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Questions 227

NCLEX-PN

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Extract:

The patient has been receiving 2500 ml of IV fluid and 300 to 400 ml of oral intake daily for 2 days. The patient's urine output has been decreasing and now has been less than 40 ml per hour for the past 3 hours.


Question 1 of 5

The nurse should immediately:

Correct Answer: B

Rationale: Low urine output suggests renal or fluid issues, requiring vital signs and breath sound assessment.

Extract:

The nurses informs the pregnant client who does not like milk that there are other foods that are good sources of calcium and advises the client to eat:


Question 2 of 5

The nurses informs the pregnant client who does not like milk that there are other foods that are good sources of calcium and advises the client to eat:

Correct Answer: C

Rationale: Broccoli is a good non-dairy source of calcium, important for pregnancy.

Extract:


Question 3 of 5

The nurse is teaching a client with a new diagnosis of osteoporosis about lifestyle modifications. Which of the following recommendations should the nurse include?

Correct Answer: B

Rationale: Increasing calcium and vitamin D intake supports bone density in osteoporosis. Weight-bearing exercises (
A) are beneficial, fluid restriction (
C) is irrelevant, and smoking cessation (
D) should be encouraged, not stopped.

Question 4 of 5

A woman asks, 'How much alcohol can I safely drink while pregnant?' The nurse's best response is:

Correct Answer: A

Rationale: No safe level of alcohol consumption during pregnancy is established due to risks like fetal alcohol syndrome. The other responses provide incorrect or misleading information. Psychosocial Integrity

Extract:

Forty eight to 72 hours post birth, blood test for PKU is taken on the neonate.


Question 5 of 5

This test is called

Correct Answer: B

Rationale: The Guthrie blood test reliably detects abnormal phenylalanine levels as early as 4 days of age, provided the infant is fed a milk diet.

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