NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
Which of the following age-related changes affect the vision of the elderly client?
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 2 of 5
In assisting preconceptual clients, the nurse should teach that the corpus luteum secretes progesterone, which thickens the endometrial lining in which of the phases of the menstrual cycle?
Correct Answer: C
Rationale: Progesterone from the corpus luteum causes endometrial swelling in the secretory phase, preparing for potential implantation.
Question 3 of 5
A 27-year-old primigravida stated that she got up from the chair to fix dinner and bright red blood was running down her legs. She denies any pain previously or currently. The client is very concerned about whether her baby will be all right. Her vital signs include P 120 bpm, respirations 26 breaths/min, BP 104/58 mm Hg, temperature 98.2_F, and fetal heart rate 146 bpm. Laboratory findings revealed hemoglobin 9.0 g/dL, hematocrit 26%, and coagulation studies within normal range. On admission, the peripad she wore was noted to be half saturated with bright red blood. A medical diagnosis of placenta previa is made. The priority nursing diagnosis for this client would be:
Correct Answer: A
Rationale: Based on the client's history, presence of bright red vaginal bleeding, and hemoglobin value on admission, the priority nursing diagnosis would be decreased cardiac output related to excessive bleeding. This nursing diagnosis is a potential problem that does not exist at the present time, and therefore is not the priority problem. The client's expressed anxiety is for her child. The fetus will remain physiologically safe if the decreased cardiac output is resolved. Initial spontaneous bleeding with placenta previa is rarely life threatening to the mother or the fetus. Delivery of the fetus will be postponed until fetal maturity is achieved and survival is likely.
Question 4 of 5
Which of the following foods,if selected by the mother of a child with celiac disease would indicate her understanding of the dietary instructions?
Correct Answer: D
Rationale: Celiac disease requires a gluten-free diet. Rice cereal is gluten-free unlike whole-wheat toast pasta and rye bread which contain gluten and are contraindicated.
Question 5 of 5
A client's physician has prescribed theophylline (Theo-Dur) to help control the bronchospasm associated with the client's COPD. Instructions that should be given to the client include:
Correct Answer: A
Rationale: Theophylline toxicity can manifest as palpitations, dizziness, or restlessness, requiring immediate medical attention.