NCLEX-RN
Free NCLEX RN Exam Practice Questions Questions
Extract:
Question 1 of 5
Which of the following diet instructions are appropriate when teaching a client in the early stages of cirrhosis about nutritional needs? Select all that apply.
Correct Answer: B,C
Rationale: Adequate protein supports liver repair, and small, frequent meals reduce metabolic stress in early cirrhosis. Alcohol should be avoided, and fluid restriction is not typically needed early on.
Question 2 of 5
Which of the following diet instructions are appropriate when teaching a client in the early stages of cirrhosis about nutritional needs? Select all that apply.
Correct Answer: B,C
Rationale: Adequate protein supports liver repair, and small, frequent meals reduce metabolic stress in early cirrhosis. Alcohol should be avoided, and fluid restriction is not typically needed early on.
Question 3 of 5
You are working as a wound care nurse. You measure the size of a client's wound and it is 3 cm deep, 2 cm long and 4 cm wide. You would document the dimension of this wound as:
Correct Answer: B
Rationale: Wound dimensions are documented as length x width x depth (2 cm x 4 cm x 3 cm), but the total linear measurement is not typically summed. However, based on the options, 12 cm may reflect a misinterpretation; the correct documentation is the individual measurements.
Question 4 of 5
A client has been diagnosed with right-sided heart failure. The nurse should assess the client further for:
Correct Answer: C
Rationale: Dependent edema is a key sign of right-sided heart failure, as the heart fails to pump blood effectively, causing fluid backup in the extremities.
Question 5 of 5
A client has a prescription to begin short-term therapy with enoxaparin. The nurse explains to the client that this medication is being prescribed for which action?
Correct Answer: D
Rationale: Enoxaparin is an anticoagulant that is administered to prevent deep vein thrombosis and thromboembolism in selected clients at risk. It is not used to treat urinary calculi, migraine headaches, or multiple sclerosis.