NCLEX Questions, NCLEX Trainer Test 4 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

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Question 1 of 5

A clear liquid diet is ordered for an adult following surgery. All of the following are on the client's tray. Which should be removed by the nurse?

Correct Answer: A

Rationale: Ice cream is not a clear liquid, as it contains dairy solids, and must be removed from a clear liquid diet tray.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of hypertension about hydrochlorothiazide (Hydrodiuril). Which of the following statements by the client indicates a need for further teaching?

Correct Answer: D

Rationale: Stopping hydrochlorothiazide when feeling better is incorrect, as hypertension requires lifelong treatment to prevent complications. Options A, B, and C are correct: muscle cramps may indicate hypokalemia, potassium-rich foods are recommended, and morning dosing minimizes nocturia.

Question 3 of 5

During an initial interview at an outpatient clinic, a 34-year-old single mother tells the nurse that she has always had difficulty forming relationships and is worried that her 7-year-old daughter will have the same problem. Which of the following statements, if made by the nurse, is BEST?

Correct Answer: A

Rationale: Erikson states that trust results from interaction with dependable, predictable primary caretaker

Question 4 of 5

The nurse is evaluating the progress of a client who has had a cerebrovascular accident and realizes there has been limited progress. What should the nurse do?

Correct Answer: B

Rationale: Reassessing goals adjusts the care plan to the client's current abilities, optimizing recovery post-CVA.

Question 5 of 5

The doctor has ordered the removal of a Davol drain. Which of the following instructions should the nurse give to the client prior to removing the drain?

Correct Answer: C

Rationale: Holding the breath during Davol drain removal prevents air entry into the wound. Normal breathing , deep breaths , or slow breathing may increase complications.

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