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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is providing dietary instructions to a client with oxalate renal calculi. The nurse should tell the client to avoid which of the following snacks:

Correct Answer: A

Rationale: Clients with oxalate renal calculi should avoid foods high in oxalate, such as strawberries. Answers B, C, and D (cheese, chicken nuggets, and banana) are not high in oxalate and are generally safe for clients with this condition.

Question 2 of 5

The nurse is caring for a man who has radiation pellets in his mouth for mouth cancer. The nurse discovers one of the pellets in the sheets. What should the nurse do initially?

Correct Answer: B

Rationale: Using forceps to place the pellet in a lead-lined container minimizes radiation exposure safely. Checking the mouth, client handling, or calling first delays containment.

Question 3 of 5

An elderly diabetic who has been maintained on metformin (Glucophage) is scheduled for a cardiac catheterization. Which instruction should be given to the client?

Correct Answer: C

Rationale: Metformin can cause renal problems, and the contrast dye used in cardiac catheterization is nephrotoxic. The medication should be discontinued before the exam and replaced with insulin temporarily.

Extract:

While performing the history and physical examination of a patient with Parkinson's disease, the nurse should assess the patient for:


Question 4 of 5

While performing the history and physical examination of a patient with Parkinson's disease, the nurse should assess the patient for:

Correct Answer: C

Rationale: Parkinson's disease often causes a low-pitched, monotonous voice due to vocal muscle rigidity.

Extract:

When giving NG feeding, the nurse was observed of not checking the NGT placement prior to administering the feeding in spite of previous instructions from a colleague.


Question 5 of 5

Appropriate action taken at this time would include:

Correct Answer: C

Rationale: Reminding the colleague reinforces safe practice without escalating unnecessarily.

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