NCLEX Questions, NCLEX PN Practice Test Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Question 1 of 5

The nurse has reinforced nutritional teaching on a client with gout who is placed on a low-purine diet. Which selection by the client would indicate a need for further teaching?

Correct Answer: D

Rationale: Fish should be avoided on a low-purine diet. Other foods to avoid include poultry, liver, lobster, oysters, peas, spinach, and oatmeal. Answers A, B, and C are all foods included on a low-purine diet, which makes them incorrect.

Question 2 of 5

A 14 month-old had cleft palate surgical repair several days ago. The parents ask the nurse about feedings after discharge. Which lunch is the best example of an appropriate meal?

Correct Answer: B

Rationale: Soup, blenderized soft foods, ice cream, milk. In a child with cleft palate repair, parents should prepare soft foods and avoid those with particles that might traumatize the surgical site.

Question 3 of 5

Priorities to be considered intermediate are:

Correct Answer: A

Rationale: Priorities designated as intermediate by the nurse are those that are not urgent. They do not affect the client's immediate physiological status.

Question 4 of 5

The nurse is to change a dressing. Which is essential to do when opening the dressing set?

Correct Answer: A

Rationale: The first flap should be opened away from the nurse to allow the last flap to be opened toward the nurse, preventing contamination. The dressing set should be placed at waist height on a clean surface like an overbed table, not on the bed or a chair.

Question 5 of 5

A nurse discovers a cyanotic newborn with excessive frothy mucus in the mouth. What should be the nurse’s first action?

Correct Answer: D

Rationale: Suctioning the mouth (
D) clears mucus, addressing potential airway obstruction causing cyanosis. Oxygen (
A), auscultation (
B), and positioning (
C) are secondary until the airway is clear.

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