NCLEX Questions, NCLEX-RN Exam Practice Questions, NCLEX-RN Questions, Nurselytic

Questions 157

NCLEX-RN

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Question 1 of 5

The nurse practitioner determines that a client is approximately 9 weeks' gestation. During the visit, the practitioner informs the client about symptoms of physical changes that she will experience during her first trimester, such as:

Correct Answer: A

Rationale: Nausea and vomiting are experienced by almost half of all pregnant women during the first 3 months of pregnancy as a result of elevated human chorionic gonadotropin levels and changed carbohydrate metabolism. Quickening is the mother's perception of fetal movement and generally does not occur until 18-20 weeks after the last menstrual period in primigravidas, but it may occur as early as 16 weeks in multigravidas. During the first trimester there should be only a modest weight gain of 2-4 lb. It is not uncommon for women to lose weight during the first trimester owing to nausea and/or vomiting. Physical changes are not apparent until the second trimester, when the uterus rises out of the pelvis.

Question 2 of 5

The nurse is assessing a client with suspected meningitis. Which finding is most concerning?

Correct Answer: A

Rationale: Neck stiffness (nuchal rigidity) is a hallmark sign of meningitis, indicating meningeal irritation and requiring urgent evaluation. Fever, photophobia, and headache are common but less specific without neck stiffness.

Question 3 of 5

The nurse is aware that nutrition is an important aspect of care for a client with hepatitis. Which of the following diets would be most therapeutic?

Correct Answer: C

Rationale: A high carbohydrate, high-calorie diet provides needed calories and is palatable, reducing the liver's workload compared to high protein or fat diets.

Question 4 of 5

A priority nursing diagnosis for a child following a tonsillectomy is:

Correct Answer: C

Rationale: Post-tonsillectomy the priority is risk for injury/aspiration due to potential bleeding or swelling that could obstruct the airway. Nutrition communication and urinary elimination are secondary concerns.

Question 5 of 5

Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care should be designed to:

Correct Answer: A

Rationale: Ignoring refusals to eat and rewarding eating attempts are the most successful means of increasing intake. This goal is not specific enough or related to the loss of appetite. This goal is not possible at this time based on his illness. This goal is helpful, but alone will not address his loss of appetite.

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