NCLEX-PN Exam Questions - Part 14

Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 14

NCLEX-PN Exam Questions - Part 14

1. The nurse explains to a client who underwent gastric resection that which of the following meals is most likely to cause rapid emptying of the stomach?

A) a high-protein meal
B) a high-fat meal
C) a large meal regardless of nutrient content
D) a high-carbohydrate meal



2. Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophgeal reflux disease (GERD)?

A) lettuce
B) eggs
C) chocolate
D) butterscotch



3. Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except:

A) tolerance.
B) constipation.
C) sedation.
D) addiction.



4. The goals of palliative care include all of the following except:

A) giving clients with life-threatening illnesses the best quality of life possible.
B) taking care of the whole person - body, mind, spirit, heart, and soul.
C) no interventions are needed because the client is near death.
D) support of needs of the family and client.



5. Major competencies for the nurse giving end-oflife care include:

A) demonstrating respect and compassion, and applying knowledge and skills in care of the family and the client.
B) assessing and intervening to support total management of the family and client.
C) setting goals, expectations, and dynamic changes to care for the client.
D) keeping all sad news away from the family and client.



1. Right Answer: D
Explanation: Meals that are high in carbohydrates promote rapid gastric emptying. The other options are associated with decreased emptying time. Basic Care and Comfort

2. Right Answer: C
Explanation: Ingestion of chocolate can reduce lower esophageal sphincter (LES) pressure leading to reflux and clinical symptoms of GERD. The other foods do not affect LES pressure. Basic Care and Comfort

3. Right Answer: D
Explanation: Addiction is not of primary concern when treating the pain of terminally ill clients. Clients with cancer who are taking opioid analgesics can develop tolerance, constipation, and sedation. Basic Care and Comfort

4. Right Answer: C
Explanation: The goals of palliative care include choices 1, 2, and 4. Choice 3 is not part of palliative care. All aspects of medical, emotional, social, and spiritual needs of the dying client should be focused on until the end of life. Basic Care and Comfort

5. Right Answer: A
Explanation: There are many competencies that the nurse must have to care for families and clients at the end of life.Demonstration of respect and compassion as well as using knowledge and skills in the care of the client and family are major competencies. Basic Care andComfort

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