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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A client with hyperemesis gravidarum is on a clear liquid diet. The nurse should serve this client:

Correct Answer: C

Rationale: A clear liquid diet consists of foods that are clear liquids at room temperature or body temperature, such as ice pops, regular or decaffeinated coffee and tea, gelatin desserts, carbonated beverages, and clear juices. Milk, pasteurized eggs, egg substitutes, and oatmeal are part of a full liquid diet.

Question 2 of 5

The nurse is having difficulty reading the health care provider's written order that was left just before the shift change. What action should be taken?

Correct Answer: D

Rationale: Relying on anyone else's interpretation is very risky. When in doubt, check it out with the person who wrote the difficult-to-read order.

Extract:

Which of the following individuals is at greatest risk for experiencing cerebral vascular accident?


Question 3 of 5

A 50-year-old African-American male with history of hypertension.

Correct Answer: A

Rationale: This patient has multiple risk factors for CVA: African-American race, male gender, age, and hypertension.

Extract:


Question 4 of 5

The nurse is preparing a handout on infant feeding to be distributed to families visiting the clinic. Which notation should be included in the teaching materials?

Correct Answer: A

Rationale: Solid foods should be added one at a time between 4-6 months. If the infant is able to tolerate the food, another may be added in a week. Iron fortified cereal is the recommended first food.

Extract:

When giving NG feeding, the nurse was observed of not checking the NGT placement prior to administering the feeding in spite of previous instructions from a colleague.


Question 5 of 5

Appropriate action taken at this time would include:

Correct Answer: C

Rationale: Reminding the colleague reinforces safe practice without escalating unnecessarily.

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