NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 32 of 35, with answer review and explanations.

Question 156

A dose of theophylline may need to be altered if a client with COPD:

  1. Is allergic to morphine
  2. Has a history of arthritis
  3. Operates machinery
  4. Is concurrently on cimetidine for ulcers

Question 157

The nurse working in a prenatal clinic needs to be alert to the cardinal signs and symptoms of PIH because:

  1. Immediate treatment of mild PIH includes the administration of a variety of medications
  2. Psychological counseling is indicated to reduce the emotional stress causing the blood pressure elevation
  3. Self-discipline is required to control caloric intake throughout the pregnancy
  4. The client may not recognize the early symptoms of PIH

Question 158

Which of the following changes in blood pressure readings should be of greatest concern to the nurse when assessing a prenatal client?

  1. 130/88 to 144/92
  2. 136/90 to 148/100
  3. 150/96 to 160/104
  4. 118/70 to 130/88

Question 159

A 16-year-old client comes to the prenatal clinic for her monthly appointment. She has gained 14 lb from her 7th to 8th month; her face and hands indicate edema. She is diagnosed as having PIH and referred to the high-risk prenatal clinic. The clients weight increase is most likely due to:

  1. Overeating and subsequent obesity
  2. Obesity prior to conception
  3. Hypertension due to kidney lesions
  4. Fluid retention

Question 160

MgSO4 is ordered IV following the established protocol for a client with severe PIH. The anticipated effects of this therapy are anticonvulsant and:

  1. Vasoconstrictive
  2. Vasodilative
  3. Hypertensive
  4. Antiemetic