NCLEX RN Questions Nursing Fundamentals
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Question 1 of 5.
Extract:The home health nurse is caring for a 67-year-old female client with progressive multiple sclerosis. Item 6 of 6 Current Medications Nurses' Notes • cephalexin 500 mg p.o. every six hours for 10 days • diazepam 5 mg p.o. daily PRN muscle spasm • multivitamin 1 tablet daily • ergocalciferol 10,000 international units p.o. Daily
For each assessment finding, click to specify if the finding indicates that the client's condition has improved, not changed, or worsened.
| Description | Options |
|---|---|
| Lorem ipsum dolor sit amet consectetur. |
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| Lorem ipsum dolor sit amet consectetur. |
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| Lorem ipsum dolor sit amet consectetur. |
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| Lorem ipsum dolor sit amet consectetur. |
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Explanation: Improved toileting access, medication organization, and urinary patterns indicate better management. Activity tolerance, lower extremity symptoms, and bathroom lighting remain unchanged.
Question 2 of 5.
The nurse is observing a student nurse feed a client requiring aspiration precautions. The nurse should intervene if the student
A. Asks the client to remain sitting upright for at least 30 to 60 minutes after a meal.
B. Reminds the client to tilt their head backward when eating and drinking.
C. Avoids mixing foods of different textures in the same mouthful.
D. Places salt and pepper on the client's food at their request.
Explanation: Tilting the head backward increases aspiration risk. Upright positioning, avoiding mixed textures, and seasoning food are appropriate.
Question 3 of 5.
The nurse is caring for a client with increased intracranial pressure (ICP). The nurse plans on positioning the client's head of bed at
A. 25 degrees.
B. 30-40 degrees.
C. 10-20 degrees.
D. 5-10 degrees.
Explanation: A 30-40 degree elevation optimizes cerebral venous drainage, reducing ICP. Lower angles may increase ICP, and 25 degrees is suboptimal.
Question 4 of 5.
The nurse is teaching a client with hypothyroidism. The nurse should recommend that the client increase their intake of foods rich in
A. Fiber.
B. Saturated fats.
C. Calcium.
D. Potassium.
Explanation: Fiber aids digestion, often slowed in hypothyroidism. Saturated fats, calcium, and potassium are not specifically indicated.
Question 5 of 5.
The nurse is caring for a client who has nausea related to prescribed chemotherapy treatments. The nurse should recommend that the client. Select all that apply.
A. Consume foods and liquids at room temperature.
B. Drink a large amount of fluid with meals.
C. Consume foods without aromas
D. Eat smaller portion sizes throughout the day.
E. Delay taking the prescribed antiemetic until the nausea is severe.
Explanation: Room-temperature foods, low-aroma foods, and smaller portions reduce nausea. Large fluid intake with meals worsens nausea, and antiemetics should be taken proactively.
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