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Questions 158

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NCLEX RN Nursing Exam Questions

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Question 1 of 5

The doctor has ordered a restricted fluid intake for a 2-year-old child with a head injury. Normal fluid intake for a child of 2 years is:

Correct Answer: C

Rationale: Normal intake for a child of 2 years is about 1600 mL in 24 hours.

Question 2 of 5

The nurse is caring for a client with a diagnosis of postpartum endometritis. Which intervention is most appropriate?

Correct Answer: A

Rationale: Postpartumndometritis require es antibiotics to treat the uterine infection. Fetal heart tones are irrelevant postpartum cesarean delivery is not indicated and tocolytics are for preterm labor.

Question 3 of 5

The patient states, 'My stomach hurts about two hours after I eat.' Based upon this information, the nurse suspects the patient likely has a:

Correct Answer: B

Rationale: Pain 2–3 hours after eating is characteristic of a duodenal ulcer, as acid irritates the ulcerated mucosa in the duodenum post-digestion. Gastric ulcer pain typically occurs sooner after meals, peptic ulcer is a general term, and Curling’s ulcer is stress-related.

Question 4 of 5

A client with a right lobectomy is being transported from the intensive care unit to a medical unit. The nurse understands that the client's chest drainage system:

Correct Answer: B

Rationale: The chest drainage system can be disconnected from suction during transport, but the tube must remain unclamped to allow air or fluid to escape, preventing pneumothorax. Portable suction is not always needed.

Question 5 of 5

The nurse is teaching a client with a history of chronic kidney disease about dietary modifications. The nurse should tell the client to:

Correct Answer: A

Rationale: Limiting phosphorus intake prevents bone and cardiovascular complications in chronic kidney disease.

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