Font size
S
M
L
XL
WorksheetsNCLEX - DIET NUTRITION Day1 (Part 1)
Total questions: 15
Worksheet time: 8mins
Name
Class
Date
1.
The nurse in the emergency department is admitting a pediatric client who ingested an unknown number of aspirin tablets 30 minutes ago. Which of the following actions should the nurse take first?
a)
Administer activated charcoal to the client.
b)
Obtain a blood specimen to check the serum salicylate level.
c)
Initiate an IV infusion of sodium bicarbonate.
d)
Prepare the client for hemodialysis.
2.
The nurse is providing postoperative care for a newborn with Hirschsprung disease who underwent bowel resection with a temporary colostomy. Which of the following assessment findings are to be expected during the immediate postoperative period?
a)
Flattening of the stoma along the abdominal wall
b)
Moderate blood-tinged mucus in the colostomy bag
c)
Pink and moist stoma with gray-tinged edges
d)
Small amounts of blood on the stoma during bag changes
e)
Surrounding skin is tender to palpation
3.
A nurse is observing a nursing student reinforce teaching to a client on how to take sucralfate. Which statement made by the student would require intervention by the nurse?
a)
Take this in the morning 1 hour before breakfast.
b)
Take this with your other stomach medications.
c)
Take your heart medication 2 hours after sucralfate.
d)
You might experience constipation while taking this.
4.
The nurse is reinforcing teaching about ulcer prevention with a client newly diagnosed with peptic ulcer disease. Which of the following client statements indicate appropriate understanding of teaching?
a)
I need to avoid taking medicines like ibuprofen without a prescription.
b)
I should avoid drinking excess coffee or cola.
c)
I should enroll in a smoking cessation program.
d)
I should reduce or eliminate my intake of alcoholic beverages.
e)
I will eliminate whole wheat foods, like breads and cereals, from my diet.
5.
A nurse in the neonatal intensive care unit discovers a cyanotic newborn with excessive frothy mucus in the mouth. What should be the nurse's first action?
a)
Administer 100% oxygen
b)
Auscultate the lungs
c)
Place infant in knee-chest position
d)
Suction the infant's mouth
6.
Which instructions should the nurse include when providing discharge teaching to a client with peptic ulcer disease due to Helicobacter pylori infection?
a)
Avoid foods that may cause epigastric distress such as spicy or acidic foods.
b)
It is best if you refrain from consuming alcohol products.
c)
Report black tarry stools to your health care provider immediately.
d)
Take your amoxicillin, clarithromycin, and omeprazole for the next 14 days.
e)
You may take over-the-counter drugs such as aspirin if you have mild epigastric pain.
7.
The nurse is talking with a client who has a new prescription for misoprostol to prevent gastric ulcers. Which of the following statements by the client would require follow-up?
a)
I will take this medication with meals and at bedtime.
b)
I plan to use a reliable form of birth control while taking this medication.
c)
I can take this medication with an antacid to prevent an upset stomach.
d)
I should notify my health care provider if I develop black, tarry stools while taking this medication.
8.
A 2-year-old in the emergency department is suspected of having intussusception. Which assessment finding should the nurse expect?
a)
Black, sticky stools
b)
Greasy, foul-smelling stools
c)
Stools mixed with blood and mucus
d)
Thin, "ribbon-like" stools
9.
A nurse evaluates a client's understanding of infant formula preparation. Which of the following client statements indicate a correct understanding?
a)
I can add extra water to powdered formula if it seems that my baby wants to feed longer.
b)
I can heat formula in the microwave for less than 1 minute.
c)
I must wash the top of concentrated formula cans before opening.
d)
Leftover formula in the bottle may be refrigerated and used at a later feeding.
e)
Unused, prepared formula should be kept in the refrigerator and discarded after 24 hours.
10.
The nurse is talking with a client who has gastroesophageal reflux disease and has been receiving long-term therapy with esomeprazole. Which of the following questions would be most important for the nurse to ask?
a)
Have you sustained any bone fractures recently?
b)
Are you experiencing an improved quality of sleep?
c)
Have you been checking your blood pressure regularly?
d)
Are you able to manage stressors in your life effectively?
11.
The nurse is reviewing new prescriptions for assigned clients. The nurse should clarify the prescription for
a)
Allopurinol for a client who has gout
b)
Dicyclomine for a client who has a paralytic ileus
c)
Carvedilol for a client who has an elevated BNP level
d)
Ipratropium for a client who has chronic obstructive pulmonary disease
12.
The nurse is reviewing lifestyle and nutritional strategies to help reduce symptoms in a client with newly diagnosed gastroesophageal reflux disease. Which strategies should the nurse include?
a)
Choose foods that are low in fat
b)
Do not consume any foods containing dairy
c)
Eat three large meals a day and minimize snacking
d)
Limit or eliminate the use of alcohol and tobacco
e)
Try to avoid caffeine, chocolate, and peppermint
13.
A client receiving total parenteral nutrition complains of nausea, abdominal pain, and excessive thirst. What is the best action for the nurse to take?
a)
Assess the client's vital signs
b)
Check the client's blood glucose
c)
Report the findings to the health care provider
d)
Slow down the rate of infusion
14.
A client is 1-day postoperative abdominoplasty and is discharged to go home with a Jackson-Pratt (JP) closed-wound system drain in place. Which statement indicates that the client needs further instruction?
a)
I'll empty the JP bulb when it is totally full so that I don't have to unplug it so many times.
b)
I'll pull the plug on the JP bulb and pour the drainage into the measurable specimen cup.
c)
I'll squeeze the JP bulb from side-to-side as I hold it in my hand.
d)
While the JP bulb is totally compressed, I'll clean the spout with alcohol and replace the plug.
15.
The nurse is assessing a client with suspected hepatitis. Which of the following questions would be important for the nurse to ask the client?
a)
Do you have black, tarry stools?
b)
Do you take any over-the-counter medications?
c)
How many alcoholic beverages do you consume per week?
d)
Have you recently received the pneumococcal vaccine?
e)
Do you use injectable recreational substances?
Reset
