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OVER 200 EXAM ANSWERED QUESTIONS FOR NCLEX RN: 4 NEW UPDATE EXAM
The RN plans a diet teaching session to a CKD pt. The RN determines more teaching (wrong) is
needed when the pt selects which option (SATA)?
1.) Grilled mozzarella sandwich, canned veggies, soup, diet cola
2.) Toast w/ PB, banana, & coffee
3.) Chicken sandwich w/ mustard, green salad, & lemonade
4.) Macaroni w/ salt sub., pudding w. raisins
5.) Spaghetti w/ meat balls, cabbage, & apple pie - CORRECT ANSWER 1,2,4
1 = grilled mozzarella sandwich is HIGH in Phosphorous; canned veggies is high in Sodium;
soup is high in mag & salt; diet cola is high in phosphorous
2 = Banana is high in Potassium; coffee is high in phosphorous
4 = Macaroni w/ salt sub. is high in potassium
Explanations:
3 = approp. lean protein
5 = approp.
What is the diet needed for a pt w/ CKD? - CORRECT ANSWER HIGH CARB,
Moderate FAT diet,
RESTRICT sodium, potassium, & protein, &
Low H2O intake
(Chronic Kidney Disease diet) What are the following foods apart of what vitamin group?
1.) Fruits: Apples, cranberries, grapes, pineapples, & strawberries
2.) Veggies: Califlower, onion, pepper, radishes, summer squash, & lettuce
, 2
3.) Carbs: Pita, tortillas, white breads, & white rice
4.) Meat: Beef & chicken - CORRECT ANSWER LOW-Potassium foods
(Chronic Kidney Disease diet) What foods are low PHOSPHOROUS foods? - CORRECT
ANSWER 1.) Italian, french bread
2.) Corn or rice cereals & cream of wheat
3.) Unsalted popcorn
4.) Light-colored sodas & lemonades
What is the Pt. teaching for Chronic Kidney Disease diet? - CORRECT ANSWER 1.) Another
challenge is H2O intake
2.) Limit sodium to help cut down on thirst @ times may still feel thirsty
3.) To help w/ their thirst
(Pt. teaching for CKD diet) Name the 4 things that helps pts w/ their thirst (them being thirsty) -
CORRECT ANSWER 1.) Chew gum
2.) Rinse your mouth
3.) Such on a piece of ice, mints or hard candy
4.) Remember to change sugar-free candy if u have diabetes
A RN caring for a 40-yr-old woman w/ a hx of UTI. Which strategies prevent UTIs (SATA)?
1.) Always wipe from front to back
2.) Voiding Q3-4 hrs
3.) Stay hydrated w/ @ least 6 glass of H2O
4.) Take antibiotics until symptoms subside
5.) Refrain from taking bubble baths - CORRECT ANSWER 1,2,3(?),5
2 = Decrease risk of infection
, 3
3 = need @ least 8 glass of water
5 = Increase irritation of urinary tract
Explanation:
4 = Take ALL of the antibiotic
A pt diagnosed w/ asthma is prescribed long-term corticosteroid med therapy. When the RN
assesses the pts which manifestations of Cushing Syndrome is noticed (SATA)?
1.) Na2+ = 154 mmHg
2.) BP = 84/42 mmHg
3.) Hyperglycemia
4.) K+ = 3mmol/L
5.) Metabolic alkalosis - CORRECT ANSWER 1,3,4,5
1 = normal Na2+ is 135-145
4 = normal K+ is 3.5-5.1/.3
Explanations:
2 = Fluid retention, HTN
Metabolic alkalosis is associated with what syndrome? - CORRECT ANSWER Cushing
Syndrome
The enhanced mineral corticoid effect in Cushing syndrome is caused by occupation of the
a.) by the HIGH concentration of b.) - CORRECT ANSWER a.) MR
b.) Cortisol
These 2 things are more common in Cushing syndrome - CORRECT ANSWER 1.)
HYPOkalemia
2.) Metabolic alkalosis
, 4
Hypokalemia & Metabolic alkalosis are more common in in Cushing Syndrome caused by
ectopic production (90%) than in other causes of Cushing Syndrome (10%) -
CORRECT ANSWER Ectopic ACTH production
The hypersecretion of adrenal cortex, over-secretion of cortisol - CORRECT ANSWER Cushing
Syndrome
(Cushing Syndrome) On the kidney the inside is called the a.) , the next layer is
b.) , and the outside are the c.) called ontop of the kidneys - CORRECT
ANSWER a.) Medulla
b.) Cortex
c.) Adrenal glands
The following S&S are for what Syndrome?
1.) Personality changes
2.) Moon face
3.) INCREASED susceptibility to infection
=> HIGH amount of protein to eat
4.) Males: Gynecomastia
5.) Fat deposits on face & back of shoulders
6.) Hyperglycemia
7.) CNS irritability
8.) NA2+ & fluid retention = Edema
9.) Thin extremities
10.) GI distress = INCREASED Acid
11.) Buffalo hump
12.) Females: amenorrhea (no flow), Hissurism (extra hair)
13.) Thin skin = easily cut
14.) Purple striae
OVER 200 EXAM ANSWERED QUESTIONS FOR NCLEX RN: 4 NEW UPDATE EXAM
The RN plans a diet teaching session to a CKD pt. The RN determines more teaching (wrong) is
needed when the pt selects which option (SATA)?
1.) Grilled mozzarella sandwich, canned veggies, soup, diet cola
2.) Toast w/ PB, banana, & coffee
3.) Chicken sandwich w/ mustard, green salad, & lemonade
4.) Macaroni w/ salt sub., pudding w. raisins
5.) Spaghetti w/ meat balls, cabbage, & apple pie - CORRECT ANSWER 1,2,4
1 = grilled mozzarella sandwich is HIGH in Phosphorous; canned veggies is high in Sodium;
soup is high in mag & salt; diet cola is high in phosphorous
2 = Banana is high in Potassium; coffee is high in phosphorous
4 = Macaroni w/ salt sub. is high in potassium
Explanations:
3 = approp. lean protein
5 = approp.
What is the diet needed for a pt w/ CKD? - CORRECT ANSWER HIGH CARB,
Moderate FAT diet,
RESTRICT sodium, potassium, & protein, &
Low H2O intake
(Chronic Kidney Disease diet) What are the following foods apart of what vitamin group?
1.) Fruits: Apples, cranberries, grapes, pineapples, & strawberries
2.) Veggies: Califlower, onion, pepper, radishes, summer squash, & lettuce
, 2
3.) Carbs: Pita, tortillas, white breads, & white rice
4.) Meat: Beef & chicken - CORRECT ANSWER LOW-Potassium foods
(Chronic Kidney Disease diet) What foods are low PHOSPHOROUS foods? - CORRECT
ANSWER 1.) Italian, french bread
2.) Corn or rice cereals & cream of wheat
3.) Unsalted popcorn
4.) Light-colored sodas & lemonades
What is the Pt. teaching for Chronic Kidney Disease diet? - CORRECT ANSWER 1.) Another
challenge is H2O intake
2.) Limit sodium to help cut down on thirst @ times may still feel thirsty
3.) To help w/ their thirst
(Pt. teaching for CKD diet) Name the 4 things that helps pts w/ their thirst (them being thirsty) -
CORRECT ANSWER 1.) Chew gum
2.) Rinse your mouth
3.) Such on a piece of ice, mints or hard candy
4.) Remember to change sugar-free candy if u have diabetes
A RN caring for a 40-yr-old woman w/ a hx of UTI. Which strategies prevent UTIs (SATA)?
1.) Always wipe from front to back
2.) Voiding Q3-4 hrs
3.) Stay hydrated w/ @ least 6 glass of H2O
4.) Take antibiotics until symptoms subside
5.) Refrain from taking bubble baths - CORRECT ANSWER 1,2,3(?),5
2 = Decrease risk of infection
, 3
3 = need @ least 8 glass of water
5 = Increase irritation of urinary tract
Explanation:
4 = Take ALL of the antibiotic
A pt diagnosed w/ asthma is prescribed long-term corticosteroid med therapy. When the RN
assesses the pts which manifestations of Cushing Syndrome is noticed (SATA)?
1.) Na2+ = 154 mmHg
2.) BP = 84/42 mmHg
3.) Hyperglycemia
4.) K+ = 3mmol/L
5.) Metabolic alkalosis - CORRECT ANSWER 1,3,4,5
1 = normal Na2+ is 135-145
4 = normal K+ is 3.5-5.1/.3
Explanations:
2 = Fluid retention, HTN
Metabolic alkalosis is associated with what syndrome? - CORRECT ANSWER Cushing
Syndrome
The enhanced mineral corticoid effect in Cushing syndrome is caused by occupation of the
a.) by the HIGH concentration of b.) - CORRECT ANSWER a.) MR
b.) Cortisol
These 2 things are more common in Cushing syndrome - CORRECT ANSWER 1.)
HYPOkalemia
2.) Metabolic alkalosis
, 4
Hypokalemia & Metabolic alkalosis are more common in in Cushing Syndrome caused by
ectopic production (90%) than in other causes of Cushing Syndrome (10%) -
CORRECT ANSWER Ectopic ACTH production
The hypersecretion of adrenal cortex, over-secretion of cortisol - CORRECT ANSWER Cushing
Syndrome
(Cushing Syndrome) On the kidney the inside is called the a.) , the next layer is
b.) , and the outside are the c.) called ontop of the kidneys - CORRECT
ANSWER a.) Medulla
b.) Cortex
c.) Adrenal glands
The following S&S are for what Syndrome?
1.) Personality changes
2.) Moon face
3.) INCREASED susceptibility to infection
=> HIGH amount of protein to eat
4.) Males: Gynecomastia
5.) Fat deposits on face & back of shoulders
6.) Hyperglycemia
7.) CNS irritability
8.) NA2+ & fluid retention = Edema
9.) Thin extremities
10.) GI distress = INCREASED Acid
11.) Buffalo hump
12.) Females: amenorrhea (no flow), Hissurism (extra hair)
13.) Thin skin = easily cut
14.) Purple striae
