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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is teaching a client with a new diagnosis of glaucoma about the condition. Which of the following statements by the client indicates understanding?

Correct Answer: B

Rationale: Glaucoma involves increased intraocular pressure, and adherence to prescribed eye drops (e.g., timolol) is critical to prevent optic nerve damage. Dim light (
A) is unrelated, stopping medication (
C) is dangerous, and glaucoma results from reduced fluid drainage (not excess,
D).

Question 2 of 5

A client with hyperemesis gravidarum is on a clear liquid diet. The nurse should serve this client:

Correct Answer: C

Rationale: A clear liquid diet consists of foods that are clear liquids at room temperature or body temperature, such as ice pops, regular or decaffeinated coffee and tea, gelatin desserts, carbonated beverages, and clear juices. Milk, pasteurized eggs, egg substitutes, and oatmeal are part of a full liquid diet.

Question 3 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.

Extract:

Congenital hip dysplasia is suspected when the assessment data indicates which of the following in the newborn?


Question 4 of 5

Presence of Ortalani's click

Correct Answer: A

Rationale: The presence of Ortalani's click when legs are abducted and asymmetry of gluteal folds are signs of congenital hip dysplasia.

Extract:

When assessing a patient with pleural effusion, the nurse should expect to find:


Question 5 of 5

When assessing a patient with pleural effusion, the nurse should expect to find:

Correct Answer: C

Rationale: Pleural effusion causes fluid accumulation, reducing or eliminating breath sounds at the lung base.

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