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Questions 160

NCLEX-PN

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Question 1 of 5

A client with a history of peptic ulcer disease reports epigastric pain. Which instruction should the nurse provide?

Correct Answer: B

Rationale: Small, frequent meals reduce gastric acid irritation in peptic ulcer disease.

Question 2 of 5

The nurse reviews the laboratory results exhibited of the client hospitalized with testicular cancer. Which conclusion by the nurse is most accurate?

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Correct Answer: D

Rationale: A. The WBCS are WNL; there is no indication of a developing infection. B. There is no information in the stem about nutritional intake and the serum albumin or prealbumin is not reported in the laboratory results to make a judgment about Whether the client's nutrient intake is inadequate. C. The elevated glucose level is likely related to the body's physiological response to stress. D. The decreased Hgb indicates anemia, and the liver enzymes are elevated (AST, ALT). These changes occur when testicular cancer has metastasized.

Question 3 of 5

If a client has been taking corticosteroid medication for a prolonged period, which statement provides the best indication that the danger related to this medication is understood?

Correct Answer: A

Rationale: Abruptly stopping corticosteroids can cause adrenal insufficiency, a life-threatening condition, indicating the client understands this risk.

Question 4 of 5

The clinic nurse is reviewing the history of the client diagnosed with bacterial vaginosis (BV). Which identified disorder places the client at a higher risk of developing BV?

Correct Answer: D

Rationale: A. Gastroesophageal reflux disorder is not a risk factor for BV. B. Hypothyroidism does affect the reproductive system. However, it does not specifically alter the pH of the vagina, which could increase the incidence of BV. C. Cardiovascular disease is not a risk factor for BV. D. Diabetes is a risk factor for a variety of vulvovaginal infections.

Question 5 of 5

The nurse is caring for a client with a history of diverticulitis. Which dietary instruction is most appropriate?

Correct Answer: B

Rationale: Foods with seeds or nuts can irritate diverticula, increasing the risk of flare-ups.

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