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BIOL 2401 NCLEX PN 2026 new
complete study guide with complete
questions, answers and rationales
The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol).
Which labatory value might be a indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter --//ANS//--C. WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab
value of WBC 2,000 per cubic millimeter indicates side effects of the drug.
A 6-month-old client is admitted with possible intussuception. Which question during the
nursing history is least helpful in obtaining information regarding this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
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D. " have you noticed changes in his adominal size?" --//ANS//--C." Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are useful in
determining the extent of disease process and thus, are incorrect
The nurse is assisting a client with diverticulosis to select appropiate foods. Which food should
be avoided?
A. Bran
B. Fresh Peaches
C. Cucumber salad
D. Yeast Rolls --//ANS//--C. Cucumber salad
why?
the client with diverticulitis should avoid foods with seeds.
A client has rectal cancer and is scheduled for an abdominal perineal resection. What should be
the priority nursing care during the post-op period?
A. Teaching how to irrigate the illeostomy
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B. Stopping electrolytes loss in the incisional area
C. Encouraging a high fiber diet
D. Facilitating perineal wound drainage --//ANS//--D. Facilitating perineal wound drainage
why?
the client with a perineal resection will have a perineal incision. Drains will be used to facilitate
wound drainage. This will help prevent infection of the surgical site. The client will not have an
illestomy. as in answer A he will have some electrolyte loss, but treatment is not focused on
preventing the loss, so answer B is incorrect A high fiber diet in answer C is not ordered at this
time.
The nurse is performing discharge teaching on a client with diverticulitis who has been placed on
low-roughage diet. Which food would have to be eliminated from this client's diet?
A. Roasted Chicken
B. Noodles
C. Cooked Broccoli
D. Custard --//ANS//--C. Cooked Broccoli
why?
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the client with diverticulitis should avoid eating foods that are gas forming and that increase
abdominal discomfort, such as cooked broccoli.
The nurse is caring for a new mother. The mother asks why her baby has lost weight since he
was born. The best explanation of the weight loss is:
A. The baby is dehydrated due to polyuria.
B. The baby is hypoglycemic due to glucose.
C. The baby is allergic to the formula the mother is giving him.
D. The baby can lose up to 10% of weight due to meconium still, loss of extracelluar fluid, and
initiation of breast-feeding. --//ANS//--D. The baby can lose up to 10% of weight due to
meconium still, loss of extraceullar fluid, and initiation of breast-feeding.
why?
After birth, meconium stool, loss of extracellular fluid, and initiation of breastfeeding cause the
infant to lose body mass. There is no evidence to indicate dehydration, hypoglycemia, or allergy
to the infant formula
The nurse if caring for a client with laryngeal cancer. Which finding ascertained in the health
history would not be common for this diagnosis?
A. Foul breath
BIOL 2401 NCLEX PN 2026 new
complete study guide with complete
questions, answers and rationales
The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol).
Which labatory value might be a indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter --//ANS//--C. WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab
value of WBC 2,000 per cubic millimeter indicates side effects of the drug.
A 6-month-old client is admitted with possible intussuception. Which question during the
nursing history is least helpful in obtaining information regarding this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
,2|Page
D. " have you noticed changes in his adominal size?" --//ANS//--C." Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are useful in
determining the extent of disease process and thus, are incorrect
The nurse is assisting a client with diverticulosis to select appropiate foods. Which food should
be avoided?
A. Bran
B. Fresh Peaches
C. Cucumber salad
D. Yeast Rolls --//ANS//--C. Cucumber salad
why?
the client with diverticulitis should avoid foods with seeds.
A client has rectal cancer and is scheduled for an abdominal perineal resection. What should be
the priority nursing care during the post-op period?
A. Teaching how to irrigate the illeostomy
,3|Page
B. Stopping electrolytes loss in the incisional area
C. Encouraging a high fiber diet
D. Facilitating perineal wound drainage --//ANS//--D. Facilitating perineal wound drainage
why?
the client with a perineal resection will have a perineal incision. Drains will be used to facilitate
wound drainage. This will help prevent infection of the surgical site. The client will not have an
illestomy. as in answer A he will have some electrolyte loss, but treatment is not focused on
preventing the loss, so answer B is incorrect A high fiber diet in answer C is not ordered at this
time.
The nurse is performing discharge teaching on a client with diverticulitis who has been placed on
low-roughage diet. Which food would have to be eliminated from this client's diet?
A. Roasted Chicken
B. Noodles
C. Cooked Broccoli
D. Custard --//ANS//--C. Cooked Broccoli
why?
, 4|Page
the client with diverticulitis should avoid eating foods that are gas forming and that increase
abdominal discomfort, such as cooked broccoli.
The nurse is caring for a new mother. The mother asks why her baby has lost weight since he
was born. The best explanation of the weight loss is:
A. The baby is dehydrated due to polyuria.
B. The baby is hypoglycemic due to glucose.
C. The baby is allergic to the formula the mother is giving him.
D. The baby can lose up to 10% of weight due to meconium still, loss of extracelluar fluid, and
initiation of breast-feeding. --//ANS//--D. The baby can lose up to 10% of weight due to
meconium still, loss of extraceullar fluid, and initiation of breast-feeding.
why?
After birth, meconium stool, loss of extracellular fluid, and initiation of breastfeeding cause the
infant to lose body mass. There is no evidence to indicate dehydration, hypoglycemia, or allergy
to the infant formula
The nurse if caring for a client with laryngeal cancer. Which finding ascertained in the health
history would not be common for this diagnosis?
A. Foul breath
