NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
As the client reaches 6cm dilation,the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?
Correct Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency where reduced placental blood flow during contractions causes fetal hypoxia. Cord compression causes variable decelerations head compression causes early decelerations and sleep does not cause decelerations.
Question 2 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 3 of 5
Children often experience visual impairments. Refractive errors affect the child's visual activity. The main refractive error seen in children is myopia. The nurse explains to the child's parents that myopia may also be described as:
Correct Answer: C
Rationale: Cataracts are not considered refractive errors. Cataracts can be described as opacity of the lens. Hyperopia is the term for farsightedness. One can see objects at a distance more clearly than close objects. Myopia is the term for nearsightedness. Objects that are close in distance are more clearly seen. Lazy eye refers to strabismus or misalignment of the eyes.
Question 4 of 5
The nurse is performing an admission assessment on a client with a history of glaucoma. Which medication is the client most likely taking?
Correct Answer: B
Rationale: Timolol, a beta-blocker eye drop, is commonly used to reduce intraocular pressure in glaucoma. Lasix, Norvasc, and Zestril treat other conditions (edema, hypertension).
Question 5 of 5
A nasogastric (NG) tube inserted preoperatively is attached to low, intermittent suctions. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. This client is most likely experiencing:
Correct Answer: D
Rationale: NG tube suction removes acids, leading to metabolic alkalosis, as indicated by the elevated pH (7.53).