Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is obtaining a health history from a client who has diverticular disease. Which of the following should the nurse identify as a risk factor for this condition?
A. Low dietary intake of fiber
Low dietary intake of fiber is a significant risk factor for diverticular disease. A diet low in fiber can lead to constipation and increased pressure in the colon, contributing to the formation of diverticula.
B. Prolonged use of steroids
Prolonged use of steroids is not a primary risk factor for diverticular disease.
C. Insufficient intake of protein
Insufficient intake of protein is not a significant risk factor for diverticular disease.
D. Family history of gallbladder disease
Family history of gallbladder disease is not directly associated with an increased risk of diverticular disease.
This question is an excerpt from Nurse Dive's nursing test bank - RN ati Concept-based assessment level proctored exam. Take the full exam now
Full Explanation
Choice A rationale:
Low dietary intake of fiber is a significant risk factor for diverticular disease. A diet low in fiber can lead to constipation and increased pressure in the colon, contributing to the formation of diverticula.
Choice B rationale:
Prolonged use of steroids is not a primary risk factor for diverticular disease.
Choice C rationale:
Insufficient intake of protein is not a significant risk factor for diverticular disease.
Choice D rationale:
Family history of gallbladder disease is not directly associated with an increased risk of diverticular disease.
Similar Questions
A nurse is developing a plan of care for a toddler who has autism spectrum disorder.
Which of the following interventions should the nurse include?
A. Introduce the toddler to new situations slowly.
Children with autism spectrum disorder often have difficulty with transitions and new situations. Introducing new situations slowly can help reduce anxiety and support a smoother adjustment.
B. Administer valproic acid to the toddler.
Administering valproic acid is not a nursing intervention for autism spectrum disorder.
C. Allow the toddler to choose the daily routine.
Allowing the toddler to choose the daily routine might not be effective as they may struggle with decision-making and may prefer structured routines.
D. Increase stimulation in the toddler's environment.
Increasing stimulation in the toddler's environment might overwhelm a child with autism, who often prefers a calm and predictable environment.
Full Explanation
Choice A rationale:
Children with autism spectrum disorder often have difficulty with transitions and new situations. Introducing new situations slowly can help reduce anxiety and support a smoother adjustment.
Choice B rationale:
Administering valproic acid is not a nursing intervention for autism spectrum disorder.
Choice C rationale:
Allowing the toddler to choose the daily routine might not be effective as they may struggle with decision-making and may prefer structured routines.
Choice D rationale:
Increasing stimulation in the toddler's environment might overwhelm a child with autism, who often prefers a calm and predictable environment.
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a prescription for methylergonovine. Which of the following findings should the nurse identify as a contraindication to the administration of this medication?
A. WBC count 12.000/mm3
A slightly elevated WBC count is not a contraindication for the administration of methylergonovine.
B. History of asthma
Methylergonovine can cause vasoconstriction and bronchoconstriction, which can exacerbate asthma symptoms. Therefore, a history of asthma is a contraindication for its use.
C. Hgb 11.2 g/dL.
Hgb of 11.2 g/dL is within an acceptable range and not a contraindication for methylergonovine.
D. Blood pressure 154/98 mm Hg
Blood pressure of 154/98 mm Hg is elevated, but it is not a contraindication for the administration of methylergonovine.
Full Explanation
Choice A rationale:
A slightly elevated WBC count is not a contraindication for the administration of methylergonovine.
Choice B rationale:
Methylergonovine can cause vasoconstriction and bronchoconstriction, which can exacerbate asthma symptoms. Therefore, a history of asthma is a contraindication for its use.
Choice C rationale:
Hgb of 11.2 g/dL is within an acceptable range and not a contraindication for methylergonovine.
Choice D rationale:
Blood pressure of 154/98 mm Hg is elevated, but it is not a contraindication for the administration of methylergonovine.
A nurse is providing discharge teaching to the parents of a 9-month-old male infant who is postoperative following a hypospadias repair. Which of the following statements should the nurse make?
A. "Expect your baby to have the urinary catheter for about 1 week."
Following hypospadias repair, a urinary catheter is often placed to ensure proper healing. The duration of catheterization varies, but about 1 week is a common timeframe.
B. "You should clamp the catheter tubing for 10 minutes three times per day."
Clamping the catheter tubing for extended periods is not a standard practice and can cause discomfort and complications.
C. "Apply an antifungal ointment to your baby's penis twice daily."
Applying antifungal ointment is not typically required after hypospadias repair.
D. "Your baby will take a prophylactic antibiotic for the next 6 weeks.
A prophylactic antibiotic is not typically prescribed for 6 weeks following hypospadias repair.
Full Explanation
Choice A rationale:
Following hypospadias repair, a urinary catheter is often placed to ensure proper healing. The duration of catheterization varies, but about 1 week is a common timeframe.
Choice B rationale:
Clamping the catheter tubing for extended periods is not a standard practice and can cause discomfort and complications.
Choice C rationale:
Applying antifungal ointment is not typically required after hypospadias repair.
Choice D rationale:
A prophylactic antibiotic is not typically prescribed for 6 weeks following hypospadias repair.