Nclex-Rn Practice Questions-Appendices And İndex - Comprehensive Test 1 Part 3
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Question 1 |
A client tells a nurse he boils his urinary catheters to keep them sterile. What is the most appropriate question for the nurse to ask the client?
A | “What technique is used for catheterization?” |
B | “At what temperature are the catheters boiled?” |
C | “Why aren’t prepackaged sterile catheters used?” |
D | “Are the catheters dried and stored in a clean, dry place?” |
Question 2 |
A client with a family history of diabetes mellitus asks the nurse how he might decrease his risk factors. What is the best response by the nurse?
A | “Eat only poultry and fish.” |
B | “Omit carbohydrates from your diet.” |
C | “Start a moderate exercise program.” |
D | “Check blood glucose levels every month.” |
Question 3 |
A client asks the nurse what complications can occur from diabetes mellitus. What is the best response by the nurse?
A | Multiple sclerosis |
B | Diabetic ketoacidosis |
C | Cardiovascular disease |
D | Hyperosmolar hyperglycemic nonketotic syndrome (HHNS) |
Question 4 |
A client at a routine blood glucose screening for diabetes mellitus tells a nurse he has excessive urination and excessive thirst. The priority question by the nurse would address which of the following?
A | Weakness |
B | Weight loss |
C | Vision changes |
D | Excessive hunger |
Question 5 |
A client reports a lot of gas in his colostomy bag. What is the best intervention by the nurse?
A | Burp the bag. |
B | Replace the bag. |
C | Put a tiny hole in the top of the bag. |
D | Tell the client to eat less beans. |
Question 6 |
A client is experiencing mild diarrhea through his colostomy. What is the most appropriate instruction to give the client?
A | Eat prunes. |
B | Drink apple juice. |
C | Increase lettuce intake. |
D | Increase intake of bananas. |
Question 7 |
After a review of colostomy care, a client tells the nurse he doesn’t know if he’ll be able to care for himself at home without help. What is the most appropriate intervention by the nurse?
A | Review care with the client again. |
B | Provide written instructions for the client. |
C | Ask the client if there’s anyone who can help. |
D | Arrange for home health care to visit the client. |
Question 8 |
A nurse approaches a client with a recent colostomy for a routine assessment and finds him tearful. What is the most appropriate intervention by the nurse?
A | State she’ll come back another time. |
B | Ask the client if he’s having pain or discomfort. |
C | Tell the client she needs to perform an assessment. |
D | Sit down with the client and ask if he’d like to talk about anything. |
Question 9 |
A client recently diagnosed with prediabetes asks the nurse about the risk factors for developing diabetes mellitus. The nurse is aware that the client’s greatest risk factor is which of the following?
A | Obesity |
B | Japanese descent |
C | A great-grandparent with diabetes mellitus |
D | Delivery of a neonate weighing more than 10 lb |
Question 10 |
A 52-year-old client who had gastric bypass surgery is nothing by mouth (NPO) status and is in pain. The nurse administers meperidine (Demerol) 75 mg I.M. as ordered. The client complains of nausea 20 minutes after the injection. The nurse recognizes that the nausea is most likely the result of which factor?
A | The surgery itself |
B | The client’s NPO status |
C | The meperidine that was given for his pain |
D | Blood remaining in his mouth after extubation |
Question 11 |
A 60-year-old client had a colostomy 4 days ago due to rectal cancer and is having trouble adjusting to it. Which nursing diagnosis is most appropriate for this client?
A | Anxiety |
B | Situational low self-esteem |
C | Impaired comfort |
D | Disturbed body image |
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