

Correct Answer: C

Rationale: Chronic kidney disease impairs potassium excretion, leading to hyperkalemia, which can cause cardiac complications.

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