NCLEX Questions, NCLEX Trainer Test 2 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

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Question 1 of 5

A 3 year-old child diagnosed as having celiac disease attends a day care center. Which of the following would be an appropriate snack?

Correct Answer: C

Rationale: Children with celiac disease should eat a gluten free diet. Potato chips are naturally gluten-free, unlike the other options which contain wheat-based ingredients.

Extract:

A client is scheduled for electromyography (EMG).


Question 2 of 5

What should the nurse tell the client about the procedure?

Correct Answer: B

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) usually performed on the legs (2) correct-electrodes are attached to legs, length of time for impulse transmission is measured (3) may impair Test results (4) doesn't involve general anesthesia or GI system

Extract:


Question 3 of 5

A 4 month-old child taking digoxin (Lanoxin) has a blood pressure of 92/78; resting pulse of 78 BPM; respirations 28 and a potassium level of 4.8 mEq/L. The client is irritable and has vomited twice since the morning dose of digoxin. Which finding is most indicative of digoxin toxicity?

Correct Answer: A

Rationale: Bradycardia. The most common sign of digoxin toxicity in children is bradycardia (heart rate below 100 BPM in an infant).

Extract:

A teenaged client states that she drinks 'lots' of fluids and still feels thirsty.


Question 4 of 5

It is MOST important for the nurse to ask which of the following questions?

Correct Answer: A

Rationale: Strategy: Determine how each answer choice relates to the symptoms. (1) correct-excessive thirst and weight loss are two notable symptoms of diabetes mellitus (IDDM) (2) does not provide useful information related to the assessment information (3) does not provide useful information related to the assessment information (4) does not provide useful information related to the assessment information

Extract:


Question 5 of 5

The nurse is planning care for an adult who has myasthenia gravis. What should be included in the care plan?

Correct Answer: B

Rationale: Myasthenia gravis causes muscle weakness, risking aspiration; checking gag and swallowing reflexes before eating ensures safety, unlike bathing or activity timing.

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