OB/MATERNITY) - NGN NCLEX 2024 EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
AND APPROVED GRADED A++ ALREADY PASSED
After a cholecystectomy, a client experiences palpitations, weakness and
diarrhea following meals. Which teachings would be appropriate for the nurse to
provide the client? (Select all that apply)
1. Add a serving of fat to meals such as butter
2. Include a protein with each meal
3. Take adequate vitamins, iron and calcium
4. Lie down on left side after meals
5. Eat at least five small meals per day
6. Include a nutritional supplement drink with meals
CORRECT:
1, 2, 3, 4, 5
Dumping syndrome is associated with meals having a hyperosmolar composition. To
decrease hyperosmolar components, you decrease the carbs and electrolytes. Add a
serving of fat to meals and snacks such as butter, margarine, gravy, vegetable oils, and
salad dressings. Fats slow stomach emptying and may help prevent dumping
syndrome. Proteins digest slower and stay in the stomach longer. Vitamins, iron, and
calcium may become depleted after stomach surgery to to dumping syndrome so taking
these will help to maintain good health. Lying down on the left side slows emptying of
the stomach. Five or six small frequent meals decrease the extremes of the
hyperosmolar content and keep a steady blood sugar level.
,INCORRECT:
6
High sugar foods and carbs speed through the GI tract. Limit high-sugar foods such as
soda, juice, Ensure, Boost, cakes, pies, candy, doughnuts, cookies, fruit cooked or
canned with sugar, honey, jams, jellies.
Which teaching point would the nurse include in a client's nutritional teaching
plan to accomplish the goal of a gluten free diet? (Select all that apply)
1. Gluten is a protein found in barley
2. Potatoes are a starchy food that can be eaten
3. Milk is restricted on a gluten free diet
4.Pure, non-contaminated oats are an acceptable grain food that the client can
consume
5. Eating food containing wheat may result in diarrhea
6. Increase fiber in the diet
CORRECT:
1, 2, 4, 5
A gluten-free diet is used in the treatment of celiac disease. Gluten is a protein found in
barley, rye, and wheat. All products containing these grains are to be avoided. The main
starchy foods that a person can eat are made with rice, corn, potatoes, quinoa, and
Tapioca. In addition, pure oats that have not been cross-contaminated with wheat,
barley and/or rye can be safely consumed by most individuals with celiac disease or
other gluten sensitivity. Accidentally ingesting food with gluten may result in abdominal
pain and diarrhea. Some people do not experience signs & symptoms, but this does not
mean it is not damaging their small intestines. Even trace amounts of gluten may be
damaging.
INCORRECT:
3 : Fruits, vegetables, nuts, dairy products and meats not prepared with gluten
containing ingredients can be eaten
, 6: A reduction in the fiber content of the diet is also frequently recommended
A case manager is assessing an unresponsive client diagnosed with terminal
hepatic encephalopathy for equipment needs upon discharge home for hospice
care. Which equipment should the case manager obtain for this client? (Select all
that apply)
1. Alternating pressure mattress
2. Bath chair
3. Mechanical hoist lift
4. Oxygen
5. Suction equipment
6. Hospital bed
CORRECT:
1, 4, 5, 6
An alternating pressure mattress will help to prevent pressure ulcers. The client at the
end stages of liver disease will be hypoxemic, so oxygen therapy is provided. The client
with hepatic encephalopathy is unresponsive and may need suctioning if unable to clear
secretions from the oropharynx. A hospital bed is needed so that the head of the client's
bd can be elevated to 30 degrees to ease respirations and decrease the work of
breathing.
INCORRECT:
2: The unresponsive client will not need a bath chair. This client will receive a bed bath
3: Mechanical hoist lifts are expensive and require special training to use
A client has been admitted with advanced Cirrhosis. The nurse's assessment
reveals an abdominal girth increase of 5 inches and a weight increase of 6 lbs.
since yesterday's measurements. What further assessment findings would the
nurse expect? (Select all that apply)
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
AND APPROVED GRADED A++ ALREADY PASSED
After a cholecystectomy, a client experiences palpitations, weakness and
diarrhea following meals. Which teachings would be appropriate for the nurse to
provide the client? (Select all that apply)
1. Add a serving of fat to meals such as butter
2. Include a protein with each meal
3. Take adequate vitamins, iron and calcium
4. Lie down on left side after meals
5. Eat at least five small meals per day
6. Include a nutritional supplement drink with meals
CORRECT:
1, 2, 3, 4, 5
Dumping syndrome is associated with meals having a hyperosmolar composition. To
decrease hyperosmolar components, you decrease the carbs and electrolytes. Add a
serving of fat to meals and snacks such as butter, margarine, gravy, vegetable oils, and
salad dressings. Fats slow stomach emptying and may help prevent dumping
syndrome. Proteins digest slower and stay in the stomach longer. Vitamins, iron, and
calcium may become depleted after stomach surgery to to dumping syndrome so taking
these will help to maintain good health. Lying down on the left side slows emptying of
the stomach. Five or six small frequent meals decrease the extremes of the
hyperosmolar content and keep a steady blood sugar level.
,INCORRECT:
6
High sugar foods and carbs speed through the GI tract. Limit high-sugar foods such as
soda, juice, Ensure, Boost, cakes, pies, candy, doughnuts, cookies, fruit cooked or
canned with sugar, honey, jams, jellies.
Which teaching point would the nurse include in a client's nutritional teaching
plan to accomplish the goal of a gluten free diet? (Select all that apply)
1. Gluten is a protein found in barley
2. Potatoes are a starchy food that can be eaten
3. Milk is restricted on a gluten free diet
4.Pure, non-contaminated oats are an acceptable grain food that the client can
consume
5. Eating food containing wheat may result in diarrhea
6. Increase fiber in the diet
CORRECT:
1, 2, 4, 5
A gluten-free diet is used in the treatment of celiac disease. Gluten is a protein found in
barley, rye, and wheat. All products containing these grains are to be avoided. The main
starchy foods that a person can eat are made with rice, corn, potatoes, quinoa, and
Tapioca. In addition, pure oats that have not been cross-contaminated with wheat,
barley and/or rye can be safely consumed by most individuals with celiac disease or
other gluten sensitivity. Accidentally ingesting food with gluten may result in abdominal
pain and diarrhea. Some people do not experience signs & symptoms, but this does not
mean it is not damaging their small intestines. Even trace amounts of gluten may be
damaging.
INCORRECT:
3 : Fruits, vegetables, nuts, dairy products and meats not prepared with gluten
containing ingredients can be eaten
, 6: A reduction in the fiber content of the diet is also frequently recommended
A case manager is assessing an unresponsive client diagnosed with terminal
hepatic encephalopathy for equipment needs upon discharge home for hospice
care. Which equipment should the case manager obtain for this client? (Select all
that apply)
1. Alternating pressure mattress
2. Bath chair
3. Mechanical hoist lift
4. Oxygen
5. Suction equipment
6. Hospital bed
CORRECT:
1, 4, 5, 6
An alternating pressure mattress will help to prevent pressure ulcers. The client at the
end stages of liver disease will be hypoxemic, so oxygen therapy is provided. The client
with hepatic encephalopathy is unresponsive and may need suctioning if unable to clear
secretions from the oropharynx. A hospital bed is needed so that the head of the client's
bd can be elevated to 30 degrees to ease respirations and decrease the work of
breathing.
INCORRECT:
2: The unresponsive client will not need a bath chair. This client will receive a bed bath
3: Mechanical hoist lifts are expensive and require special training to use
A client has been admitted with advanced Cirrhosis. The nurse's assessment
reveals an abdominal girth increase of 5 inches and a weight increase of 6 lbs.
since yesterday's measurements. What further assessment findings would the
nurse expect? (Select all that apply)
