NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A woman diagnosed with multiple sclerosis is disturbed with diplopia. The nurse will teach her to:
Correct Answer: D
Rationale: Limiting activities requiring close vision will not alleviate the discomfort of double vision. Frequent naps may be comforting, but they will not prevent double vision. Artificial tears are necessary in the absence of a corneal reflex, but they have no effect on diplopia. An eye patch over either eye will eliminate the effects of double vision during the time the eye patch is worn. An eye patch is safe for a person with an intact corneal reflex.
Question 2 of 5
A 20-year-old client presents to the obstetrics-gynecology clinic for the first time. She tells the nurse that she is pregnant and wants to start prenatal care. After collecting some initial assessment data, the nurse measures her fundal height to be at the level of the umbilicus. The nurse estimates the fetal gestational age to be approximately:
Correct Answer: C
Rationale: At 10 weeks, the fundus is located slightly above the symphysis pubis. At 16 weeks, the fundus is halfway between the symphysis pubis and the umbilicus. At 20 weeks, the fundus is located approximately at the umbilicus. At 30 weeks, the fundal height is about 30 cm, or 10 cm above the umbilicus.
Question 3 of 5
An 8-week-old infant has been diagnosed with gastroesophageal reflux. The nurse is teaching the infant's mother to care for the infant at home. Which one of the following statements by the nurse is appropriate regarding the infant's home care?
Correct Answer: D
Rationale: Elevating the child's head to a 30-degree angle is the recommended position for gastroesophageal reflux. The supine position predisposes the child to aspiration. Small, frequent feedings with thickened formula are recommended to minimize vomiting. Antacids should be given at the same time as the feeding to improve their buffering action. The infant should be kept still after feedings to reduce the risk of vomiting and aspiration. Vigorous activities should be carried out before feedings.
Question 4 of 5
A client's renal calculi are identified as consisting of calcium phosphate. Which of the following diets would be appropriate?
Correct Answer: D
Rationale: A low-calcium and phosphorus diet will reduce further calculi formation.
Question 5 of 5
An 11-month-old infant is admitted with a possible diagnosis of pyloric stenosis. Which of the following best describes the characteristic clinical manifestations of pyloric stenosis?
Correct Answer: D
Rationale: There is no evidence of pain in infants with pyloric stenosis whether eating or not. There are both good appetite and feeding habits in these children. Because of regurgitation, there is usually decreased frequency and quantity of stools and also signs of dehydration and weight loss. Along with upper abdominal distention, there is a characteristic palpable olive-shaped mass located to the right of the umbilicus.