(ANSWERS & RATIONALE) Health Promotion and Maintenance NCLEX RN Review
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1. C. Celiac disease is caused by an intolerance to gluten, which is a protein found in wheat, oats, barley and rye, All the foods in option 3 contain gluten. Option 1 would be eliminated if the child had a lactose intolerance, option 4 would be eliminated if the child had a fat intolerance.
2. D. The most important assessment is vital signs... Continue Reading
Health Promotion and Maintenance NCLEX RN Review
1. A 4 year old with Celiac Disease is in the hospital with an exacerbation of Celiac Crisis due to improper dietary intake. When teaching the mother the dietary restrictions for her child, which of the following foods must be completely eliminated from the child’s diet?
a. Whole milk, ice cream and cheese
b. Rice, corn and soybeans
c. Bread, oatmeal and pretzels
d.... Continue Reading
NCLEX RN Questions for Health Promotion and Maintenance Answers and Rationale
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1. Answer A. Causes of deficient fluid volume include vomiting, diarrhea, conditions that cause increased respirations or increased urinary output, insufficient IV fluid replacement, draining fistulas, and the presence of an ileostomy or colostomy. A client with congestive heart failure or decreased kidney function, or a client receiving frequent wound... Continue Reading
NCLEX RN Questions for Health Promotion and Maintenance
1. Nurse Tristan is assigned to care for a group of clients. On review of the clients’ medical records, the nurse determines that which client is at risk for deficient fluid volume?
a. A client with a colostomy
b. A client with congestive heart failure
c. A client with decreased kidney function
d. A client receiving frequent wound... Continue Reading
Health Promotion and Maintenance NCLEX RN Review Questions Answers and Rationale
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1. C. When irrigating a colostomy, the patient should insert the catheter 2” to 4” into the stoma. Inserting it less than 2” may cause leakage. Inserting it more than 4” may cause trauma to the intestinal mucosa.
2. D. When administering several oral medications, the nurse should state the name of each medication and... Continue Reading
Health Promotion and Maintenance NCLEX RN Review Questions
1. Mr. X has colon cancer requires a permanent colostomy because of the tumor location. After the surgery, the patient must learn how to irrigate the colostomy. When irrigating, how far into the stoma should the patient insert the lubricated catheter?
a. 0.25” to 0.5”
b. 1” to 1.5”
c. 2” to 4”
d. 5” to 7”
2. A patient is to... Continue Reading
NCLEX Test Review Questions on Health Promotion and Maintenance Answers and Rationale
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1. B. No matter how far the client’s pregnancy has progressed by the time of her first prenatal visit, the nurse should teach about danger signs during pregnancy so the client can identify and report them early, helping to avoid complications. The nurse should discuss other topics just before they’re expected to occur.
2. C. Freud defined the first... Continue Reading
NCLEX Test Review Questions on Health Promotion and Maintenance
1. Ana, a pregnant mother comes to the facility for her first prenatal visit. When providing teaching, the nurse should be sure to cover which topic?
a. Labor techniques
b. Danger signs during pregnancy
c. Signs and symptoms of pregnancy
d. Tests to evaluate for high-risk pregnancy
2. When developing a plan of care for a child, nurse... Continue Reading
Health Promotion and Maintenance NCLEX Questions Answers and Rationale
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1. Answer D. Cranial nerves 9 and 10 are the glossopharyngeal and vagus nerves. The gag reflex would be evaluated. 2. Answer D. Providing information for the client is the best technique for a new diagnosis. 3. Answer C. After birth, the infant of a diabetic mother is often hypoglycemic. ... Continue Reading
Health Promotion and Maintenance NCLEX Questions
1. What equipment would be necessary to complete an evaluation of cranial nerves 9 and 10 during a physical assessment?
a. A cotton ball
b. A pen light
c. An ophthalmoscope
d. A tongue depressor and flashlight
2. Which technique would be best in caring for a client following receiving a diagnosis of a state IV tumor in the brain?
a. ... Continue Reading