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Comprehensive Test for the NCLEX-RN (二)

Comprehensive Test for the NCLEX-RN (二)

www.nursesky.com 作者:xiu  来源:本站原创  点击: 【字体:

1. The nurse is teaching the postgastrecetomy client about measures to prevent dumping syndrome .which statement by the client indicates a need for further teaching ?

1. “I need to lie down after eating”

2. “I need to drink liquids with meals”

3. “I need to eat small meals six times daily”  

4. "1 need to avoid concentrated sweets."

Answers 2.

2. A client has been diagnosed with pernicious  anemia. In planning care for the client, the nurse anticipate  that the client will be treated with

     1. Thiamine

     2. Iron

     3. Vitamin B12

     4. Folic acid

Answers 3.

 

3. An older postoperative client has been tolerating a full liquid diet, and the nurse plans to advance the diet to solid food as  prescribed. Which assessment is most important for the nurse to make before advancing the diet to solids?

      1. Food preferences

      2. Cultural preferences

      3. Presence of bowel soufids

      4. Ability to chew

Answers 4.

 

4. The  client With diabetes  mellitus has been instructed in the dietary exchange system  The client asks the nurse if bacon is allowed in the diet. Which nursing response is most appropriate?

       1. "Bacon is much too high in fat

       2. "Bacon is not allowed."

       3. "One strip of bacon may be eaten if you eliminate one teaspoon of butter

       4, "Bacon may be eaten if you eliminate one meat item you’re your diet." 

Answers 3.

         

5. The client with heart disease is provided instructions regarding a low-fat diet .The nurse determine that the client understands the diet if the client states that a food item to avoid is :

        1. Apples

 2. Oranges  

        3. Avocado  

        4. Cherries

Answers 3.

 

6. A client with liver cancer who is  receiving  chemotherapy tells the nurse that some foods on the meal tray taste bitter. The nurse" would try to limit which food that is most likely to cause this taste for the client ?

         1. Beef

         2. Potatoes

         3. Custard

         4. Cantaloupe

Answers 1.

 

 7. A nursing student is caring for a client who has been admitted to the hospital with malnutrition.  The student is reviewing the results of the various laboratory tests performed on the client with the nursing instructor. Which statement if made by the nursing student indicates an understanding of the interpretation of the results ?

       1. "An elevated creatinine level indicates respiratory  problems."                         

       2. "A normal hemoglobin level indicates that iron  and protein intake is sufficient."

 

       3. "An elevated albumin level indicates a definite dehydration."

4. "A normal red blood cell level indicates adequate vitamin B6 intake."

Answers 2.

8. The nurse notes that the infant with a diagnosis of hydrocephalus has a head that is heavier than the average infant. The nurse determines that special safety precautions are needed when moving the  infant. Which statement would the nurse include in the discharge teaching with the parents to reflect this safety need?

     1. "When picking up your infant, support the infant's neck and head with the open palm of your hand."

     2. "Feed your infant in a side-lying position."

     3. "Place a helmet on your infant when in bed."

     4. "Hyperextend your infant's head with a rolled blanket under the neck area."

Answers 1.

9. The nurse is performing an admission assessment  On a child with a seizure disorder. The nurse is interviewing the child's parents to determine their adjustment to caring for their child who has a chronic illness . Which Statement if made by the parents would indicate a need for further teaching?

     1. "Our child is involvedin a swim program with neighbors and  friends.

     2: "our child sleeps in our bedroom at night."

     3. "Our babysitter just completed cardiopulmonary resuscitation training.

     4. "We worry about injuries when our child has a  seizure.

Answers 2.

 

10. The nurse is reviewing the results of a serum level drawn from a child who is receiving carbamazepine (Tegretol) for the control of seizures. The results indicate a level of 10mcg/mL. The nurse analyzes the results and anticipates that the physician will prescribe 

     1. An increase of the dose of the medication.

     2. A decrease of the dose of the medication.

     3. Discontinuation of the medication.

     4. Continuation of the presently prescribed dosage.

Answers 4.

 

11. The nursing student is asked to describe the corpus of the uterus. Which of the following responses, if made by the student, indicates an understanding of the anatomy of the uterus?

     1. "The corpus is the lower portion of the uterus."

     2. "The corpus is the upper part of the uterus."

     3. "The corpus is the area where the cervix meets the external os "

     4. "The corpus is the area where the vagina meets the uterus "

 
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