NCLEX-RN Practice Quiz Test Bank #4 (75 Questions)

NCLEX-RN Practice Quiz Test Bank #4 (75 Questions) NCLEXRN-04-001 Question Tag: osteoporosis Question Category: Health Promotion and Maintenance Nurse Cecile is teaching a female client about preventing osteoporosis. Which of the following teaching points is correct? • A. Obtaining an X-ray of the bones every 3 years is recommended to detect bone loss. • B. To avoid fractures, the client should avoid strenuous exercise. • C. The recommended daily allowance of calcium may be found in a wide variety of foods • D. Obtaining the recommended daily allowance of calcium requires taking a calcium supplement. Correct Answer: C. The recommended daily allowance of calcium may be found in a wide variety of foods. Premenopausal women require 1,000 mg of calcium per day. Postmenopausal women require 1,500 mg per day. It’s often, though not always, possible to get the recommended daily requirement in the foods we eat. • Option D: Supplements are available but not always necessary. • Option A: Osteoporosis doesn’t show up on ordinary X-rays until 30% of the bone loss has occurred. Bone densitometry can detect bone loss of 3% or less. This test is sometimes recommended routinely for women over 35 who are at risk. • Option B: Strenuous exercise won’t cause fractures. Weight-bearing aerobics exercises and resistance training are good for people with osteoporosis. Question Tag: delegation Question Category: Safe and Effective Care Environment, Management of Care Which action (s) should you delegate to the experienced nursing assistant when caring for a patient with a thrombotic stroke with residual left-sided weakness? Select all that apply. • A. Assist the patient to reposition every 2 hours. • B. Reapply pneumatic compression boots. • C. Remind the patient to perform active ROM. • D. Check extremities for redness and edema. Correct Answer: A, B, & C. The experienced nursing assistant would know how to reposition the patient and how to reapply compression boots, and would remind the patient to perform activities he has been taught to perform. • Option D: Assessing for redness and swelling (signs of deep venous thrombosis {DVT}) requires additional education and is still appropriate to the professional nurse. NCLEXRN-04-002 Question Tag: stroke Question Category: Safe and Effective Care Environment, Management of Care The patient who had a stroke needs to be fed. What instruction should you give to the nursing assistant who will feed the patient? • A. Position the patient sitting up in bed before you feed her. • B. Check the patient’s gag and swallowing reflexes. • C. Feed the patient quickly because there are three more waiting. • D. Suction the patient’s secretions between bites of food