NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

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Extract:


Question 1 of 5

A client wearing corrective lenses has a visual acuity of 20/200. The nurse recognizes that the client:

Correct Answer: B

Rationale: The client whose vision is corrected to 20/200 is by definition legally blind because he is able to see at 20 feet what the healthy eye can see at 200 feet. Answer A refers to a refractive error, which is corrected by eyeglasses or one of the laser procedures. Answer C is an inability to focus on near objects due to a loss of elasticity of the lens and is corrected by the use of bifocal eye glasses. Answer D does not apply because the client would experience difficulty with vision at night or in dim lighting. Answers A, C, and D are incorrect because they do not explain what is meant by a visual acuity of 20/200.

Question 2 of 5

Which of the following is a correctly stated nursing diagnosis for a client with abruptio placentae?

Correct Answer: D

Rationale: Abruptio placentae causes hemorrhage due to premature placental separation, leading to fluid volume deficit, a major nursing concern. Infection (
A) is unrelated, and choices B and C are incorrectly phrased nursing diagnoses.

Question 3 of 5

Which of the following organs of the digestive system has a primary function of absorption?

Correct Answer: C

Rationale: The small intestine is the primary site for nutrient absorption due to its large surface area. The other organs have different primary functions, like digestion or storage. Physiological Adaptation

Extract:

Mr. Holland is a 55-year-old male patient who has a long history of ETOH abuse. He presently undergoes evaluation tests for suspected liver cirrhosis.


Question 4 of 5

The nurse understands that a liver biopsy may be contraindicated in certain situations. Therefore, it is important for the nurse to assess the patient for:

Correct Answer: C

Rationale: Prolonged prothrombin time indicates bleeding risk, a contraindication for liver biopsy.

Extract:


Question 5 of 5

An 18-month old is scheduled for a cleft palate repair. The usual type of restraints for a child with a cleft palate repair are:

Correct Answer: A

Rationale: Elbow restraints prevent the child from touching the surgical site while allowing some movement. Full arm or wrist restraints are too restrictive. Mummy restraints are used in other contexts.

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