NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client with a history of ulcerative colitis who is admitted with a flare-up. Which of the following dietary recommendations should the nurse provide?

Correct Answer: C

Rationale: avoiding dairy products if lactose intolerant reduces gastrointestinal irritation in ulcerative colitis

Question 2 of 5

A client is to be discharged with a tracheostomy. Which of the following should the nurse most stress when educating the client about home management? Select all that apply.

Correct Answer: B,D

Rationale: Pulmonary hygiene (
B) and tracheostomy care (
D) are critical to prevent infections and maintain airway patency. Bowel care (
A), supplements (
C), and exercise (E) are secondary.

Question 3 of 5

The home health nurse is planning for the day's visits. Which client should be seen first?

Correct Answer: C

Rationale: The client with a decubitus ulcer is at risk for infection and complications, making them the priority for assessment.

Question 4 of 5

While performing a neurological assessment on a client with a closed head injury, the nurse notes a positive Babinski reflex. The nurse should:

Correct Answer: D

Rationale: A positive Babinski reflex in an adult with a head injury suggests neurological damage, warranting immediate physician notification.

Question 5 of 5

The nurse on an orthopedic unit is assigned to care for four clients with displaced bone fractures. Which client will not be treated with the use of traction?

Correct Answer: D

Rationale: Ankle fractures are typically managed with immobilization or surgery, not traction.

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