Nursing Elites

1. A nurse is preparing to remove a client’s clogged NG tube prior to re-inserting a new tube. Which of the following actions should the nurse take first?

• A. Assist the client to blow her nose.
• B. Ask the client to take a deep breath and hold it.
• C. Pinch the proximal end of the tube.
• D. Disconnect the tube from suction source.

Correct answer: D

Rationale: Disconnecting the tube from the suction source is the first step in safely removing a clogged NG tube.

2. A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take?

• A. Encourage the client to continue current daily caloric intake.
• B. Recommend a total fiber intake of 12g each day.
• C. Advise the client to add 500 calories per day to the diet.
• D. Refer the client to a weight-loss support group.

Correct answer: D

Rationale: Referring the client to a weight-loss support group can provide the necessary support and motivation to achieve weight loss goals.

3. A nurse is teaching an in-service about manifestations of hypoglycemia to a group of newly licensed nurses. Which of the following should the nurse include in the teaching?

• A. Blurred vision
• B. Vomiting
• C. Kussmaul respirations
• D. Bradycardia

Correct answer: A

Rationale: Blurred vision is a common symptom of hypoglycemia and should be included in the teaching.

4. A nurse is teaching a client who has chronic kidney disease about dietary needs. Which of the following foods should the nurse identify as being the lowest in phosphorus?

• A. Medium apple
• B. Bran cereal
• C. Scrambled eggs
• D. Ground turkey

Correct answer: A

Rationale: Apples are low in phosphorus, making them a suitable option for clients with chronic kidney disease.

5. A nurse is on a med-surg unit caring for a client who follows the dietary laws of Orthodox Judaism. Which of the following menu selections should the nurse recommend for this client?

• A. Fried catfish
• B. Broiled shrimp
• C. Pork sausage
• D. Grilled vegetables

Correct answer: D

Rationale: Grilled vegetables comply with the dietary laws of Orthodox Judaism, which restrict the consumption of certain animals.

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