Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease.
Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
A. "I will stop consuming alcohol.”.
Stopping alcohol consumption can have various health benefits, but moderate alcohol consumption is not a primary risk factor for coronary artery disease. Instead, excessive drinking is more concerning.
B. "I must stop smoking.”.
Smoking is a significant risk factor for coronary artery disease. Quitting smoking greatly reduces the risk and improves overall cardiovascular health.
C. "I am limiting my intake of fast foods.”.
Limiting fast food intake is an important dietary change, as fast foods are often high in unhealthy fats, salt, and calories, which can contribute to coronary artery disease.
D. "I should lower my HDL cholesterol level.”.
The statement "I should lower my HDL cholesterol level" is incorrect. HDL cholesterol is considered "good" cholesterol and helps to protect against heart disease. Therefore, lowering HDL cholesterol would not be beneficial.
E. "I need to monitor my weight.”.
Monitoring and maintaining a healthy weight is crucial for reducing the risk of coronary artery disease. Excess weight, particularly around the abdomen, is a known risk factor.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Fall 2023 Term 2 Proctored Exam 3. Take the full exam now
Full Explanation
The correct answers are Choice B: "I must stop smoking.", Choice C: "I am limiting my intake of fast foods.", and Choice E: "I need to monitor my weight."
Choice A rationale:
Stopping alcohol consumption can have various health benefits, but moderate alcohol consumption is not a primary risk factor for coronary artery disease. Instead, excessive drinking is more concerning.
Choice B rationale:
Smoking is a significant risk factor for coronary artery disease. Quitting smoking greatly reduces the risk and improves overall cardiovascular health.
Choice C rationale:
Limiting fast food intake is an important dietary change, as fast foods are often high in unhealthy fats, salt, and calories, which can contribute to coronary artery disease.
Choice D rationale:
The statement "I should lower my HDL cholesterol level" is incorrect. HDL cholesterol is considered "good" cholesterol and helps to protect against heart disease. Therefore, lowering HDL cholesterol would not be beneficial.
Choice E rationale:
Monitoring and maintaining a healthy weight is crucial for reducing the risk of coronary artery disease. Excess weight, particularly around the abdomen, is a known risk factor.
Similar Questions
A nurse is caring for a client who is receiving IV dextrose 5% in 0.9% sodium chloride at 75 mL/hr. When the nurse checks the client's IV bag at 0700, 300 mL remain in the bag.
At what time should the nurse hang a new bag of IV fluid? (Use the military format, four-digit number to enter the time.)
Full Explanation
The correct answer is 1100.
Calculation: The current time is 0700 and there are 300 mL remaining in the bag. The IV is infusing at a rate of 75 mL/hr. Therefore, 300 mL ÷ 75 mL/hr = 4 hours. Adding 4 hours to the current time of 0700 gives 1100.
A nurse is preparing to administer fluoxetine 30 mg PO for a client who has depression and cannot swallow capsules.
Available is fluoxetine 20 mg/5 mL oral solution.
How many mL should the nurse plan to administer? (Round to the nearest tenth.
Use a leading zero if it applies.
Do not use a trailing zero.)mL.
Full Explanation
The correct answer is 7.5 mL.
Calculation: Determine the amount of medication in 1 mL of solution: 20 mg/5 mL = 4 mg/mL Determine the volume of solution needed to administer 30 mg: 30 mg / 4 mg/mL = 7.5 mL
A nurse is completing the 8-hr 1&0 record for a client who consumed 4 oz of clear soda, 1 piece of toast, 12 oz of water, 1 cup of fruit-flavored gelatin, and 1/2 cup of chicken broth.
The client also received 300 mL of 0.9% sodium chloride IV. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number.)mL.
Full Explanation
The correct answer is 1420 mL.
Calculation:
Convert all intake to mL:
- 4 oz soda = 118 mL
- 12 oz water = 355 mL
- 1 cup gelatin = 237 mL
- 1/2 cup broth = 118 mL
- 300 mL IV fluid = 300 mL
Add all intake: 118 mL + 355 mL + 237 mL + 118 mL + 300 mL = 1128 mL