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Questions 148

NCLEX-RN

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Question 1 of 5

A neonate has severe congenital abnormalities that make death imminent, and the NICU team believes that further attempts at treatment or feeding are not warranted and that palliative care only should be provided. When speaking with the parents about this, which of the following is the best approach?

Correct Answer: B

Rationale: Focusing on comfort measures (
B) communicates compassionately that palliative care prioritizes the neonate's comfort, aligning with the parents' emotional needs. Withholding food/treatment (
A) is harsh, futility (
C) is blunt, and letting nature take its course (
D) lacks clarity.

Question 2 of 5

A 4-year-old girl has been transferred to a step-down recovery room after a tonsillectomy yesterday. The nurse should place the child in what position while she sleeps?

Correct Answer: D

Rationale: Side-lying position post-tonsillectomy promotes drainage of secretions, reducing airway obstruction risk.

Question 3 of 5

The nurse is teaching a client with a new colostomy about dietary management. Which of the following foods should the nurse recommend the client avoid to reduce odor and gas?

Correct Answer: A

Rationale: broccoli is a gas-forming food that can increase odor and gas in a colostomy

Question 4 of 5

A Turkish-speaking client is scheduled for a colonoscopy, and the nurse must provide printed directions to the client, but directions are not available in Turkish. Which of the following is most appropriate?

Correct Answer: A

Rationale: Contacting a medical translator (
A) ensures accurate communication for critical medical instructions. Using a child (
B) is unreliable, pictures/pantomime (
C) may be unclear, and advising the daughter to find a translator (
D) shifts responsibility inappropriately.

Question 5 of 5

Which breakfast selection by a client with osteoporosis indicates that the client understands the dietary management of the disease?

Correct Answer: D

Rationale: Skim milk is high in calcium, essential for bone health in osteoporosis. The other options lack significant calcium sources, making them less appropriate.

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