NCLEX Questions, NCLEX Trainer Test 2 Questions, NCLEX-PN Questions, Nurselytic

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Question 1 of 5

The nurse is doing a pain assessment on the client who has chronic back pain. Which assessment is of greatest value?

Correct Answer: C

Rationale: Self-reported pain rating (1-10 scale) is the most reliable indicator of pain intensity, guiding treatment effectively.

Question 2 of 5

The physician has ordered a low-magnesium diet for a client with end-stage renal failure. Which of the following diet selections should be removed from the client's meal tray?

Correct Answer: B

Rationale: Spinach is high in magnesium, which should be restricted in end-stage renal failure due to impaired excretion. Fruit compote , baked potato , and custard are lower in magnesium.

Question 3 of 5

The nurse caring for a 14 year-old boy with severe Hemophilia A, who was admitted after a fall while playing basketball. In understanding his behavior and in planning care for this client, the nurse should understand that adolescents with hemophilia

Correct Answer: B

Rationale: Often take part in active sports. Adolescents with hemophilia may engage in sports, requiring careful monitoring to prevent bleeding.

Question 4 of 5

A 3 year-old child diagnosed as having celiac disease attends a day care center. Which of the following would be an appropriate snack?

Correct Answer: C

Rationale: Children with celiac disease should eat a gluten free diet. Potato chips are naturally gluten-free, unlike the other options which contain wheat-based ingredients.

Question 5 of 5

The nurse is assessing a client who has had a spinal cord injury. Which of the following assessment findings would suggest the complication of autonomic dysreflexia?

Correct Answer: B

Rationale: severe headache results from rapid onset of hypertension

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