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NCLEX RN Simulated Exam Test Bank Questions

Extract:

Question 1 of 5

Mr. Thomas is a well-groomed 68-year-old male patient who had prostate surgery two days ago. He has an indwelling catheter and a urinary drainage bag. You have weighed him at 9 am each morning for 3 mornings in a row. Today, on the 4th day, his morning weight is 3 pounds more than it was the day before. Why could he have gained these 3 pounds in one day, on a 1000 calorie diet?

A. It is obvious that his visitors have been sneaking him junk food from the local fast-food restaurant. B. It may be that his urinary drainage bag was not emptied today and it was emptied on previous days. C. It is obvious that the scale is broken and it should be replaced immediately to prevent these false weights. D. A 3-pound weight gain is not significant enough to question and should just be noted.

Correct Answer: B

Rationale: The correct answer is that the weight gain may be due to the urinary drainage bag not being emptied today, while it was emptied on previous days. This scenario is common and can lead to an increase in weight that is not related to food intake.
Choice A is incorrect because assuming visitors are sneaking junk food is speculative and not based on facts.
Choice C is incorrect as there is no evidence to suggest the scale is broken.
Choice D is incorrect because any unexplained weight gain should be investigated further, even if it seems insignificant at first.

Question 2 of 5

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Question 3 of 5

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Question 5 of 5

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