NLN NACE Prep Exam Study Questions and Answers 2024 Graded A

A 23 year old woman who has pheylketonuria(PKU) and has not been on a PKU diet since adolescence tells the nurse that she wants to become pregnant. In order to respond appropriately to this client, the nurse must understand...... - High phenylalanine levels impair fetal development -the fetus would be at risk delayed development, mental retardation, poor head growth (microcephaly), poor overall growth, heart defects, and other structural birth defects -the closer to normal levels in the blood plasma the less likely complications A 31 year old client is receiving medical treatment for ulcerative colitis. The treatment includes antibiotics and prednisone. A nurse should plan to monitor the client for which nutritional consequence of this treatment? - Hyperglycemia -prednisone provides amino acids and glycerol gluconeogenesis by diminishing glucose utilization, increase protein breakdown, and activating lipolysis in the periphery resulting in an increase in blood glucose concentrations A 9year old child who began taking methylphenidate hydrochloride (Ritalin) one year ago appears to have slowed growth. What assessment would best reveal an explanation for the growth pattern? - Diet history -helps the nurse gather information and background data A client has a nursing diagnosis of fluid volume excess. Following effective treatment the nurse should expect what outcome? - Decrease in pedal edema, pulse rate, clear lung sounds, an increase in urine output A client has an order for a transdermal nitroglycerin(Nitro-Dur) patch q6h. What action should the nurse include when applying a new patch? - Rotate application sites A client has ingested a toxic dose of acetaminophen. A nurse should expect alteration in what lab values? - Serum bilirubin -Tylenol can cause liver failure A client in ICU is being closely monitored after a fall. The nurse notices a slight increase in ICP. The nurse should intervene by...... - Increase oxygen flow - because hypoxia can worsen iCP -DO NOT RAISE HOB, REPOSITION, OR SUCTION THE PATIENT because it can increase ICP A client is receiving intermittent nasogastric tube feedings. A nurse should aspirate the residual stomach contents prior to administering a scheduled feeding to..... - Determine absorption of feedings A client is to be checked for residual urine. At which time should the procedure be performed? - Immediately after the client voids A client was found unconscious and has a blood pressure of 70/35. What medication would the nurse administer? - Atropine sulfate (atropine) A client who appears cachetic is scheduled for emergency surgery. A preoperative nutritional assessment should be performed for what reason? - A malnourished client is prone to postoperative infection A client who has a diagnosis of diabetes reports diarrhea. When assessing the clients diet for a possible cause of the problem, a nurse should determine is consuming what substance? - Sorbitol - consumed in large amount can lead to some abdominal pain, gas, and mild to severe diarrhea