Questions 150

NCLEX-RN

NCLEX-RN Test Bank

RN NCLEX Next Gen Questions Questions

Extract:


Question 1 of 5

During you musculoskeletal assessment of the client, you determine that the client has muscular strength against gravity but not against resistance. You would document this assessment as:

Correct Answer: C

Rationale: Muscular strength against gravity but not resistance is graded as 3 on the 0-5 scale, indicating fair strength.

Question 2 of 5

Select the hazard of immobility that is accurately paired with an appropriate expected outcome of care that the nurse provides to prevent this complication.

Correct Answer: C

Rationale: Range of motion exercises help prevent muscle atrophy by maintaining muscle strength and function in immobile clients.

Question 3 of 5

The nurse is caring for a client with a history of burns. Which of the following nutritional interventions should be included in the plan of care?

Correct Answer: A

Rationale: A high-protein, high-calorie diet supports tissue repair and energy needs in burn recovery.

Question 4 of 5

A client with a history of chronic kidney disease is admitted with edema. The nurse should monitor the client for which of the following electrolyte imbalances? Select all that apply.

Correct Answer: A, B, C, D

Rationale: Chronic kidney disease can cause hyperkalemia, hyponatremia, hypocalcemia, and hypermagnesemia due to impaired excretion and filtration.

Question 5 of 5

A client with the diagnosis of chronic kidney disease (CKD) has received dietary counseling about potassium restriction in the diet. The nurse determines that the client has learned the information correctly when the client states that he or she will do what when preparing vegetables?

Correct Answer: B

Rationale: The potassium content of vegetables can be reduced by boiling them and discarding the cooking water. Clients with CKD should avoid the use of salt substitutes altogether because they tend to be high in potassium content.

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