Question 1

A 47-year-old client has been admitted to the general surgery unit for bowel obstruction. The doctor has ordered that an NG tube be inserted to aid in bowel de-compression. When preparing to insert a NG tube, the nurse measures from the:

Options :

A : Lower lip to the shoulder to the upper sternum

B : Tip of the nose to the lower lip to the umbilicus

C : End of the tube to the first measurement line on the tube

D : Tip of the nose to the ear lobe to the xiphoid process or midepigastric area

Answer: D

Question 2

An obstructing stone in the renal pelvis or upper ureter causes:

Options :

A : Radiating pain into the urethra with labia pain experienced in females or testicular pain in males

B : Urinary frequency and dysuria

C : Severe flank and abdominal pain with nausea, vomiting, diaphoresis, and pallor

D : Dull, aching, back pain

Answer: C

Question 3

A 16-year-old client with anorexia nervosa is on an inpatient psychiatric unit. She has a fear of gaining weight
and is refusing to eat sufficient amounts to maintain body weight for her age, height, and stature. To assist with
the problem of powerlessness and plan for the client to no longer need to withhold food to feel in control, the
nurse uses the following strategy

Options :

A : Establish a structured environment with routine tasks and activities. Also, serve meals at the same time
each day

B : Distract the client during meals to get her to eat because she must take in sufficient amounts to keep from
starving.

C : Do frequent room checks to be sure that the client is not hiding food or throwing it away.

D : Listen attentively and participate in in-depth discussions about food, because these actions may encourage
her to eat.

Answer: A

Question 4

During his hospitalization, a 3-year-old child has become unusually aggressive in his play activities. His parents
report this change in behavior to the primary nurse. How could the nurse explain the child’s change in
behavior?

Options :

A : Deep-seated feelings of hostility

B : A lack of interest in socializing

C : Usual behavior for this child

D : A coping response

Answer: D

Question 5

A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following
nutritional interventions would be most therapeutic for him at this time?

Options :

A : Small, frequent feedings of foods that can be carried

B : Tube feedings with nutritional supplements

C : Allowing him to eat when and what he wants

D : Giving him a quiet place where he can sit down to eat meals

Answer: A

Higher Test Marks with Free Online NCLEX-RN Exam Practice

Buying Options: