NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Question 1 of 5

The nurse finds a client crying after she was told hemodialysis is needed due to the development of acute renal failure. Which intervention is best?

Correct Answer: B

Rationale: Quietly sitting with the client provides emotional support and presence, allowing her to process the diagnosis without imposing solutions.

Question 2 of 5

A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication?

Correct Answer: B

Rationale: Increased thirst and urination suggest lithium toxicity, which can cause diabetes insipidus-like symptoms, requiring immediate attention.

Question 3 of 5

During her yearly exam, a woman's blood pressure is recorded as 146/90. She tells the nurse that her mother and grandmother had hypertension, so it likely runs in her family. Which of the following is the nurse's best response?

Correct Answer: D

Rationale: A BP of 146/90 indicates stage 1 hypertension (systolic 130-139 or diastolic 80-89). Lifestyle changes and possible medication are recommended, especially with a family history.

Question 4 of 5

As the nurse hangs a bag of 3-in-1 total parenteral nutrition (TPN) for a client, a family member asks what is in the bag. The nurse explains a 3-in-1 TPN solution includes

Correct Answer: C

Rationale: 3-in-1 TPN contains dextrose (carbohydrates), amino acids (proteins), and lipids (fats), providing complete nutrition.

Question 5 of 5

Nutrients per serving: [Table provided]. Which of the snacks—lunch meat, peanuts, cheese, or apple—has the lowest number of calories per serving?

Correct Answer: D

Rationale: Calories: Lunch meat = (6X 9) + (1X 4) + (7X 4) = 86; Peanuts = (14X 9) + (5X 4) + (7X 4) = 174; Cheese = (9X 9) + (1X 4) + (7X 4) = 113; Apple = (0.3X 9) + (25X 4) + (0.5X 4) = 104.7. Apple (
D) has the lowest at ~105 calories.

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