Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is assessing a client who has anorexia. Which of the following findings should the nurse identify as a manifestation of malnutrition?
A. Alopecia
Malnutrition can lead to inadequate intake of essential nutrients, such as vitamins and minerals, which are necessary for maintaining healthy hair growth.
B. Diplopia
Double vision, or diplopia, is more commonly associated with neurological or ocular conditions rather than malnutrition.
C. Oily skin
Malnutrition may result in dry, flaky skin due to deficiencies in essential fatty acids and other nutrients.
D. Increased salivation
While malnutrition can affect various physiological processes, increased salivation is not a common manifestation of mal
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Full Explanation
A. Malnutrition can lead to inadequate intake of essential nutrients, such as vitamins and minerals, which are necessary for maintaining healthy hair growth.
B. Double vision, or diplopia, is more commonly associated with neurological or ocular conditions rather than malnutrition.
C. Malnutrition may result in dry, flaky skin due to deficiencies in essential fatty acids and other nutrients.
D. While malnutrition can affect various physiological processes, increased salivation is not a common manifestation of mal
Similar Questions
A charge nurse is observing a newly licensed nurse care for a client who has a methicillin-resistant Staphylococcus aureus (MRSA). Which of the following observations of the newly licensed nurse indicates an understanding of infection control precautions?
A. Remains 3 feet away from the client
Keeping a safe distance is important but 3 feet away is not enough precaution.
B. Wears an N95 mask when providing wound care
MRSA is not airborne and hence not prevented through wearing of masks
C. Disposes of isolation gown outside of the client's room
The isolation gowns should be disposed in designated areas to prevent the spread of the infection.
D. Wears clean gloves when caring for the client
MRSA is spread through direct contact with infected persons or infectious droplets.
Full Explanation
MRSA is spread through direct contact with infected persons or infectious droplets.
A. Keeping a safe distance is important but 3 feet away is not enough precaution.
B. MRSA is not airborne and hence not prevented through wearing of masks
C. The isolation gowns should be disposed in designated areas to prevent the spread of the infection.
A nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?
A. This medication may cause my blood pressure to increase."
Isoniazid (INH) does not typically affect blood pressure.
B. "I should take an antacid with each dose of this medication."
Antacids can interfere with the absorption of isoniazid, so they should be avoided or taken at least one hour before or two hours after taking isoniazid.
C. "I plan to take this medication for 1 week."
Treatment for tuberculosis typically involves taking isoniazid for a minimum of 6 to 9 months, sometimes longer, depending on the severity of the infection
D. "I will have my liver function tested while I am taking this medication."
Regular monitoring of liver function is important while taking isoniazid because the medication can cause liver damage in some individuals.
Full Explanation
Regular monitoring of liver function is important while taking isoniazid because the medication can cause liver damage in some individuals.
A. Isoniazid (INH) does not typically affect blood pressure.
B. Antacids can interfere with the absorption of isoniazid, so they should be avoided or taken at least one hour before or two hours after taking isoniazid.
C. Treatment for tuberculosis typically involves taking isoniazid for a minimum of 6 to 9 months, sometimes longer, depending on the severity of the infection
A nurse is teaching about safe positioning with the caregiver of a client who has right-sided hemiplegia following a stroke. Which of the following statements by the caregiver indicates an understanding of the teaching?
A. "I will ensure their neck is flexed backwards when they're lying on their stomach."
When lying on the stomach (prone position), the neck should be neutral (neither flexed nor extended). Flexing the neck backward can strain the cervical spine and compromise airway alignment.
B. "I will support their feet with a rolled pillow when they are lying on their back."
Supporting the feet with a rolled pillow helps prevent foot drop (a common issue in hemiplegia). It maintains the ankle in a neutral position, preventing contractures.
C. "I will rest their heels on the mattress when they are sitting up in bed."
For a client with right-sided hemiplegia, the affected leg (right leg) should be supported to prevent foot drop.
D. "I will use a thick pillow under their head to support the neck."
A thick pillow under the head can cause neck hyperextension.The head should be supported with a small, firm pillow to maintain a neutral neck position.
Full Explanation
B. Supporting the feet with a rolled pillow helps prevent foot drop (a common issue in hemiplegia). It maintains the ankle in a neutral position, preventing contractures.
A. When lying on the stomach (prone position), the neck should be neutral (neither flexed nor extended). Flexing the neck backward can strain the cervical spine and compromise airway alignment.
C. For a client with right-sided hemiplegia, the affected leg (right leg) should be supported to prevent foot drop.
D. A thick pillow under the head can cause neck hyperextension.
The head should be supported with a small, firm pillow to maintain a neutral neck position.