The practical nurse (PN) is reinforcing dietary information with a young adult client who is diagnosed with iron-deficiency anemia after voluntarily starting a lacto-vegetarian diet. Which nutrients should the PN suggest this client eat to best meet the nutritional needs while adhering to a lacto-vegetarian diet?

Combine several legumes and grains such as beans and rice to form complete proteins.

Drink whole milk instead of skim milk to enhance the body's production of amino acids.

Increase the amounts of dark yellow vegetables such as carrots to fortify iron stores.

Take vitamin K 10 mg PO daily to enhance production of red blood cells (RBC).

Answer and Explanation

The Correct Answer is A

A. Combine several legumes and grains such as beans and rice to form complete proteins: This provides essential amino acids and supports overall nutrition in a vegetarian diet.
B. Drink whole milk instead of skim milk to enhance the body's production of amino acids: Milk is not a rich source of iron and does not directly boost amino acid synthesis.
C. Increase the amounts of dark yellow vegetables such as carrots to fortify iron stores: Carrots contain beta-carotene, not significant iron.
D. Take vitamin K 10 mg PO daily to enhance production of RBC: Vitamin K is essential for clotting, not RBC production.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Notify the nursing supervisor of the appearance of the emesis:
Coffee-ground emesis indicates upper GI bleeding; requires prompt reporting for evaluation and intervention.

B. Advise the client to report any further vomiting to the PN:
Appropriate for minor issues, but not for potentially serious GI bleed.

C. Determine if the client has a PRN prescription for an antiemetic:
Masking symptoms with antiemetics without addressing cause can delay diagnosis.

D. Assign an unlicensed assistive personnel to provide mouth care:
Comfort measure, but secondary to urgent assessment and provider notification.

A. Would you like me to call another nurse to be here while I show you the wound? B. Part of recovery is accepting your new body image, and you will need to look at your incision. C. You will feel better when you see that the incision is not as bad as you may think. D. It's OK if you don't want to look or talk about the mastectomy. I will be available when you're ready.

Correct Answer is D

Explanation

A. Would you like me to call another nurse to be here while I show you the wound?: May feel pressured; not supportive.
B. Part of recovery is accepting your new body image and you will need to look at your incision: Judgmental and may increase resistance.
C. You will feel better when you see that the incision is not as bad as you may think: Assumes feelings; not therapeutic.
D. It's OK if you don't want to look or talk about the mastectomy. I will be available when you're ready: Acknowledges client’s feelings and leaves door open for readiness.

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Naxlex Comprehensive Predictor Exams

An older adult resident calls the practical nurse (PN) to the room in a long-term care facility. The resident reports an episode of vomiting and shows the PN the contents of the emesis basin. The PN observes the emesis. Which action is most important for the PN to take?

Correct Answer is A

Explanation

At the first dressing change, the practical nurse (PN) tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it. Which response by the PN to the client's silence is best?

Correct Answer is D

Explanation

The practical nurse (PN) enters a client's hospital room and sees smoke and flames in the wastebasket. Which sequence of actions should the PN implement? (Arrange from first on top to last on the bottom.)

A new mother asks the practical nurse (PN), "How do I know that my baby is getting enough breast milk?" Which explanation should the PN provide?

The practical nurse (PN) overhears a conversation between an unlicensed assistive personnel (UAP) and another staff member in the hospital cafeteria line concerning a client's reaction to being given a diagnosis of terminal cancer. Which is the best nursing action?

The unlicensed assistive personnel (UAP) is preparing for the admission of a client who was diagnosed with tuberculosis (TB). Which instruction should the practical nurse (PN) provide to the UAP?

During preoperative preparation, the practical nurse (PN) should offer the client which explanation about why deep breathing exercises with an incentive spirometer are necessary after surgery?

A client has partial thickness burns to both arms. After medicating the client with an opioid analgesic, the practical nurse (PN) changes the sterile dressings. Which action is most important for the PN to implement before applying silver sulfadiazine cream to the burn lesions?

While caring for a client with a new prescription to initiate droplet precautions, which task can the practical nurse (PN) assign to the unlicensed assistive personnel (ÚAP)?