NCLEX Practice Questions SET 6

1. The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?:
Split pea soup, mashed potatoes, pudding, milk
Roast beef sandwich, potato chips, pickle spear,
iced tea
Tomato soup, cheese toast, gelatin, coffee
Hamburger, baked beans, fruit cup, iced tea
2.The physician has prescribed NovoLog (as part) insulin for a client with diabetes mellitus. Which statement indicates that the client
knows when the onset of the insulin occurs?:
“I can save my dessert from supper for a bedtime snack.”
“I will need to carry candy or some form of sugar with me all the time.”
“I will eat a snack around three o’clock each afternoon.”
“I will make sure I eat breakfast within 10 minutes of taking my insulin.”
3. The nurse is teaching basic newborn care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because?:
The chance of chilling the newborn outweighs the benefits of bathing.
New parents need time to learn how to hold the newborn.
Newborn skin is easily traumatized by washing.
The umbilical cord needs time to separate.
4. A client with leukemia who has been receiving Trimetrexate
(methotrexate) has an order for Wellcovorin (leucovorin). What is the rationale for administering Wellcovorin?:
Treat anemia caused by the methotrexate
Create a synergistic effect that shortens treatment time
Increase the number of circulating neutrophils
Reverse drug toxicity and prevent tissue damage

Read more on LEUCOVORIN RESCUE

5. The well child assessment of a one-year-old reveals orange discoloration of the nasolabial folds. Based on this finding the nurse
should?:
Assess the sclera for the presence of jaundice
Measure the abdominal girth
Inquire about the passage of clay-colored stools
Obtain a diet history from the mother

The answer to this question is related to diet more than liver diseases. Jaundice is often presented by yellowing of the sclera and the skin including palms of the hands. For dark skinned patients, assessment of the palms and sclera provides a clearer picture.

References

Howard et al. 2016 and Rinehart et al. 2016

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