NCLEX Questions, ATI NCLEX-RN Practice Questions 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 incompetent cervix. Which intervention is most appropriate?

Correct Answer: B

Rationale: Incompetent cervix where the cervix dilates prematurely is treated with cerclage (a stitch to reinforce the cervix).
Tocolytics may be adjunctive fetal distress monitoring is secondary and antibiotics are not routinely indicated.

Question 2 of 5

Which of the following age-related changes affect the vision of the elderly client?

Question Image

Correct Answer: B, C, E

Rationale: Age-related vision changes include decreased lens elasticity (
B), lens discoloration (
C), and enophthalmos (E). Pupil dilation decreases (
A), and eye mobility is unaffected (
D).

Question 3 of 5

A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:

Correct Answer: A

Rationale: Guiding the fetus's expulsion during a precipitous delivery minimizes injury and perineal trauma.

Question 4 of 5

The client is prescribed albuterol (Proventil) for asthma. Which side effect should the nurse monitor for?

Correct Answer: B

Rationale: Albuterol, a beta-agonist, stimulates the sympathetic nervous system, causing tremors as a common side effect. Tachycardia (not bradycardia), hypertension, and diarrhea are more likely than hypotension or constipation.

Question 5 of 5

A mother who is breast-feeding her newborn asks the RN, 'How can I express milk from my breasts manually?' The RN tells her that the correct method for manual milk expression includes using the thumb and the index finger to:

Correct Answer: D

Rationale: Compressing and releasing at the outer border of the areola targets the milk sinuses, effectively expressing milk without causing trauma.

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