NCLEX-RN
NCLEX RN Medical Surgical Questions and Answers Questions
Extract:
Question 1 of 5
A nurse is developing a care plan for a client with hepatic encephalopathy. Which of the following are goals for the care for this client? Select all that apply.
Correct Answer: A,B
Rationale: Preventing constipation (
A) and administering lactulose (
B) reduce ammonia levels in hepatic encephalopathy. Coordination (
C) and pupil reaction (
D) are less relevant. High carbohydrates (E) are not specific, and physical activity (F) may be limited.
Question 2 of 5
A client receiving a loop diuretic should be encouraged to eat which of the following foods? Select all that apply.
Correct Answer: B,C,D
Rationale: Loop diuretics like furosemide cause potassium loss. Bananas (
B), dried fruit (
C), and orange juice (
D) are potassium-rich, helping prevent hypokalemia.
Question 3 of 5
Following a total hip replacement, the nurse should do which of the following? Select all that apply.
Correct Answer: B,D,E
Rationale: Using a trapeze, fracture bedpan, and antiembolism stockings supports recovery and prevents complications. Prone positioning and 90-degree elevation risk dislocation.
Question 4 of 5
A client with uric acid stones is prescribed a low-purine diet. Which food is allowed?
Correct Answer: C
Rationale: Apples are low in purines, suitable for a uric acid stone diet.
Question 5 of 5
Which of the following nursing interventions would most likely promote self-care behaviors in the client with a hiatal hernia?
Correct Answer: C
Rationale: Encouraging the client to identify past instances of responsibility promotes self-efficacy and motivates self-care behaviors, which is most effective for long-term management.