NCLEX-PN
NCLEX Question of The Day Questions
Extract:
Question 1 of 5
The client with ulcerative colitis calls the clinic and reports increasing abdominal pain and increased frequency of loose stools. He asks to clarify what type of diet he is to follow. Which diet is best for clients with ulcerative colitis?
Correct Answer: D
Rationale: The correct answer is 'Low fiber.' Clients with ulcerative colitis should follow a low-residue diet, which means consuming low fiber to reduce the frequency and volume of stools, helping to alleviate symptoms such as abdominal pain and diarrhea. High fiber diets can worsen the condition by stimulating bowel movements.
Choice A, 'High vitamin,' is incorrect as the focus is on fiber content rather than vitamins.
Choice B, 'High calorie,' is not specifically recommended for ulcerative colitis and may not address the symptoms effectively.
Choice C, 'Low sugar,' does not directly address the dietary needs of clients with ulcerative colitis as the issue is more related to fiber intake than sugar consumption.
Question 2 of 5
What is the best position for a client immediately following a bilateral salpingooophorectomy?
Correct Answer: C
Rationale: The best position for a client immediately following a bilateral salpingooophorectomy is side lying. This position promotes comfort with the knees flexed and ensures proper airway management. Fowler's position (
Choice
A) would not be ideal as it involves sitting at a 90-degree angle, potentially causing discomfort after this procedure. Modified Sims position (
Choice
B) is typically used for rectal examinations, not for post-surgical management. Flat supine (
Choice
D) may not be the best choice immediately after surgery as it does not provide the same level of comfort and airway protection as side lying with knees flexed.
Question 3 of 5
The charge nurse is observing a student nurse caring for a 4-month-old infant in isolation diagnosed with RSV. Which of the following would indicate to the charge nurse that the student nurse needs further instruction on isolation standards?
Correct Answer: A
Rationale: The correct answer is 'Donning clean gloves each time she goes in the room.' Sterile gloves are not necessary for standard isolation precautions; clean gloves are sufficient. The student nurse should be instructed to use clean gloves to reduce the risk of spreading infections. Wearing a clean mask each time she goes in the room is a good practice to prevent the spread of respiratory infections like RSV. Labeling the door for Airborne Precautions is appropriate for RSV. Wearing a gown when entering the room to administer medication helps prevent the transmission of infectious agents.
Question 4 of 5
After experiencing a left frontal lobe CVA, a fifty-five-year-old man is being monitored by a nurse. The patient's family is not present in the room. What should the nurse observe most closely for?
Correct Answer: A
Rationale: The correct answer is to watch for changes in emotion and behavior. The frontal lobe, particularly the left side, is responsible for regulating behavior and emotions.
Therefore, following a left frontal lobe CVA, monitoring for alterations in emotion and behavior is crucial.
Choices B, C, and D are incorrect because loss of hearing, appetite and vision deficits, and changes in facial muscle control are not directly associated with a left frontal lobe CVA.
Question 5 of 5
What type of diet is appropriate for a client with chronic cirrhosis?
Correct Answer: A
Rationale: The correct diet for a client with chronic cirrhosis is high calorie, low protein. Cirrhosis can lead to impaired protein metabolism, making it essential to limit protein intake. High-calorie foods help meet the client's energy needs.
Choice B (High protein, high calorie) is incorrect because high protein intake can worsen hepatic encephalopathy.
Choice C (Low fat, low sodium) is not the most appropriate diet for cirrhosis as the focus should be on calories and protein.
Choice D (High calorie, low sodium) does not address the need to restrict protein intake, which is crucial in cirrhosis.