NCLEX-PN Practice exam 2024 questions and answers

NCLEX-PN Practice exam 2024 questions and answers A licensed practical nurse is explaining the appropriate methods for measuring an accurate temperature to an unlicensed assistive personnel (UAP). Which method, if noted by the UAP as being an appropriate method, indicates the need for further teaching? - ANSWERS Taking an oral temperature for a client with a cough and nasal congestion A client is having problems with blood clotting. Which food item should the nurse encourage the client to eat? - ANSWERS Green, leafy vegetables When reinforcing dietary instructions to a client with irritable bowel syndrome whose primary symptom is alternating constipation and diarrhea, the nurse should tell the client that which foods are best to include in the diet for this disorder? Select all that apply. - ANSWERS Apples, Whole-grain bread A hospitalized client is a lacto-vegetarian. Which food item should the nurse remove from the meal tray? - ANSWERS Eggs A low-sodium diet has been prescribed for a client with hypertension. Which food selected from the menu by the client indicates an understanding of this diet? - ANSWERS Baked turkey The nurse is providing dietary instructions to a client with gout. The nurse should tell the client to avoid which food item? - ANSWERS Scallops A clear liquid diet has been prescribed for a client with gastroenteritis. Which item is appropriate to offer to the client? - ANSWERS Fat-free beef broth A client with heart disease is instructed regarding a low-fat diet. The nurse determines that the client understands the diet if the client states to avoid which food item? - ANSWERS Cheese The nurse reinforces instructions to a client to increase the amount of riboflavin in the diet. The nurse should tell the client to select which food item that is high in riboflavin? - ANSWERS Milk A client with a burn injury is transferred to the nursing unit, and a regular diet has been prescribed. The nurse encourages the client to eat which dietary items to promote wound healing? - ANSWERS Chicken breast, broccoli, strawberries, and milk The nurse has completed diet teaching for a client who has been prescribed a lowsodium diet to treat hypertension. The nurse determines that there is a need for further teaching when the client makes which statement? - ANSWERS "Fresh foods such as fruits and vegetables are high in sodium." The nurse is preparing to administer an intermittent tube feeding to a client. The nurse aspirates 90 mL of residual from the tube. What should the nurse do? Select all that apply. - ANSWERS Document the amount of residual. Re-instill the residual and administer the feeding. A child with leukemia is experiencing nausea related to medication therapy. The nurse, concerned about the child's nutritional status, should offer which items during an episode of nausea? - ANSWERS Cool, clear liquids The nurse is reinforcing instructions to a client on how to decrease the intake of potassium in the diet. The nurse determines the need for further teaching if the client selects which foods to include in the diet? Select all that apply. - ANSWERS Potatoes Avocados Salt substitute The nurse is reinforcing instructions to a client regarding how to decrease the intake of phosphorus in the diet. The nurse should tell the client that which food items are allowed with few restrictions in a phosphorus-restricted diet? Select all that apply. - ANSWERS Apples White bread Egg whites A client is receiving total parenteral nutrition and has been NPO. The primary health care provider (PHCP) prescribed small amounts of clear liquids today. The nurse's priority is to collect data regarding which criterion before giving the client anything by mouth? - ANSWERS The presence of the swallow reflex The nurse is asked to assist with preparing a client who will be receiving a continuous total parenteral nutrition (TPN) solution via a central line. The nurse plans to institute which interventions for this client related to the TPN? Select all that apply. - ANSWERS Central line dressing changes per protocol Blood glucose monitoring around the clock Using an electronic infusion pump with the infusion Reviewing prescribed blood laboratory values including electrolytes A newly pregnant client is asking how to prevent neural-tube birth defects. The nurse reinforces which food choices to include in the diet? Select all that apply. - ANSWERS Oranges Broccoli Grapefruit The nurse needs to increase the calcium in the diet of a client who is lactose intolerant. Which food items should the nurse encourage? Select all that apply. - ANSWERS Tofu Broccoli Sardines Mustard greens The nurse reinforces dietary instructions to a client at risk for hypokalemia about the foods high in potassium that should be included in the daily diet. The nurse determines the client has understood if the client plans to include which foods in the diet? Select all that apply. - ANSWERS Raisins Kiwifruit Bananas The nurse is preparing to administer a continuous tube feeding to a client with a nasogastric tube. The primary health care provider has prescribed an amount of 100 mL/hr. The tube feeding setup is an open system, a bag that has formula added at intervals. How much formula should the nurse plan to add to fill the feeding bag? - ANSWERS 400 mL of formula A client who has recently been started on enteral feedings begins to complain of abdominal cramping, followed by passage of two liquid stools. The nurse notes that the client has abdominal distention as well. The nurse reviews the nutritional content on the label of the can to see if it contains which ingredient? - ANSWERS Lactose The nurse caring for a client with a neuro