NCLEX-PN Test #1 1

Question 1

A client with type 2 diabetes mellitus asks why blood glucose monitoring is important. Which response by the nurse is most accurate?

Accepted Answer

It helps determine how well the treatment plan is working

Answer

It replaces the need for a hemoglobin A1C test

Answer

It is only necessary when feeling symptomatic

Answer

It eliminates the need for dietary modifications

Question 2

A nurse is caring for a client with a nasogastric (NG) tube connected to low intermittent suction. Which electrolyte imbalance should the nurse monitor for most closely?

Accepted Answer

Hypokalemia

Answer

Hyperkalemia

Answer

Hypernatremia

Answer

Hypercalcemia

Question 3

A practical nurse is assisting with the admission of a client diagnosed with pulmonary tuberculosis. Which type of isolation precautions should be implemented?

Accepted Answer

Airborne precautions

Answer

Contact precautions

Answer

Droplet precautions

Answer

Standard precautions only

Question 4

A client is receiving heparin therapy. Which laboratory test should the nurse monitor to evaluate the effectiveness of heparin?

Accepted Answer

Activated partial thromboplastin time (aPTT)

Answer

Prothrombin time (PT)

Answer

International normalized ratio (INR)

Answer

Platelet count

Question 5

When caring for a client in the immediate post-operative period, which assessment finding should the nurse report first?

Accepted Answer

Urine output of 20 mL over the past hour

Answer

Temperature of 99.2°F (37.3°C)

Answer

Mild incisional pain rated 3/10

Answer

Blood pressure of 128/78 mmHg

Question 6

A nurse is reinforcing discharge teaching for a client prescribed warfarin (Coumadin). Which dietary instruction is most important?

Accepted Answer

Maintain a consistent intake of vitamin K-containing foods

Answer

Increase intake of iron-rich foods

Answer

Avoid all green vegetables entirely

Answer

Drink at least 3 liters of fluid daily