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NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2023/2024 • A nurse is caring for a client who died approximately one hour ago. The nurse notes that the client's temperature has decreased in the last hour since his death. Which of the following processes expl...

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  • January 18, 2024
  • 73
  • 2023/2024
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NCLEX RN EXAM Questions and Answers Attained
Grade A+ Assured Satisfaction latest 2023/2024

 A nurse is caring for a client who died approximately one hour ago. The
nurse notes that the client's temperature has decreased in the last hour since
his death. Which of the following processes explains this phenomenon?




a. Rigor mortis

b. Postmortem decomposition

c. Algor mortis

d. Livor mortis




 A nurse is calculating a client's intake and output. During the last shift, the
client has had ½ cup of gelatin, a skinless chicken breast, 1 cup of green
beans, and 300 cc of water. The client has urinated 250 cc and has had 2
bowel movements. What is this client's intake and output for this shift?




a. 420 cc intake, 250 cc output

b. 300 cc intake, 250 cc output

c. 550 cc intake, 550 cc output

d. 300 cc intake, 550 cc output

, A nurse is caring for a client with ariboflavinosis. Which of the following
foods should the nurse serve this client?




a. Citrus fruits

b. Milk

c. Fish

d. Potatoes

, A client is taking a walk down the hallway when she suddenly realizes that
she needs to use the restroom. Although she tries to make it to the bathroom
on time, she is incontinent of urine before reaching the toilet. What type of
incontinence does this situation represent?




a. Reflex incontinence

b. Urge incontinence

c. Total incontinence

d. Functional incontinence



 Which of the following clients is at a higher risk of developing oral health
problems?




a. A pregnant client

b. A client with diabetes

c. A client receiving chemotherapy

d. Both b and c




 Which nursing intervention is most appropriate to reduce environmental
stimuli that may cause discomfort for a client?

, a. Loosen pressure dressings on wounds

b. Use assistance to pull a client up in bed

c. Check temperature of water used in a sponge bath

d. Position the client prone




 A client has developed a vitamin C deficiency. Which of the following
symptoms might the nurse most likely see with this condition?




a. Cracks at the corners of the mouth

b. Altered mental status

c. Bleeding gums and loose teeth

d. Anorexia and diarrhea




 Which of the following interventions should a nurse perform for a
female client who is incontinent with impaired skin integrity?




a. Turn the client at least every 8 hours

b. Apply lotion to the skin before a bath

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