NCLEX Questions, NCLEX-RN Exam Practice Questions, NCLEX-RN Questions, Nurselytic

Questions 157

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Question 1 of 5

A nasogastric (NG) tube inserted preoperatively is attached to low, intermittent suctions. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. This client is most likely experiencing:

Correct Answer: D

Rationale: NG tube suction removes acids, leading to metabolic alkalosis, as indicated by the elevated pH (7.53).

Question 2 of 5

The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning an order for which of the following diagnostic tests?

Correct Answer: B

Rationale: A barium enema is contraindicated in suspected diverticulitis due to the risk of perforation and peritonitis. Ultrasound, CT scans, and CBC are appropriate for diagnosing diverticulitis or assessing complications.

Question 3 of 5

The nurse provides a male client with diet teaching so that he can help prevent constipation in the future. Which food choices indicate that this teaching has been understood?

Correct Answer: D

Rationale: Oatmeal and fresh fruit provide fiber and bulk, which help prevent constipation. The other options lack sufficient fiber.

Question 4 of 5

A client has been diagnosed with congestive heart failure. His fluid intake and output are strictly regulated. For lunch, he drank 8 oz of milk, 4 oz of tea, and 6 oz of coffee. His intake would be recorded as:

Correct Answer: B

Rationale: 1 oz = 30 mL; therefore, 18 oz = 540 mL.

Question 5 of 5

A 3-year-old female client is brought into the pediatric clinic because she limps. She has not been to the clinic since she was 9 months old. The nurse practitioner describes the limp as a 'Trendelenburg gait.' This gait is characteristic of:

Correct Answer: B

Rationale: (A, C,
D) A Trendelenburg gait is not characteristic of any of these disorders. The downward slant of one hip is a positive sign of dislocation in the weight-bearing hip. If one hip is dislocated, the child walks with a characteristic limp known as the Trendelenburg gait.

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