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

Questions 158

NCLEX-RN

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RN NCLEX Practice Test Questions

Extract:


Question 1 of 5

The nurse is teaching a client with a history of gout about dietary modifications. The nurse should tell the client to avoid:

Correct Answer: B

Rationale: Organ meats are high in purines, which increase uric acid levels, exacerbating gout, so they should be avoided.

Question 2 of 5

Place in correct sequence the steps from 1-7 used when performing tracheostomy suctioning.

Order the Items

Source Container

Suction the oral cavity.
Auscultate breath sounds for effectiveness.
Set suction control at 80-120 mm Hg.
Ambu or oxygenate at 100% O2
Apply suction while withdrawing the suction catheter.
Turn the head toward the side to be suctioned.
Auscultate breath sounds prior to suctioning.

Correct Answer: G, C, D, F, E, B, A

Rationale: Sequence: Auscultate breath sounds (G), set suction pressure (
C), oxygenate (
D), turn head (F), apply suction (E), auscultate post-suction (
B), suction oral cavity (
A) to clean.

Question 3 of 5

Which person is at greatest risk for developing Lyme disease?

Correct Answer: D

Rationale: Landscapers are at higher risk for Lyme disease due to frequent outdoor exposure in areas where ticks, which transmit the disease, are prevalent.

Question 4 of 5

A client is experiencing muscle weakness and lethargy. His serum K+ is 3.2. What other symptoms might he exhibit?

Correct Answer: B

Rationale: Low potassium (3.2) causes dysrhythmias due to its role in cardiac muscle activity. The other symptoms are not associated with hypokalemia.

Question 5 of 5

The nurse is caring for a client with a history of a tracheostomy. Which intervention is most important when suctioning the tracheostomy?

Correct Answer: A

Rationale: Sterile technique during tracheostomy suctioning prevents infection, a critical concern. Suctioning should last 10-15 seconds, saline is optional, and catheter size should be appropriate.

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