NCLEX RN Practice Questions Free
Question 1 of 5.
A 12-year-old girl has been diagnosed with insulin-dependent diabetes mellitus. Which of these principles would best guide her nutritional management?
A. Concentrated sweets are taken during increased activity.
B. Food restriction is imposed to reduce weight.
C. Caloric distribution should be calculated to fit activity patterns.
D. Fat requirements are increased owing to the possibility of ketoacidosis.
Explanation: Concentrated sweets are eliminated from diet planning. Complex carbohydrates may be taken at the time of increased activity. Food restriction is not used for diabetic control of growing children. Caloric restriction may be imposed for weight control if necessary. Total caloric intake and proportions of basic nutrients should be consistent from day to day. Distribution of these calories should fit the activity pattern. Extra food is needed for increased activity. A balance of food, exercise, and insulin should be maintained. Because of the increased risk of atherosclerosis, the fat percentage of the total caloric intake is reduced.
Question 2 of 5.
A client is admitted with disseminated herpes zoster (shingles). According to the Centers for Disease Control Guidelines for Infection Control:
A. Airborne precautions will be needed.
B. No special precautions will be needed.
C. Only contact precautions will be needed.
D. Droplet precautions will be needed.
Explanation: Disseminated herpes zoster requires airborne precautions because the varicella-zoster virus can spread through respiratory droplets in immunocompromised patients.
Question 3 of 5.
The nurse is caring for an adolescent with a five-year history of bulimia. A common clinical finding in the client with bulimia is:
A. Extreme weight loss
B. Dental caries
C. Hair loss
D. Decreased temperature
Explanation: Frequent vomiting in bulimia exposes teeth to stomach acid, leading to dental caries (tooth decay), a common clinical finding.
Question 4 of 5.
The nurse is providing dietary teaching for a client with hypertension. Which food should be avoided by the client on a sodium-restricted diet?
A. Dried beans
B. Swiss cheese
C. Peanut butter
D. Colby cheese
Explanation: Colby cheese is high in sodium, which should be avoided on a sodium-restricted diet to manage hypertension, unlike the other options, which are lower in sodium.
Question 5 of 5.
The nurse caring for a client with closed chest drainage notes that the collection chamber is full.
A. Add more water to the suction-control chamber.
B. Remove the drainage using a 60 mL syringe.
C. Milk the tubing to facilitate drainage.
D. Prepare a new unit for continuing collection.
Explanation: A full collection chamber requires replacing the chest drainage unit to maintain effective drainage and prevent complications like tension pneumothorax.
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