NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

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Question 1 of 5

The mother of a child with a neural tube defect asks the nurse what she can do to decrease the chances of having another baby with a neural tube defect. What is the best response by the nurse?

Correct Answer: A

Rationale: The American Academy of Pediatrics recommends that all childbearing women increase folic acid from dietary sources and/or supplements. There is evidence that increased amounts of folic acid prevents neural tube defects.

Question 2 of 5

A teenage client is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?

Correct Answer: B

Rationale: Acetaminophen is metabolized in the liver, and overdose can cause severe liver damage or failure. The other organs are not primarily affected by acetaminophen overdose. Pharmacological Therapies

Question 3 of 5

When teaching a client with coronary artery disease about nutrition, the nurse should emphasize

Correct Answer: C

Rationale: avoiding very heavy meals. Eating large, heavy meals can pull blood away from the heart for digestion, which is dangerous for the client with coronary artery disease.

Question 4 of 5

The nurse is caring for a client with a history of gastroesophageal reflux disease (GERD). Which of the following lifestyle modifications should the nurse recommend?

Correct Answer: C

Rationale: Avoiding lying down for 2–3 hours after eating prevents acid reflux by allowing gastric emptying. Large meals (
A) worsen reflux, sleeping flat (
B) increases symptoms, and citrus fruits (
D) are acidic and irritating.

Question 5 of 5

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

Correct Answer: A,C,D

Rationale: Pursed-lip breathing improves oxygenation, high-calorie/protein diets support nutrition, and smoking cessation prevents progression. High oxygen risks CO2 retention, and excessive fluids are not standard.

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