NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 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 2 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 3 of 5
The client is admitted with a diagnosis of gestational trophoblastic disease. Which vital sign change is most likely to be observed?
Correct Answer: A
Rationale: Gestational trophoblastic disease can cause maternal tachycardia due to elevated hCG or bleeding. Fetal bradycardia is not relevant (no viable fetus) and hypotension is less common unless hemorrhage occurs.
Question 4 of 5
The client is receiving a continuous infusion of insulin for diabetic ketoacidosis. Which laboratory value should the nurse monitor most closely?
Correct Answer: A
Rationale: Insulin therapy in diabetic ketoacidosis shifts potassium into cells, risking hypokalemia, which can cause arrhythmias. Sodium, BUN, and A1C are monitored but are less critical during acute treatment.
Question 5 of 5
When the nurse checks the fundus of a client on the first postpartum day,she notes that the fundus is firm level with the umbilicus and displaced to the side. The next action the nurse should take is to:
Correct Answer: A
Rationale: A displaced fundus on the first postpartum day is often due to bladder distention which pushes the uterus aside. Checking for bladder distention (e.g. by palpation or encouraging voiding) is the next step to correct the displacement.