NCLEX Challenge 6
A nurse is planning care for a client who has diverticulitis. Which of the
following menu selections should the nurse include in the plan?
Grilled chicken breast with white rice
A nurse is caring for a child who has acute gastroenteritis but is able to
tolerate oral fluids. The nurse should anticipate providing which of the
following type of fluid?
Oral rehydration solution
A nurse is teaching a client who has a new prescription for esomeprazole to
manage his GERD. Which of the following statements by the client indicates
an understanding of the teaching?
“I have an increased risk of getting pneumonia while taking this medication.”
A nurse is teaching a client who has a hiatal hernia about dietary
recommendations. Which of the following client statements indicates an
understanding of the teaching? (Select all that apply.)
“I will consume less caffeine and fewer spicy foods.”
“I will sleep with the head of my bed elevated.”
“I will try not to gain weight.”
A nurse is working with an assistive personnel (AP) while caring for a surgical
client who is 1 day postoperative. Which task should the nurse take
responsibility for completing?
Removing the abdominal dressing
, A nurse is calculating the output of a client at the end of the shift. The nurse
notes the following: client voided 400 mL at 1100 and 350 mL at 1430. The
closed chest drainage system was previously marked at 155 mL and is now
at 175 mL. The NG tube has 575 mL in drainage container, and 25 mL is
emptied out of the Jackson-Pratt drainage tube. How many mL should the
nurse record in the medical record as the client’s output?
1,370 mL
A nurse is caring for a client who is postoperative following abdominal
surgery. The surgeon initially prescribes a clear liquid diet. Which of the
following items should the nurse include on the client’s lunch tray?
Cranberry juice
A nurse is caring for a client who is postoperative following vascular surgery.
Which of the following signs should indicate to the nurse that the client has
developed a thrombus?
Dull, aching calf pain
A nurse is providing discharge teaching to a client who has gastroesophageal
reflux disease. Which of the following statements by the client indicates an
understanding of the teaching?
“I will sleep with the head of my bed elevated.”
A nurse is caring for a client who has a postoperative ileus and an NG tube
that has drained 2,500 mL in the past 6 hr. Which of the following electrolyte
imbalances should the nurse monitor the client for?
Decreased potassium level
A nurse is planning care for a client who has diverticulitis. Which of the
following menu selections should the nurse include in the plan?
Grilled chicken breast with white rice
A nurse is caring for a child who has acute gastroenteritis but is able to
tolerate oral fluids. The nurse should anticipate providing which of the
following type of fluid?
Oral rehydration solution
A nurse is teaching a client who has a new prescription for esomeprazole to
manage his GERD. Which of the following statements by the client indicates
an understanding of the teaching?
“I have an increased risk of getting pneumonia while taking this medication.”
A nurse is teaching a client who has a hiatal hernia about dietary
recommendations. Which of the following client statements indicates an
understanding of the teaching? (Select all that apply.)
“I will consume less caffeine and fewer spicy foods.”
“I will sleep with the head of my bed elevated.”
“I will try not to gain weight.”
A nurse is working with an assistive personnel (AP) while caring for a surgical
client who is 1 day postoperative. Which task should the nurse take
responsibility for completing?
Removing the abdominal dressing
, A nurse is calculating the output of a client at the end of the shift. The nurse
notes the following: client voided 400 mL at 1100 and 350 mL at 1430. The
closed chest drainage system was previously marked at 155 mL and is now
at 175 mL. The NG tube has 575 mL in drainage container, and 25 mL is
emptied out of the Jackson-Pratt drainage tube. How many mL should the
nurse record in the medical record as the client’s output?
1,370 mL
A nurse is caring for a client who is postoperative following abdominal
surgery. The surgeon initially prescribes a clear liquid diet. Which of the
following items should the nurse include on the client’s lunch tray?
Cranberry juice
A nurse is caring for a client who is postoperative following vascular surgery.
Which of the following signs should indicate to the nurse that the client has
developed a thrombus?
Dull, aching calf pain
A nurse is providing discharge teaching to a client who has gastroesophageal
reflux disease. Which of the following statements by the client indicates an
understanding of the teaching?
“I will sleep with the head of my bed elevated.”
A nurse is caring for a client who has a postoperative ileus and an NG tube
that has drained 2,500 mL in the past 6 hr. Which of the following electrolyte
imbalances should the nurse monitor the client for?
Decreased potassium level
