NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

A 92-year-old male client with Alzheimer's frequently experiences urinary incontinence. Which intervention should the nurse do first?

Correct Answer: D

Rationale: Offering the urinal every 2 hours promotes continence and dignity, addressing incontinence non-invasively before considering catheters or diapers.

Question 2 of 5

The nurse is caring for a client who is intubated and on the ventilator. The client is alert but cannot talk while intubated. Which method of communication would be the best choice for this client?

Correct Answer: B

Rationale: A picture board allows clear, non-verbal communication for an alert, intubated client, minimizing misinterpretation compared to writing, mouthing, or blinking.

Question 3 of 5

The nurse is discussing meal planning with the mother of a 2-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

Correct Answer: C

Rationale: Hot dogs pose a choking hazard for a 2-year-old due to their size and texture, requiring further instruction.

Question 4 of 5

Nutrients per serving: [Table provided]. Which of the snacks—lunch meat, peanuts, cheese, or apple—has the lowest number of calories per serving?

Correct Answer: D

Rationale: Calories: Lunch meat = (6X 9) + (1X 4) + (7X 4) = 86; Peanuts = (14X 9) + (5X 4) + (7X 4) = 174; Cheese = (9X 9) + (1X 4) + (7X 4) = 113; Apple = (0.3X 9) + (25X 4) + (0.5X 4) = 104.7. Apple (
D) has the lowest at ~105 calories.

Question 5 of 5

A client is to wear a Holter monitor for continuous cardiac monitoring for 48 hours. The nurse should advise the client to avoid which of the following activities during the monitoring period? Select all that apply.

Correct Answer: C,D

Rationale: Holter monitors can be affected by electromagnetic interference from wireless devices like iPads (
C), so these should be avoided. Showering and bathing (
D) can damage the monitor or electrodes. Watching TV (
A), using a remote control (
B), drinking caffeine (E), and exercising (F) typically do not interfere with monitoring, though exercise should be noted in the activity log.

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