NCLEX Questions, NCLEX RN Free Practice Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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Extract:


Question 1 of 5

The home care nurse is preparing a teaching plan for a client with deficiencies in folic acid. Which foods will increase the clients' folic acid level?

Correct Answer: A, B, D

Rationale: Folic acid-rich foods include broccoli (
A), cabbage (
B), and dried fruit (
D). Chicken (
C), white bread (E), and milk (F) are low in folate.

Question 2 of 5

The nurse is caring for a client with diabetes mellitus. Which instruction should be given to the client?

Correct Answer: D

Rationale: Numbness and tingling in the feet and toes may indicate diabetic neuropathy a serious complication requiring prompt reporting. Avoiding stairs reducing sodium or daily weighing are not specific to diabetes management unless indicated.

Question 3 of 5

A 4-year-old child has Down syndrome. The community health nurse has coordinated a special preschool program. The nurse's primary goal is to:

Correct Answer: B

Rationale: The primary goal for a child with Down syndrome is to facilitate optimal growth and development through tailored interventions.

Question 4 of 5

The nurse is caring for a client who is receiving oxytocin (Pitocin) to induce labor. Which finding would prompt the nurse to discontinue the oxytocin infusion?

Correct Answer: D

Rationale: Late decelerations indicate uteroplacental insufficiency a serious complication of oxytocin-induced hyperstimulation. Discontinuing oxytocin is necessary to restore fetal oxygenation. The other findings are normal or expected during labor induction.

Question 5 of 5

The client is receiving a blood transfusion. Which finding indicates a possible transfusion reaction?

Correct Answer: D

Rationale: Itching and rash are signs of a possible allergic transfusion reaction, requiring immediate cessation of the transfusion. A slight temperature increase, mild hypotension, or tachypnea may occur but are less specific without other symptoms.

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