OVER 200 EXAM
ANSWERED
QUESTIONS FOR
NCLEX RN: 4 NEW
UPDATE EXAM
,The RN plans a diet teaching session to a CKD pt. The RN determines more teaching
(wrong) is needed when the pt selects which option (SATA)?
1.) Grilled mozzarella sandwich, canned veggies, soup,
diet cola 2.) Toast w/ PB, banana, & coffee
3.) Chicken sandwich w/ mustard, green salad, &
lemonade 4.) Macaroni w/ salt sub., pudding w.
raisins
5.) Spaghetti w/ meat balls, cabbage, & apple pie - CORRECT ANSWER 1,2,4
1 = grilled mozzarella sandwich is HIGH in Phosphorous; canned veggies is high in
Sodium; soup is high in mag & salt; diet cola is high in phosphorous
2 = Banana is high in Potassium; coffee is high in phosphorous
4 = Macaroni w/ salt sub. is high in potassium
Explanations:
3 = approp. lean
protein 5 = approp.
What is the diet needed for a pt w/ CKD? - CORRECT ANSWER HIGH
CARB, Moderate FAT diet,
RESTRICT sodium, potassium, &
protein, & Low H2O intake
(Chronic Kidney Disease diet) What are the following foods apart of what vitamin
group?
1.) Fruits: Apples, cranberries, grapes, pineapples, & strawberries
2.) Veggies: Califlower, onion, pepper, radishes, summer squash, & lettuce
,3.) Carbs: Pita, tortillas, white breads, & white rice
4.) Meat: Beef & chicken - CORRECT ANSWER LOW-Potassium foods
(Chronic Kidney Disease diet) What foods are low PHOSPHOROUS foods? -
CORRECT ANSWER 1.) Italian, french bread
2.) Corn or rice cereals & cream of
wheat 3.) Unsalted popcorn
4.) Light-colored sodas & lemonades
What is the Pt. teaching for Chronic Kidney Disease diet? - CORRECT ANSWER 1.)
Another challenge is H2O intake
2.) Limit sodium to help cut down on thirst @ times may still
feel thirsty 3.) To help w/ their thirst
(Pt. teaching for CKD diet) Name the 4 things that helps pts w/ their thirst (them
being thirsty) - CORRECT ANSWER 1.) Chew gum
2.) Rinse your mouth
3.) Such on a piece of ice, mints or hard candy
4.) Remember to change sugar-free candy if u have diabetes
A RN caring for a 40-yr-old woman w/ a hx of UTI. Which strategies prevent UTIs
(SATA)?
1.) Always wipe from front to
back 2.) Voiding Q3-4 hrs
3.) Stay hydrated w/ @ least 6 glass of
H2O 4.) Take antibiotics until
symptoms subside
5.) Refrain from taking bubble baths - CORRECT ANSWER 1,2,3(?),5
2 = Decrease risk of infection
, 3 = need @ least 8 glass of water
5 = Increase irritation of urinary tract
Explanation:
4 = Take ALL of the antibiotic
A pt diagnosed w/ asthma is prescribed long-term corticosteroid med therapy.
When the RN assesses the pts which manifestations of Cushing Syndrome is
noticed (SATA)?
1.) Na2+ = 154 mmHg
2.) BP = 84/42 mmHg
3.)
Hyperglycemia
4.) K+ =
3mmol/L
5.) Metabolic alkalosis - CORRECT ANSWER
1,3,4,5 1 = normal Na2+ is 135-145
4 = normal K+ is 3.5-5.1/.3
Explanations:
2 = Fluid retention, HTN
Metabolic alkalosis is associated with what syndrome? - CORRECT ANSWER
Cushing Syndrome
The enhanced mineral corticoid effect in Cushing syndrome is caused by occupation
of the
a.) by the HIGH concentration of b.) - CORRECT
ANSWER a.) MR b.) Cortisol
These 2 things are more common in Cushing syndrome - CORRECT
ANSWER 1.) HYPOkalemia
2.) Metabolic alkalosis
ANSWERED
QUESTIONS FOR
NCLEX RN: 4 NEW
UPDATE EXAM
,The RN plans a diet teaching session to a CKD pt. The RN determines more teaching
(wrong) is needed when the pt selects which option (SATA)?
1.) Grilled mozzarella sandwich, canned veggies, soup,
diet cola 2.) Toast w/ PB, banana, & coffee
3.) Chicken sandwich w/ mustard, green salad, &
lemonade 4.) Macaroni w/ salt sub., pudding w.
raisins
5.) Spaghetti w/ meat balls, cabbage, & apple pie - CORRECT ANSWER 1,2,4
1 = grilled mozzarella sandwich is HIGH in Phosphorous; canned veggies is high in
Sodium; soup is high in mag & salt; diet cola is high in phosphorous
2 = Banana is high in Potassium; coffee is high in phosphorous
4 = Macaroni w/ salt sub. is high in potassium
Explanations:
3 = approp. lean
protein 5 = approp.
What is the diet needed for a pt w/ CKD? - CORRECT ANSWER HIGH
CARB, Moderate FAT diet,
RESTRICT sodium, potassium, &
protein, & Low H2O intake
(Chronic Kidney Disease diet) What are the following foods apart of what vitamin
group?
1.) Fruits: Apples, cranberries, grapes, pineapples, & strawberries
2.) Veggies: Califlower, onion, pepper, radishes, summer squash, & lettuce
,3.) Carbs: Pita, tortillas, white breads, & white rice
4.) Meat: Beef & chicken - CORRECT ANSWER LOW-Potassium foods
(Chronic Kidney Disease diet) What foods are low PHOSPHOROUS foods? -
CORRECT ANSWER 1.) Italian, french bread
2.) Corn or rice cereals & cream of
wheat 3.) Unsalted popcorn
4.) Light-colored sodas & lemonades
What is the Pt. teaching for Chronic Kidney Disease diet? - CORRECT ANSWER 1.)
Another challenge is H2O intake
2.) Limit sodium to help cut down on thirst @ times may still
feel thirsty 3.) To help w/ their thirst
(Pt. teaching for CKD diet) Name the 4 things that helps pts w/ their thirst (them
being thirsty) - CORRECT ANSWER 1.) Chew gum
2.) Rinse your mouth
3.) Such on a piece of ice, mints or hard candy
4.) Remember to change sugar-free candy if u have diabetes
A RN caring for a 40-yr-old woman w/ a hx of UTI. Which strategies prevent UTIs
(SATA)?
1.) Always wipe from front to
back 2.) Voiding Q3-4 hrs
3.) Stay hydrated w/ @ least 6 glass of
H2O 4.) Take antibiotics until
symptoms subside
5.) Refrain from taking bubble baths - CORRECT ANSWER 1,2,3(?),5
2 = Decrease risk of infection
, 3 = need @ least 8 glass of water
5 = Increase irritation of urinary tract
Explanation:
4 = Take ALL of the antibiotic
A pt diagnosed w/ asthma is prescribed long-term corticosteroid med therapy.
When the RN assesses the pts which manifestations of Cushing Syndrome is
noticed (SATA)?
1.) Na2+ = 154 mmHg
2.) BP = 84/42 mmHg
3.)
Hyperglycemia
4.) K+ =
3mmol/L
5.) Metabolic alkalosis - CORRECT ANSWER
1,3,4,5 1 = normal Na2+ is 135-145
4 = normal K+ is 3.5-5.1/.3
Explanations:
2 = Fluid retention, HTN
Metabolic alkalosis is associated with what syndrome? - CORRECT ANSWER
Cushing Syndrome
The enhanced mineral corticoid effect in Cushing syndrome is caused by occupation
of the
a.) by the HIGH concentration of b.) - CORRECT
ANSWER a.) MR b.) Cortisol
These 2 things are more common in Cushing syndrome - CORRECT
ANSWER 1.) HYPOkalemia
2.) Metabolic alkalosis
