NCLEX-PN Test #22 2

Question 1

A nurse is caring for a client with cirrhosis who is experiencing ascites. Which dietary modification should the nurse anticipate?

Accepted Answer

Sodium-restricted diet

Answer

High-protein, high-calorie diet

Answer

High-fat, low-carbohydrate diet

Answer

Unrestricted fluid intake

Question 2

A client is prescribed lithium carbonate for bipolar disorder. Which laboratory value requires the nurse to hold the medication and notify the provider?

Accepted Answer

Serum lithium level of 2.1 mEq/L

Answer

Serum lithium level of 0.8 mEq/L

Answer

Serum sodium level of 140 mEq/L

Answer

Serum creatinine of 0.9 mg/dL

Question 3

A nurse is reinforcing teaching with a client newly diagnosed with glaucoma. Which statement by the client indicates effective teaching?

Accepted Answer

I need to use my prescribed eye drops consistently to control eye pressure

Answer

I should stop taking the eye drops once my symptoms improve

Answer

Glaucoma can be cured with surgery so drops are temporary

Answer

I only need to use eye drops when I experience eye pain

Question 4

A client with an indwelling urinary catheter develops a temperature of 101.8°F (38.8°C) and cloudy, foul-smelling urine. Which action should the nurse take first?

Accepted Answer

Encourage increased fluid intake and notify the provider

Answer

Remove the catheter immediately

Answer

Administer acetaminophen for the fever

Answer

Apply a cool washcloth to the forehead

Question 5

A practical nurse is assisting with the care of a neonate born at 34 weeks gestation. Which assessment finding warrants immediate intervention?

Accepted Answer

Nasal flaring and grunting with respirations

Answer

Respiratory rate of 46 breaths per minute

Answer

Axillary temperature of 97.6°F (36.4°C)

Answer

Weak but present suck reflex

Question 6

A nurse is reinforcing teaching about osteoporosis prevention with a postmenopausal client. Which recommendation is most appropriate?

Accepted Answer

Take calcium and vitamin D supplements as prescribed and perform weight-bearing exercises

Answer

Avoid all physical activity to prevent fractures

Answer

Limit dairy intake to reduce cholesterol

Answer

Begin hormone replacement therapy without provider consultation