NUR 155 Exam 2 1/50
1. A patient is being treated for a fever of 102.8 F. What action should the nurse include in the patient's care plan regarding nutrition
therapy?
A. Provide only clear liquids for the next 24 hours
B. Encourage increased oral fluids as tolerated
C. Request a low-sodium diet from the provider
D. Maintain the client on a full liquid diet until afebrile
2. A patient states, 'My leg pain becomes worse when I walk but improves when I rest.' Which assessment finding is the nurse most likely
to expect?
A. Bilateral edema with crackles in the lungs
B. Dependent rubor and diminished pedal pulses
C. Bounding pedal pulses and warm skin
D. Sudden calf pain with a positive Homan sign
3. A patient is diagnosed with congestive heart failure and must follow a specific diet. Which meal choice is most appropriate?
A. Frozen dinner with tomato juice
B. Pepperoni pizza with pickles
C. Ham sandwich with canned soup
D. Baked chicken, steamed rice, and fresh green beans
Original NCLEX-style practice questions for study use
, NUR 155 Exam 2 2/50
4. A patient with gout should avoid which food type?
A. Organ meats and sardines
B. Fresh apples
C. Low-fat yogurt
D. Whole-grain bread
5. The nurse is reviewing a total parenteral nutrition prescription. Which lab result requires collaboration with the health care provider?
A. Prealbumin of 23 mg/dL
B. Phosphorus of 3.4 mg/dL
C. Glucose of 425 mg/dL
D. Serum sodium of 138 mEq/L
6. The nurse is creating a plan of care for a client receiving enteral feedings through a gastrostomy tube. Which action should be included?
A. Place the client supine for 1 hour after feeding
B. Check around the stoma site only if pain is present
C. Keep the head of the bed elevated during feedings
D. Flush the tube only once at the end of each shift
Original NCLEX-style practice questions for study use
, NUR 155 Exam 2 3/50
7. The nurse instructs a client about a low-fat diet. Which menu selection indicates that the client understands the instruction?
A. Shrimp with butter sauce
B. Cheeseburger with fries
C. Fried chicken with gravy
D. Turkey breast, baked rice, and fruit
8. A client with type 1 diabetes is shaky and diaphoretic. The blood glucose is 48 mg/dL. What is the priority nursing action?
A. Administer regular insulin per sliding scale
B. Place the client on NPO status
C. Encourage exercise to lower glucose
D. Give 15 g of fast-acting carbohydrate if the client can swallow
9. A client has a sodium level of 124 mEq/L. Which finding is most concerning?
A. Dry skin
B. New confusion
C. Increased appetite
D. Mild thirst
Original NCLEX-style practice questions for study use
, NUR 155 Exam 2 4/50
10. A client is admitted with dehydration. Which finding supports this diagnosis?
A. Urine specific gravity of 1.005
B. Tachycardia and poor skin turgor
C. Moist mucous membranes
D. Bounding pulses and crackles
11. The nurse is caring for a postoperative client who reports calf pain and has unilateral leg swelling. Which action is best?
A. Keep the client on bed rest and notify the provider
B. Massage the calf to improve circulation
C. Apply heat and encourage ambulation
D. Document the finding as expected after surgery
12. Which client should the nurse assess first?
A. Client with a cast reporting mild itching under the cast
B. Client with COPD whose oxygen saturation is 88% on prescribed oxygen and is drowsy
C. Client with diabetes asking for a snack before lunch
D. Client with hypertension requesting teaching about diet
Original NCLEX-style practice questions for study use
1. A patient is being treated for a fever of 102.8 F. What action should the nurse include in the patient's care plan regarding nutrition
therapy?
A. Provide only clear liquids for the next 24 hours
B. Encourage increased oral fluids as tolerated
C. Request a low-sodium diet from the provider
D. Maintain the client on a full liquid diet until afebrile
2. A patient states, 'My leg pain becomes worse when I walk but improves when I rest.' Which assessment finding is the nurse most likely
to expect?
A. Bilateral edema with crackles in the lungs
B. Dependent rubor and diminished pedal pulses
C. Bounding pedal pulses and warm skin
D. Sudden calf pain with a positive Homan sign
3. A patient is diagnosed with congestive heart failure and must follow a specific diet. Which meal choice is most appropriate?
A. Frozen dinner with tomato juice
B. Pepperoni pizza with pickles
C. Ham sandwich with canned soup
D. Baked chicken, steamed rice, and fresh green beans
Original NCLEX-style practice questions for study use
, NUR 155 Exam 2 2/50
4. A patient with gout should avoid which food type?
A. Organ meats and sardines
B. Fresh apples
C. Low-fat yogurt
D. Whole-grain bread
5. The nurse is reviewing a total parenteral nutrition prescription. Which lab result requires collaboration with the health care provider?
A. Prealbumin of 23 mg/dL
B. Phosphorus of 3.4 mg/dL
C. Glucose of 425 mg/dL
D. Serum sodium of 138 mEq/L
6. The nurse is creating a plan of care for a client receiving enteral feedings through a gastrostomy tube. Which action should be included?
A. Place the client supine for 1 hour after feeding
B. Check around the stoma site only if pain is present
C. Keep the head of the bed elevated during feedings
D. Flush the tube only once at the end of each shift
Original NCLEX-style practice questions for study use
, NUR 155 Exam 2 3/50
7. The nurse instructs a client about a low-fat diet. Which menu selection indicates that the client understands the instruction?
A. Shrimp with butter sauce
B. Cheeseburger with fries
C. Fried chicken with gravy
D. Turkey breast, baked rice, and fruit
8. A client with type 1 diabetes is shaky and diaphoretic. The blood glucose is 48 mg/dL. What is the priority nursing action?
A. Administer regular insulin per sliding scale
B. Place the client on NPO status
C. Encourage exercise to lower glucose
D. Give 15 g of fast-acting carbohydrate if the client can swallow
9. A client has a sodium level of 124 mEq/L. Which finding is most concerning?
A. Dry skin
B. New confusion
C. Increased appetite
D. Mild thirst
Original NCLEX-style practice questions for study use
, NUR 155 Exam 2 4/50
10. A client is admitted with dehydration. Which finding supports this diagnosis?
A. Urine specific gravity of 1.005
B. Tachycardia and poor skin turgor
C. Moist mucous membranes
D. Bounding pulses and crackles
11. The nurse is caring for a postoperative client who reports calf pain and has unilateral leg swelling. Which action is best?
A. Keep the client on bed rest and notify the provider
B. Massage the calf to improve circulation
C. Apply heat and encourage ambulation
D. Document the finding as expected after surgery
12. Which client should the nurse assess first?
A. Client with a cast reporting mild itching under the cast
B. Client with COPD whose oxygen saturation is 88% on prescribed oxygen and is drowsy
C. Client with diabetes asking for a snack before lunch
D. Client with hypertension requesting teaching about diet
Original NCLEX-style practice questions for study use
