NCLEX-PN : NCLEX

Study concepts, example questions & explanations for NCLEX-PN

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Example Questions

Example Question #21 : Nutrition

What organ produces the bile necessary for digestion of lipids?

Possible Answers:

The duodenum

The gallbladder

The liver

The stomach

Correct answer:

The liver

Explanation:

Bile is produced exclusively in the liver. It may then be stored in the gall bladder so that it can be released during digestion of a fatty meal. No bile is produced in the stomach, nor the duodenum. The vast majority of bile is cholesterol-derivatives that stick to dietary fiber and are excreted along with the fiber. Thus increasing fiber is (mainly soluble) is an effective way to decrease cholesterol.

Example Question #22 : Nutrition

Which of the following is a necessary cofactor for the production of collagen?

Possible Answers:

Manganese

Thiamine

Selenium

Vitamin D

Correct answer:

Manganese

Explanation:

Manganese, found in oats, brown rice, chickpeas, and spinach, is a cofactor for the enzymes that produce the amino acid proline. Proline is essential for collagen shape and integrity, and is an amino acid, not a cofactor. Other important minerals required for collagen production include copper, zinc, vitamin C, and iron.

Example Question #463 : Nclex

Which age group has the highest risk for physiological changes due to malnutrition?

Possible Answers:

1-18

Over 72

Over 60

12-24

Correct answer:

1-18

Explanation:

Children ages 1-18 are at the highest risk for physiological changes due to malnutrition. Significant nutritional deficiencies at this age can cause failure to thrive, stunted growth, long-term brain damage, and increased incidence of cardiovascular and metabolic disease later in life.

Example Question #153 : General Biology

Which of the following minerals must be supplemented in a patient who is on a long-term laxative prescription?

Possible Answers:

Magnesium and chromium

Manganese and selenium

Calcium and potassium

Zinc and copper

Correct answer:

Calcium and potassium

Explanation:

Prolonged laxative use can lead to hypokalemia and hypocalcemia. This is due to alterations in gastrointestinal absorption and excretion of potassium and calcium. Magnesium can also be depleted during long-term laxative use, but chromium is unlikely to be affected. Zinc, copper, manganese, and selenium are also not generally impacted by normal laxative use.

Example Question #32 : Nutrition

Which of the following foods is highest in vitamin k?

Possible Answers:

Pumpkin

Dark leafy greens

Sweet potatoes

Beets

Correct answer:

Dark leafy greens

Explanation:

Dark leafy greens such as kale, collard greens, and chard have among the highest levels of vitamin K of any food. The other foods listed: beets, sweet potatoes, and pumpkin all have very low vitamin K content, and are safe for a patient on a warfarin diet.

Example Question #461 : Nclex

Which of the following foods would be unsafe to consume for a patient taking atorvastatin?

Possible Answers:

Dark leafy greens

Orange juice

Fish

Grapefruit

Correct answer:

Grapefruit

Explanation:

Grapefruit can decrease the activity of cytochrome P450, one of the body's most important detoxification pathways, by as much as 30%. Consumption of grapefruit while on certain medications, including atorvastatin, can lead to toxic levels of the drug. All other foods listed are safe for patients to consume while taking atorvastatin.

Example Question #462 : Nclex

Which of the following foods should be avoided in patients who are taking a potassium sparing diuretic, such as Amiloride?

Possible Answers:

Orange juice

Alcohol

Red meat

Tree nuts

Correct answer:

Orange juice

Explanation:

Patients who are taking potassium sparing diuretics must be counseled to eat a diet low in potassium. This is due to the fact that consumption of potassium-rich foods, such as orange juice, can lead to dangerously high potassium levels. Excess potassium levels can cause heart arrhythmia and sudden cardiac death.

Example Question #467 : Nclex

A low potassium diet would be recommended for a patient with which of the following conditions?

Possible Answers:

Gallstones

Diabetic neuropathy

Liver failure

Kidney failure

Correct answer:

Kidney failure

Explanation:

The kidney is the main route of potassium excretion in the body. During kidney failure, the kidneys are unable to remove excess potassium from the blood. This can lead to hyperkalemia, which can cause nausea, weakness, numbness, arrhythmia, and cardiac arrest.

Example Question #34 : Nutrition

Allicin, a compound with antibacterial, anti-inflammatory, and anti-thrombotic properties, is found in which of the following foods? 

Possible Answers:

Broccoli

Cocoa

Cold water fish

Garlic

Correct answer:

Garlic

Explanation:

Allicin is found primarily in garlic, and has a variety of properties that are beneficial to the health. It is antimicrobial, anti-inflammatory, anti-thrombotic, it can reduce atherosclerosis, decrease blood pressure, and act as a mild antioxidant.

Example Question #463 : Nclex

Which of the following is the best source of omega 3 fatty acids?

Possible Answers:

Grapeseed oil

Shrimp

Ground flax seeds

Wheat germ oil

Correct answer:

Ground flax seeds

Explanation:

Half an ounce of ground flax seeds provides over 130% of the dietary reference intake (DRI) of omega 3 fatty acids. An equivalent serving of shrimp is able to provide 15% of the DRI. Wheat germ oil and grapeseed oil are both good sources of omega 6 fatty acids but are not significant sources of omega 3 fatty acids.

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