Duplicate Facts

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Jon Haws

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10 03.09 Duplicate Facts NCLEX Questions

Question 1 of 10

A client with a gastrointestinal condition is suffering from chronic constipation. The nurse recommends that the client increase fiber intake to 25 or 30 g per day. Which of the following factors must the nurse consider when counseling the client to increase fiber intake?

The client should get most dietary fiber from supplements, rather than from food

The client should increase fiber intake slowly over the course of several days

The client should choose fruits that contain plenty of fiber, such as bananas and peaches

The client may not see a resolution in constipation for several weeks after increasing fiber intake

Question 2 of 10

A client who is 36 weeks’ pregnant tells the nurse that she is not getting enough sleep at night because she is uncomfortable. In which of the following positions should the nurse recommend that the client try to sleep?

On her back with a pillow under her knees

On her left side with a pillow between her knees

On her back with one pillow under her head

In the prone position with the head turned to one side

Question 3 of 10

A client is afraid that she has been exposed to HIV. The HIV antibody screening test is positive. The client is upset. Which of the following responses from the nurse is most appropriate?

This test determines that you have an autoimmune disease, not necessarily HIV

I regret to inform you that the test indicates that you are positive for HIV.

The test only says that you have been exposed to an organism, but it does not mean you are currently infected

A positive result on this test actually means that you do not have HIV, so you do not need to worry

Question 4 of 10

A client’s mother is upset that after 24 hours no antibiotics have been prescribed for an earache and fever. Which explanation is the best for the nurse to provide?

“Administration of antibiotics is avoided because they can cause gastrointestinal distress”

“Antibiotics should only be used if there are signs of tinnitus”

“Administration of antibiotics is usually delayed for 72 hours because of concerns about drug resistance”

“Antibiotics aren’t helpful unless your child has had a fever for 72 hours”

Question 5 of 10

A 14-year-old client has just been prescribed hydroxyurea to help treat sickle cell anemia. The client asks the nurse about the purpose of this new medication. Which of the following explanations by the nurse is correct?

Hydroxyurea is a new medication that works within the red blood cell to change its structure and make it less prone to sickling

Hydroxyurea is a pain medication that will help relieve your joint pain

Hydroxyurea is a medication that works by increasing the RBC ability to absorb fluid to prevent sickling

Hydroxyurea helps your sickle cell by increasing fetal hemoglobin, which can’t sickle

Question 6 of 10

A client presents to the emergency department in respiratory distress. The nurse obtains a set of vital signs, starts a 20 gauge IV in the right antecubital, and places the client on 3L O2. After reporting the results to the provider, the provider orders a lab draw and a set of ABGs. The nurse correctly understands which of the following to be appropriate reasoning for ABGs?

Arterial blood draws carry less complications than venous blood draws

Arterial blood gives more accurate results for acid-base, but not blood-gas

Arterial blood will reflect a partial pressure of gas, but venous blood will not

Arterial blood provides more accurate systemic results for blood-gas than venous blood

Question 7 of 10

A 22-year-old male client has been prescribed growth hormone therapy for his small, short stature. The client must administer the medication as an injection. Which of the following statements is true about injecting this type of hormone replacement?

Growth hormone therapy is given as an intramuscular injection into the deltoid muscle.

Growth hormone therapy requires an insulin syringe and approximately 30-gauge needle for injection.

Growth hormone replacement must be mixed with heparin to gain its full effects.

Growth hormone must be administered on a full stomach

Question 8 of 10

A 44-year-old diabetic client is undergoing surgery for a hysterectomy. The client is a type 1 diabetic who requires regular monitoring of blood glucose levels and insulin administration on a sliding scale. Which information should be given to the client about controlling blood glucose levels throughout surgery?

The client will receive dextrose through the IV but will need to take oral diabetic agents on the day of the surgery

The client will have no dextrose in the IV but should still take insulin throughout the perioperative period

The client will receive IV fluids with dextrose and should still receive insulin throughout the perioperative period

The client will have no dextrose in the IV and should not take any insulin throughout the perioperative period

Question 9 of 10

A client on chemotherapy has arrived for an appointment. Upon assessment, the nurse notes that the client has lost 20 pounds. The client denies nausea and vomiting, and says she is following the same diet as before. Which of the following dietary recommendations should the nurse give this client?

Eat two large meals per day

Increased fat consumption

Increased protein consumption

Add protein and calorie-rich snacks between meals

Question 10 of 10

The nurse has an order to give hypertonic saline (3% NaCl) to a client with increased intracranial pressure. The nurse correctly understands that the effect of this will be which of the following?

Fluid will move out of the extracellular fluid and into the cells

Fluid will move out of the interstitial space and into the intravascular space

Fluid will move out of the cells and into the extracellular fluid

Fluid will move out of the intravascular space and into the interstitial space