Saunders NCLEX-RN Chapters 8, 9, 11,
46, 47, 48, 49, 54, 55
Chapter 11: A client is recovering from abdominal surgery and has a large abdominal
wound. The nurse should encourage the client to eat which food item that is naturally
high in vitamin C to promote wound healing?
1. Milk
2. Oranges
3. Bananas
4. Chicken - ANS-Answer: 2
\Chapter 11: A client who is recovering from surgery has been advanced from a clear
liquid diet to a full liquid diet. The client is looking forward to the diet change because
he has been "bored" with the clear liquid diet. The nurse should offer which full liquid
item to the client?
1. Tea
2. Gelatin
3. Custard
4. Ice pop - ANS-Answer: 3
\Chapter 11: A client with hypertension has been told to maintain a diet low in
sodium. The nurse who is teaching this client about foods that are allowed should
include which food item in a list provided to the client?
1. Tomato soup
2. Boiled shrimp
3. Instant oatmeal
4. Summer squash - ANS-Answer: 4
\Chapter 11: A postoperative client has been placed on a clear liquid diet. The nurse
should provide the client with which items that are allowed to be consumed on this
diet? Select all that apply.
1. Broth
2. Coffee
3. Gelatin
4. Pudding
5. Vegetable juice
6. Pureed vegetables - ANS-Answer: 1, 2, 3
\Chapter 11: The nurse instructs a client with chronic kidney disease who is receiving
hemodialysis about dietary modifications. The nurse determines that the client
understands these dietary modifications if the client selects which items from the
dietary menu?
1. Cream of wheat, blueberries, coffee
2. Sausage and eggs, banana, orange juice
,3. Bacon, cantaloupe melon, tomato juice
4. Cured pork, grits, strawberries, orange juice - ANS-Answer: 1
\Chapter 11: The nurse is caring for a client with cirrhosis of the liver. To minimize the
effects of the disorder, the nurse teaches the client about foods that are high in
thiamine. The nurse determines that the client has the best understanding of the
dietary measures to follow if the client states an intention to increase the intake of
which food?
1. Milk
2. Chicken
3. Broccoli
4. Legumes - ANS-Answer: 4
\Chapter 11: The nurse is conducting a dietary assessment on a client who is on a
vegan diet. The nurse provides dietary teaching and should focus on foods high in
which vitamin that may be lacking in a vegan diet?
1. Vitamin A
2. Vitamin B12
3. Vitamin C
4. Vitamin E - ANS-Answer: 2
\Chapter 11: The nurse is instructing a client with hypertension on the importance of
choosing foods low in sodium. The nurse should teach the client to limit intake of
which food?
1. Apples
2. Bananas
3. Smoked salami
4. Steamed vegetables - ANS-Answer: 3
\Chapter 11: The nurse is planning to teach a client with malabsorption syndrome
about the necessity of following a low-fat diet. The nurse develops a list of high-fat
foods to avoid and should include which food items on the list? Select all that apply.
1. Oranges
2. Broccoli
3. Margarine
4. Cream cheese
5. Luncheon meats
6. Broiled haddock - ANS-Answer: 3, 4, 5
\Chapter 11: The nurse is reviewing laboratory results and notes that a client's serum
sodium level is 150 mEq/L (150 mmol/L). The nurse reports the serum sodium level
to the primary health care provider (PHCP), and the PHCP prescribes dietary
instructions based on the sodium level. Which acceptable food items does the nurse
instruct the client to consume? Select all that apply.
1. Peas
2. Nuts
3. Cheese
4. Cauliflower
5. Processed oat cereals - ANS-Answer: 1, 2, 4
, \Chapter 11: The nurse is teaching a client who has iron deficiency anemia about
foods she should include in the diet. The nurse determines that the client
understands the dietary modifications if which items are selected from the menu?
1. Nuts and milk
2. Coffee and tea
3. Cooked rolled oats and fish
4. Oranges and dark green leafy vegetables - ANS-Answer: 4
\Chapter 11: The nurse provides instructions to a client with a low potassium level
about the foods that are high in potassium and tells the client to consume which
foods? Select all that apply.
1. Peas
2. Raisins
3. Potatoes
4. Cantaloupe
5. Cauliflower
6. Strawberries - ANS-Answer: 2, 3, 4, 6
\Chapter 46: A client has been diagnosed with hyperthyroidism. The nurse monitors
for which signs and symptoms indicating a complication of this disorder? Select all
that apply.
1. Fever
2. Nausea
3. Lethargy
4. Tremors
5. Confusion
6. Bradycardia - ANS-Answer: 1, 2, 4, 5
\Chapter 46: A client has just been admitted to the nursing unit following
thyroidectomy. Which assessment is the priority for this client?
1. Hoarseness
2. Hypocalcemia
3. Audible stridor
4. Edema at the surgical site - ANS-Answer: 3
\Chapter 46: A client is admitted to a hospital with a diagnosis of diabetic
ketoacidosis (DKA). The initial blood glucose level is 950 mg/dL (52.9 mmol/L). A
continuous intravenous (IV) infusion of short-acting insulin is initiated, along with IV
rehydration with normal saline. The serum glucose level is now decreased to 240
mg/dL (13.3 mmol/L). The nurse would next prepare to administer which medication?
1. An ampule of 50% dextrose
2. NPH insulin subcutaneously
3. IV fluids containing dextrose
4. Phenytoin for the prevention of seizures - ANS-Answer: 3
\Chapter 46: A client is admitted to an emergency department, and a diagnosis of
myxedema coma is made. Which action should the nurse prepare to carry out
initially?
1. Warm the client.
46, 47, 48, 49, 54, 55
Chapter 11: A client is recovering from abdominal surgery and has a large abdominal
wound. The nurse should encourage the client to eat which food item that is naturally
high in vitamin C to promote wound healing?
1. Milk
2. Oranges
3. Bananas
4. Chicken - ANS-Answer: 2
\Chapter 11: A client who is recovering from surgery has been advanced from a clear
liquid diet to a full liquid diet. The client is looking forward to the diet change because
he has been "bored" with the clear liquid diet. The nurse should offer which full liquid
item to the client?
1. Tea
2. Gelatin
3. Custard
4. Ice pop - ANS-Answer: 3
\Chapter 11: A client with hypertension has been told to maintain a diet low in
sodium. The nurse who is teaching this client about foods that are allowed should
include which food item in a list provided to the client?
1. Tomato soup
2. Boiled shrimp
3. Instant oatmeal
4. Summer squash - ANS-Answer: 4
\Chapter 11: A postoperative client has been placed on a clear liquid diet. The nurse
should provide the client with which items that are allowed to be consumed on this
diet? Select all that apply.
1. Broth
2. Coffee
3. Gelatin
4. Pudding
5. Vegetable juice
6. Pureed vegetables - ANS-Answer: 1, 2, 3
\Chapter 11: The nurse instructs a client with chronic kidney disease who is receiving
hemodialysis about dietary modifications. The nurse determines that the client
understands these dietary modifications if the client selects which items from the
dietary menu?
1. Cream of wheat, blueberries, coffee
2. Sausage and eggs, banana, orange juice
,3. Bacon, cantaloupe melon, tomato juice
4. Cured pork, grits, strawberries, orange juice - ANS-Answer: 1
\Chapter 11: The nurse is caring for a client with cirrhosis of the liver. To minimize the
effects of the disorder, the nurse teaches the client about foods that are high in
thiamine. The nurse determines that the client has the best understanding of the
dietary measures to follow if the client states an intention to increase the intake of
which food?
1. Milk
2. Chicken
3. Broccoli
4. Legumes - ANS-Answer: 4
\Chapter 11: The nurse is conducting a dietary assessment on a client who is on a
vegan diet. The nurse provides dietary teaching and should focus on foods high in
which vitamin that may be lacking in a vegan diet?
1. Vitamin A
2. Vitamin B12
3. Vitamin C
4. Vitamin E - ANS-Answer: 2
\Chapter 11: The nurse is instructing a client with hypertension on the importance of
choosing foods low in sodium. The nurse should teach the client to limit intake of
which food?
1. Apples
2. Bananas
3. Smoked salami
4. Steamed vegetables - ANS-Answer: 3
\Chapter 11: The nurse is planning to teach a client with malabsorption syndrome
about the necessity of following a low-fat diet. The nurse develops a list of high-fat
foods to avoid and should include which food items on the list? Select all that apply.
1. Oranges
2. Broccoli
3. Margarine
4. Cream cheese
5. Luncheon meats
6. Broiled haddock - ANS-Answer: 3, 4, 5
\Chapter 11: The nurse is reviewing laboratory results and notes that a client's serum
sodium level is 150 mEq/L (150 mmol/L). The nurse reports the serum sodium level
to the primary health care provider (PHCP), and the PHCP prescribes dietary
instructions based on the sodium level. Which acceptable food items does the nurse
instruct the client to consume? Select all that apply.
1. Peas
2. Nuts
3. Cheese
4. Cauliflower
5. Processed oat cereals - ANS-Answer: 1, 2, 4
, \Chapter 11: The nurse is teaching a client who has iron deficiency anemia about
foods she should include in the diet. The nurse determines that the client
understands the dietary modifications if which items are selected from the menu?
1. Nuts and milk
2. Coffee and tea
3. Cooked rolled oats and fish
4. Oranges and dark green leafy vegetables - ANS-Answer: 4
\Chapter 11: The nurse provides instructions to a client with a low potassium level
about the foods that are high in potassium and tells the client to consume which
foods? Select all that apply.
1. Peas
2. Raisins
3. Potatoes
4. Cantaloupe
5. Cauliflower
6. Strawberries - ANS-Answer: 2, 3, 4, 6
\Chapter 46: A client has been diagnosed with hyperthyroidism. The nurse monitors
for which signs and symptoms indicating a complication of this disorder? Select all
that apply.
1. Fever
2. Nausea
3. Lethargy
4. Tremors
5. Confusion
6. Bradycardia - ANS-Answer: 1, 2, 4, 5
\Chapter 46: A client has just been admitted to the nursing unit following
thyroidectomy. Which assessment is the priority for this client?
1. Hoarseness
2. Hypocalcemia
3. Audible stridor
4. Edema at the surgical site - ANS-Answer: 3
\Chapter 46: A client is admitted to a hospital with a diagnosis of diabetic
ketoacidosis (DKA). The initial blood glucose level is 950 mg/dL (52.9 mmol/L). A
continuous intravenous (IV) infusion of short-acting insulin is initiated, along with IV
rehydration with normal saline. The serum glucose level is now decreased to 240
mg/dL (13.3 mmol/L). The nurse would next prepare to administer which medication?
1. An ampule of 50% dextrose
2. NPH insulin subcutaneously
3. IV fluids containing dextrose
4. Phenytoin for the prevention of seizures - ANS-Answer: 3
\Chapter 46: A client is admitted to an emergency department, and a diagnosis of
myxedema coma is made. Which action should the nurse prepare to carry out
initially?
1. Warm the client.
