Intake & Output: NCLEX Practice Questions

A client has a bowel obstruction and needs their abdomen decompressed. What is the best device for this person?

NG tube

A client has had a stroke and has difficulty eating and swallowing. What type of diet might be suggested?

Pureed diet

A 45-year-old client has severe renal failure and is on a 1200 ml restriction per 24 hours of what?

Water

A 68-year-old female has high cholesterol, what type of diet might be advised?

Low cholesterol diet

A client is losing weight and is feeling weak x several weeks. Which discipline might be consulted to help with assessment of nutritional intake?

Registered Dietitian

A client has just returned to the unit after major abdominal surgery. The RN would expect what type of initial diet?

Sips and chips (ice chips)

A client is having urinary retention and needs their bladder emptied. What is the best device for this?

Straight Cath

A nurse is preparing to instill 840 mL of enteral nutrition via a client's gastrostomy tube over 24 hr using an infusion pump. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

840mL/24hr= 35ml/hr

A client is acutely ill and needs intake and output measured every hour. What device would be best to measure the output?

Foley Catheter

A 54-year-old. male client has severe high BP, what might be restricted in his diet?

Low sodium diet

A nurse is prioritizing care for two clients at the start of the shift. The first client, who is 1 day postoperative following major surgery, requires a dressing change, and total parental nutrition administration and reports a pain level of 6 on a scale from 0 to 10. The second client, who has a newly inserted percutaneous gastrostomy tube, requires tube feeding, dressing change, and daily weight. Which of the following nursing actions should the nurse plan to complete first? a. Weigh the second client-not most pressing b. Obtain VS on both clients c. Administer pain meds to the first client d. Change the dressing of both clients

b. Obtain VS on both clients

A nurse is caring for a client following a stroke and observes the client having difficulty in swallowing ( Dysphagia) . The nurse notifies the provider. Which of the following nutritional therapies will likely be prescribed? a. Nothing by Mouth (NPO) until the dysphagia subsides b. Supplemental via nasogastric tube c. Initiation of total parental nutrition( TPN) d. High fiber diet

b. Supplemental via nasogastric tube

A client is on a ventilator for 3 months, what type of feeding device might be required for nutrition and medication administration?

PEG tube

A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching? a. Protein b. Calcium c. Vitamin B12 d. Vitamin D

a. Protein

A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following diagnostic findings should the nurse expect to be altered? a. White blood count (WBC) b. Red blood count ( RBC) c. Chest X ray d. Albumin

d. Albumin

What should not be recorded in the client's chart if a client is found on the floor after a fall. a. Client states "I have a pain of 6/10 in my left knee" b. Vital Signs c. RN called provider d. Incident Report filed

d. Incident Report filed

A client is 2 days post-operative and is feeling well. The diet has been advanced to full liquids. What sorts of choices will be allowed on this diet?

Milkshakes, broths, soups, OJ

A nurse is calculating the total fluid intake for a client during a 4-hr period. The client consumes 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

1170mL

A client is having difficulty swallowing after a head injury. Which discipline might be consulted to help diagnoses the problem?

Speech Therapist

A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? a. Documentation is a communication tool for the inter-professional health care team. b. Documentation provides information to the client about financial charges for care provided. c. Documentation provides information for a client audit. d. Documentation allows providers to monitor the nurse's activities.

a. Documentation is a communication tool for the inter-professional health care team.

A nurse is planning to use the SBAR communication tool when calling a provider. Which of the following statements should the nurse include in the B step? a. The client should be seen by a neurologist b. The client was found unconscious on the floor in her home c. There are no provider prescriptions available d. The client is confused and disorientated

b. The client was found unconscious on the floor in her home

A client has a severe high blood pressure . The Registered Dietitian has likely prescribed what sort of diet ? a. High Fiber b. Low Cholesterol c. Low Salt d. High Protein

c. Low Salt