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NCLEX NCLEX-RN Exam
National Council Licensure Examination - NCLEX-RN (Page 32 )

Updated On: 12-Jan-2026
Page 32 of 345
PDF with 862 Questions

A client is experiencing visual problems at school. She has complained of difficulty seeing the blackboard and squinting. She no longer likes to participate in physical activities such as softball. The client has displayed possible classic symptoms of which refractive error?

  1. Astigmatism
  2. Hyperopia
  3. Myopia
  4. Amblyopia

Answer(s): C

Explanation:

(A) Visual images are blurred and distorted. (B) Symptoms are headaches, burning eyes, fatigue, squinting, and difficulty reading. (C) These symptoms are classic for myopia. (D) Amblyopia is not a refractive error. It is a loss of vision in one or both eyes.



A client on the infectious disease unit is discussing transmission of human immunodeficiency virus (HIV).
The nurse would need to provide more client education based on which client statement?

  1. "HIV is a virus transmitted by sexual contact."
  2. "Condoms reduce the transmission of HIV."
  3. "HIV is a virus that is easily transmitted by casual contact."
  4. "HIV can be transmitted to an unborn infant."

Answer(s): C

Explanation:

(A) HIV is transmitted through unprotected sexual contact. (B) Condoms are an effective barrier to prevent HIV transmission. (C) HIV is not easily transmitted by casual contact. (D) HIV can be transmitted intrauterinely at the time of delivery, and by breast-feeding.



A postoperative prostatectomy client is preparing for discharge from the hospital the next morning. The nurse realizes that additional instructions are necessary when he states:

  1. "If I drink 10 to 12 glasses of fluids each day, that will help to prevent any clot formation in my urine."
  2. "The isometric exercises will help to strengthen my perineal muscles and help me control my urine."
  3. "If I feel as though I have developed a fever, I will take a rectal temperature, which is the most accurate."
  4. "I do not plan to do any heavy lifting until I visit my doctor again."

Answer(s): C

Explanation:

(A) This is correct health teaching. Drinking 10­12 glasses of clear liquid will help increase urine volumes and prevent clot formation. (B) This is correct health teaching. These types of exercises are prescribed by physicians to assist postprostatectomy clients to strengthen their perineal muscles. (C) This action is not recommended post-TURP because of the close proximity of the prostate and rectum. (D) This is correct healthcare teaching. The client should limit walking long distances, lifting heavy objects, or driving a car until these activities are cleared by the physician at the first office visit.



A client returns to the cardiovascular intensive care unit following his coronary artery bypass graft. In planning his care, the most important electrolyte the nurse needs to monitor will be:

  1. Chloride
  2. HCO3
  3. Potassium
  4. Sodium

Answer(s): C

Explanation:

(A) Chloride, HCO3, and sodium will need to be monitored, but monitoring these electrolytes is not as important as potassium monitoring. (B) Chloride, HCO3, and sodium will need to be monitored, but monitoring these electrolytes is not as important as potassium monitoring. (C) Potassium will need to be closely monitored because of its effects on the heart. Hypokalemia could result in supraventricular tachyarrhythmias. (D) Chloride, HCO3, and sodium will need to be monitored, but monitoring these electrolytes is not as important as potassium monitoring.



A client is being discharged from the hospital today. The discharge teaching for care of her colostomy included which of the following basic principles for protecting the skin around her stoma:

  1. Taping a pouch that is leaking
  2. Cutting the skin barrier 112 inches larger than the stoma
  3. Changing the pouch only when leakage occurs
  4. Using a skin sealant under pouch adhesives

Answer(s): D

Explanation:

(A) When a pouch seal leaks, the pouch should be immediately changed, not taped. Stool held against the skin can quickly result in severe irritation. (B) The skin barrier should be cut only slightly larger than the stoma (one-half inch). (C) The client should be taught to change pouches whenever possible before leakage occurs. (D) When skin sealant is used under the tape, the outermost layer of the epidermis remains intact. When no skin sealant is used, this layer is removed when the tape is removed.



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