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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A client has been diagnosed with pernicious anemia. What breakfast should the nurse suggest to increase dietary B12?

Correct Answer: D

Rationale: Pernicious anemia requires dietary B12 (found in eggs, meat, milk). Other options lack significant B12.

Question 2 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.

Question 3 of 5

During her yearly exam, a woman's blood pressure is recorded as 146/90. She tells the nurse that her mother and grandmother had hypertension, so it likely runs in her family. Which of the following is the nurse's best response?

Correct Answer: D

Rationale: A BP of 146/90 indicates stage 1 hypertension (systolic 130-139 or diastolic 80-89). Lifestyle changes and possible medication are recommended, especially with a family history.

Question 4 of 5

The nurse is caring for a client who has an order for Diuril. Directions say to reconstitute with 20 mL of sterile water. This will provide a concentration of mg/mL.

Question Image

Correct Answer: 1

Rationale:

Question 5 of 5

The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

Correct Answer: D

Rationale: Fluid volume deficit is a priority in early labor due to decreased intake and increased fluid needs.

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