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

Questions 157

NCLEX-RN

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NCLEX-RN Exam Practice Questions

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Question 1 of 5

A 55-year-old man has recently been diagnosed with hypertension. His physician orders a low-sodium diet for him. When he asks, 'What does salt have to do with high blood pressure?' the nurse's initial response would be:

Correct Answer: B

Rationale: Excess salt causes fluid retention, increasing blood volume and thus blood pressure.

Question 2 of 5

The nurse is caring for a client with a history of a hip fracture who is in Buck’s traction. The nurse should:

Correct Answer: C

Rationale: In Buck’s traction, weights must hang freely off the floor to maintain proper traction force. Turning is limited, traction is not removed, and lotion is unnecessary.

Question 3 of 5

A client in labor has an order for Demerol (meperidine) 75 mg. IM to be administered 10 minutes before delivery. The nurse should:

Correct Answer: B

Rationale: Meperidine given close to delivery can cause neonatal respiratory depression due to its sedative effects crossing the placenta. The nurse should question the timing of the order.

Question 4 of 5

A two-month-old infant has just received her first Tetramune injection. The nurse should tell the mother that the immunization:

Correct Answer: C

Rationale: Tetramune protects against diphtheria, pertussis, tetanus, and H. influenzae b and is part of a series given at 2, 4, 6, and 15-18 months. It does not test susceptibility or cover MMRV.

Question 5 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.

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