NCLEX NCLEX-PN Exam Made Easy: Step-by-Step Preparation Guide

Promoting healthy nutritional practices is an appropriate nursing goal for a client at risk for nutritional

problems. Choice 1 is incorrect because it is a nursing intervention, not a goal statement. Choice 3 is incorrect

because it is a therapeutic treatment. Choice 4 is incorrect because weight gain is an appropriate goal only if the

client is underweight.Basic Care and Comfort

The small intestine has a primary function of absorption. The remaining digestive organs have other primary

functions.Physiological Adaptation

Parents are the primary force in sex education in a child’s life. The school nurse is involved with formal sex

education and counseling. Peers become more important in sex education during adolescence but might lack

correct information. The media play a powerful role in what children learn about sex through movies, TV, and

video games.Health Promotion and Maintenance

Nutrition, elimination, comfort, and safety are the major areas of importance. The diet should be high in

protein with adequate fluids.Basic Care and Comfort

Xanax, like other benzodiazepines, can cause withdrawal symptoms that include agitation, insomnia,

hypertension, seizures, and abdominal pain. The drug must be slowly decreased to prevent withdrawal symptoms.

Psychosocial Integrity

The nurse should change the intravenous tubing on total parenteral nutrition solutions every 24 hours, due to

the high risk of bacterial growth.Health Promotion and Maintenance

Uric acid levels are indicated for clients with gout.Reduction of Risk Potential

Pathologic fractures are not common to the disease process. Its treatment through osteoporosis is a potential

complication of steroid use. Hodgkin’s disease most commonly affects young adults (males), is spread through

lymphatic channels to contiguous nodes, and also might spread via the hematogenous route to extradal sites (GI,

bone marrow, skin, and other organs). A working staging classification is performed for clinical use and care.

Physiological Adaptation

Ingestion of chocolate can reduce lower esophageal sphincter (LES) pressure leading to reflux and clinical

symptoms of GERD. The other foods do not affect LES pressure.Basic Care and Comfort

Duodenal intestinal fluid is rich in K+, NA+, and bicarbonate. Suctioning to remove excess fluids decreases

the client’s K+ and NA+ levels.Basic Care and Comfort

Clients with renal disease are predisposed to hyperkalemia and should avoid foods high in potassium.

Choices 1, 2, and 3 are incorrect because clients receiving diuretics with ileostomy or with metabolic alkalosis

are at risk for hypokalemia and should be encouraged to eat foods high in potassium.Physiological Adaptation

A urologist consult is appropriate for a client with visible blood at the urethral meatus and suspected trauma.

Choices 1 and 2 are contraindicated. A urinalysis might be ordered by the physician, but the question does not

provide enough information to make Choice 3 the correct answer.Physiological Adaptation

Eggs are a complete protein. The remaining options are incomplete proteins.Health Promotion and

Maintenance

The cardinal signs of respiratory problems and hypoxia are restlessness, diaphoresis, tachycardia, and cool skin.

Bradycardia might occur much later in the process when the condition is severe. Eupnea is normal respirations in rate and depth.Physiological Adaptation

Client education should be completed by an individual or individuals with acknowledged expertise in the subject area and credentials to support activity within the health care community.Coordinated Care