NCLEX-RN
Health Promotion and Maintenance NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse is assigned to care for a client being admitted with a diagnosis of cirrhosis and ascites. Which dietary measure should the nurse expect to be prescribed for the client?
Correct Answer: A
Rationale: If the client has ascites, sodium and possibly fluids would be restricted in the diet. The client should maintain a normal amount of fat intake. The diet should supply sufficient carbohydrates to maintain weight and spare protein. The total daily calories should range between 2000 and 3000 . The diet should provide ample protein to rebuild tissue but not an amount that will precipitate hepatic encephalopathy.
Question 2 of 5
Percussion is a physical assessment technique that is used to identify which findings?
Correct Answer: A,B,C,F
Rationale: Percussion involves tapping the body with the fingertips to evaluate the size, borders, and consistency of body organs and assess for fluid in body cavities. Through percussion, the location, size, and density of an underlying structure can be determined. Through palpation, assessment is done via the sense of touch. Measurements of specific physical signs, including resistance, resilience, roughness, texture, and mobility, can be made through palpation.
Question 3 of 5
The nurse is teaching the client about smoking cessation. Which client statement indicates a need for further teaching by the nurse?
Correct Answer: B
Rationale: E-cigarettes are not FDA-approved for smoking cessation and may still pose health risks. Other statements are accurate.
Question 4 of 5
A client who is taking an antipsychotic medication is preparing for discharge. To facilitate health promotion for this client, what instruction should the nurse provide?
Correct Answer: A
Rationale: Antipsychotic medications improve the thought processes and behaviors of a client with psychotic symptoms, especially a client with schizophrenia. Photosensitivity is a side effect of antipsychotic medications. Maintaining a strict tyramine-restricted diet is applicable to monoamine oxidase inhibitors (MAOIs). Antipsychotics are not used to treat depression. Lithium is a mood stabilizer that requires monitoring of medication blood levels.
Question 5 of 5
The nurse provides instructions to the client taking clorazepate for the management of an anxiety disorder. What information related to this medication should the nurse provide to the client?
Correct Answer: A
Rationale: Dizziness is a common side effect of clorazepate, and clients should be instructed to change positions slowly to manage it. Smoking reduces the medication's effectiveness, drowsiness is expected and does not require contacting the provider, and gastrointestinal disturbances should be managed by taking the medication with food, not discontinuing it.