Questions 108

NCLEX-RN

NCLEX-RN Test Bank

Med Surg RN NCLEX Questions Questions

Extract:


Question 1 of 5

What diet should be implemented for a client who is in the early stages of cirrhosis?

Correct Answer: A

Rationale: A high-calorie, high-carbohydrate diet (
A) supports energy needs in early cirrhosis without overloading the liver. High-protein (
B) risks encephalopathy, low-fat, low-protein (
C) is too restrictive, and low-sodium (
D) is for later stages with ascites.

Question 2 of 5

The nurse is obtaining a health history from a client who has a sliding hiatal hernia associated with reflux. The nurse should ask the client about the presence of which of the following symptoms?

Correct Answer: A

Rationale: Heartburn is a hallmark symptom of a sliding hiatal hernia with reflux, caused by stomach acid refluxing into the esophagus.

Question 3 of 5

A nurse is helping a suspected choking victim. The nurse should perform the Heimlich maneuver when the victim:

Correct Answer: B

Rationale: Inability to speak indicates a complete airway obstruction, necessitating the Heimlich maneuver to dislodge the blockage.

Question 4 of 5

A client with neutropenia has an absolute neutrophil count of 900. What is the client's risk of infection?

Correct Answer: C

Rationale: An absolute neutrophil count (AN
C) of 900 indicates moderate to severe neutropenia (ANC <1,000). This places the client at high risk for infection, as neutrophils are critical for fighting pathogens. Normal risk is ANC >1,500, and extremely high risk is ANC <200.

Question 5 of 5

Several clients come to the emergency department with suspected contamination by the Ebola virus. What should the nurse do? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Ebola requires comprehensive measures: extra staff for surge capacity, isolation to prevent spread, bleach for disinfection, visitor restrictions, and contact quarantine to control the outbreak.

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