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NCLEX-RN Exam Practice Questions

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Question 1 of 5

The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

Correct Answer: C

Rationale: Turkey breast is lean and low in saturated fats compared to macaroni and cheese (high in dairy fat) shrimp (moderate cholesterol) and meat sauce (contains beef fat). It is the best choice for a low-fat low-cholesterol diet.

Question 2 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.

Question 3 of 5

The nurse is caring for a client following a right nephrolithotomy. Post-operatively, the client should be positioned:

Correct Answer: C

Rationale: Positioning on the left side helps reduce pressure on the surgical site (right kidney) and promotes drainage and comfort post-nephrolithotomy.

Question 4 of 5

A client with a history of a stroke is receiving tPA (alteplase). The nurse should:

Correct Answer: A

Rationale: tPA, a thrombolytic, increases bleeding risk, requiring close monitoring for signs like hematuria or hematoma. It’s given over 1 hour, glucose is unrelated, and fluids are not restricted.

Question 5 of 5

An 11-month-old infant is admitted with a possible diagnosis of pyloric stenosis. Which of the following best describes the characteristic clinical manifestations of pyloric stenosis?

Correct Answer: D

Rationale: There is no evidence of pain in infants with pyloric stenosis whether eating or not. There are both good appetite and feeding habits in these children. Because of regurgitation, there is usually decreased frequency and quantity of stools and also signs of dehydration and weight loss. Along with upper abdominal distention, there is a characteristic palpable olive-shaped mass located to the right of the umbilicus.

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