NCLEX Questions, Mock NCLEX RN Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 158

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client with a diagnosis of gestational hypertension. Which symptom is most characteristic?

Correct Answer: A

Rationale: Hypertension (BP ≥140/90) is the defining symptom of gestational hypertension. Proteinuria indicates preeclampsia and fetal macrosomia or painful bleeding are unrelated.

Question 2 of 5

Which one of the following situations represents a maturational crisis for the family?

Correct Answer: A

Rationale: A maturational crisis involves normal developmental transitions, such as a child entering nursery school, which can stress family dynamics.

Question 3 of 5

Which nursing implication is appropriate for a client undergoing a paracentesis?

Correct Answer: A

Rationale: A full bladder impedes ascitic fluid withdrawal during paracentesis, so the client should void beforehand.

Question 4 of 5

The nurse is performing an assessment on a client with a suspected diagnosis of cataracts. The chief complaint is likely to be:

Correct Answer: B

Rationale: Cataracts cause cloudy or blurry vision due to lens opacity. Eye pain, flashing lights, and redness are more associated with other conditions like glaucoma or retinal issues.

Question 5 of 5

The nurse is caring for a client with a history of a retinal detachment who is scheduled for a scleral buckling procedure. The nurse should:

Correct Answer: B

Rationale: Eye drops (e.g., mydriatics) are often ordered pre-scleral buckling to dilate the pupil or reduce pressure. Flat positioning, fluid restriction, and breathing exercises are not standard.

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