NCLEX Questions, NCLEX RN Practice Tests Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

The nurse is performing discharge teaching to a client newly diagnosed with hypertension and high cholesterol. Which statement by the client indicates that the nurse's teaching was effective?

Correct Answer: B

Rationale: Substituting lean sirloin for fried chicken reduces fat and cholesterol. Canned foods, soups, and frozen dinners are often high in sodium, unsuitable for hypertension.

Question 2 of 5

If a nurse accidentally punctures a finger with a needle after withdrawing blood from a client, which of the following actions should be carried out first?

Correct Answer: B

Rationale: Washing the puncture with soap and water (
B) is the first step to reduce infection risk. Other actions (A, C,
D) follow.

Question 3 of 5

A burn client is in the acute phase of burn care. The nurse assesses jugular vein distention, edema, urine output of 20 cc in 2 hours, and crackles on auscultation. Which order would the nurse anticipate from the physician?

Correct Answer: A

Rationale: Signs of fluid overload (JVD, edema, low urine output, crackles) suggest the need for furosemide (Lasix) to reduce excess fluid and prevent pulmonary edema.

Question 4 of 5

A student nurse is developing a care plan for a 23-year-old woman with Meniere's disease. Which of the following would NOT be an expected intervention?

Correct Answer: A

Rationale: Meniere’s disease causes vertigo and hearing loss, not typically requiring narcotic pain medication. Low-sodium diets, assistance with mobility, and balanced meals help manage symptoms.

Question 5 of 5

The nurse is assessing a client with suspected diverticulitis. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: fever and left lower quadrant pain are common in diverticulitis due to inflammation in the sigmoid colon

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