Published - Thu, 23 Feb 2023
NCLEX-RN Exam Questions - Part 62
1. To facilitate maximum air exchange, the nurse should position the client in:
A) High Fowler
B) Orthopneic
C) Prone
D) Flat-supine
2. A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be prepared to administer?
A) Vitamin C
B) Vitamin K
C) Vitamin E
D) Vitamin A
3. A 45-year-old client has a permanent colostomy. Which of the following foods should he avoid?
A) Peanut butter and jelly sandwich and milk
B) Corn beef and cabbage and boiled potatoes
C) Oatmeal, whole-wheat toast, and milk
D) Tuna on whole-wheat bread and iced tea
4. On an assessment of a clients mouth, the nurse notices white patches on the buccal mucosa. The nurse tries to obtain a sample for a culture, but the lesion cannot be rubbed off. The nurse would suspect that this lesion is:
A) Xerosteromia
B) Candidiasis
C) Leukoplakia
D) Stomatitis
5. A client on the infectious disease unit is discussing transmission of human immunodeficiency virus (HIV).The nurse would need to provide more client education based on which client statement?
A) 'HIV is a virus transmitted by sexual contact.'
B) 'Condoms reduce the transmission of HIV.'
C) 'HIV is a virus that is easily transmitted by casual contact.'
D) 'HIV can be transmitted to an unborn infant.'
A) High Fowler
B) Orthopneic
C) Prone
D) Flat-supine
2. A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be prepared to administer?
A) Vitamin C
B) Vitamin K
C) Vitamin E
D) Vitamin A
3. A 45-year-old client has a permanent colostomy. Which of the following foods should he avoid?
A) Peanut butter and jelly sandwich and milk
B) Corn beef and cabbage and boiled potatoes
C) Oatmeal, whole-wheat toast, and milk
D) Tuna on whole-wheat bread and iced tea
4. On an assessment of a clients mouth, the nurse notices white patches on the buccal mucosa. The nurse tries to obtain a sample for a culture, but the lesion cannot be rubbed off. The nurse would suspect that this lesion is:
A) Xerosteromia
B) Candidiasis
C) Leukoplakia
D) Stomatitis
5. A client on the infectious disease unit is discussing transmission of human immunodeficiency virus (HIV).The nurse would need to provide more client education based on which client statement?
A) 'HIV is a virus transmitted by sexual contact.'
B) 'Condoms reduce the transmission of HIV.'
C) 'HIV is a virus that is easily transmitted by casual contact.'
D) 'HIV can be transmitted to an unborn infant.'
1. Right Answer: B
Explanation: (A) The high Fowler position does increase air exchange, but not to the extent of orthopneic position. (B) The orthopneic position is a sitting position that allows maximum lung expansion. (C) The prone position places pressure on diaphragm and does not promote maximum air exchange. (D) The flat-supine position places pressure on diaphragm by abdominal organs and does not promote maximum air exchange.
2. Right Answer: B
Explanation: (A) Vitamin C does not directly affect clotting. (B) Vitamin K is a fat-soluble vitamin that depends on liver function for absorption. Vitamin K is essential for clotting.(C) Vitamin E does not directly affect clotting. (D) Vitamin A does not directly affect clotting.
3. Right Answer: B
Explanation: (A, C, D) These foods are allowed with a colostomy. (B) Gasforming foods such as cabbage should be avoided.
4. Right Answer: C
Explanation: (A) Xerostomia is dry mouth. (B) Candidiasis can be rubbed off, but it will bleed. (C) Leukoplakia cannot be rubbed off. (D) Stomatitis is caused by candidiasis and gram-negative bacteria.
5. Right Answer: C
Explanation: (A) HIV is transmitted through unprotected sexual contact. (B) Condoms are an effective barrier to prevent HIV transmission. (C) HIV is not easily transmitted by casual contact. (D) HIV can be transmitted intrauterinely at the time of delivery, and by breast-feeding.
Explanation: (A) The high Fowler position does increase air exchange, but not to the extent of orthopneic position. (B) The orthopneic position is a sitting position that allows maximum lung expansion. (C) The prone position places pressure on diaphragm and does not promote maximum air exchange. (D) The flat-supine position places pressure on diaphragm by abdominal organs and does not promote maximum air exchange.
2. Right Answer: B
Explanation: (A) Vitamin C does not directly affect clotting. (B) Vitamin K is a fat-soluble vitamin that depends on liver function for absorption. Vitamin K is essential for clotting.(C) Vitamin E does not directly affect clotting. (D) Vitamin A does not directly affect clotting.
3. Right Answer: B
Explanation: (A, C, D) These foods are allowed with a colostomy. (B) Gasforming foods such as cabbage should be avoided.
4. Right Answer: C
Explanation: (A) Xerostomia is dry mouth. (B) Candidiasis can be rubbed off, but it will bleed. (C) Leukoplakia cannot be rubbed off. (D) Stomatitis is caused by candidiasis and gram-negative bacteria.
5. Right Answer: C
Explanation: (A) HIV is transmitted through unprotected sexual contact. (B) Condoms are an effective barrier to prevent HIV transmission. (C) HIV is not easily transmitted by casual contact. (D) HIV can be transmitted intrauterinely at the time of delivery, and by breast-feeding.
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