NCLEX-PN Test #10

Question 1

The nurse notices a client with pneumonia has an increased respiratory rate and difficulty speaking full sentences. What should the nurse do first?

Accepted Answer

Check the client’s oxygen saturation level.

Answer

Provide warm liquids for comfort.

Answer

Encourage the client to lie flat.

Answer

Ask the client to take slower breaths.

Question 2

A client taking furosemide reports dizziness when getting out of bed. What is the nurse’s best initial response?

Accepted Answer

Teach the client to sit and stand up slowly.

Answer

Restrict all daily fluid intake.

Answer

Encourage sudden position changes.

Answer

Tell the client the dizziness is insignificant.

Question 3

The nurse is caring for a client with a new colostomy. The client asks what a healthy stoma should look like. What is the best response?

Accepted Answer

Moist and pink to red in color.

Answer

Dry, pale, and gray.

Answer

Black and sunken.

Answer

Firm and yellow in color.

Question 4

A client with anxiety is breathing rapidly and complaining of tingling in their fingers. What should the nurse do first?

Accepted Answer

Encourage slow, controlled breathing.

Answer

Have the client drink a caffeinated beverage.

Answer

Instruct the client to hold their breath for long periods.

Answer

Place the client in a flat position.

Question 5

A client on opioid pain medication reports constipation. What should the nurse recommend?

Accepted Answer

Increase fiber and fluid intake.

Answer

Reduce physical activity.

Answer

Take double the opioid dose.

Answer

Avoid all fruits and vegetables.

Question 6

A client with diabetes reports new numbness in their feet. What is the nurse’s best action?

Accepted Answer

Report the finding to the healthcare provider.

Answer

Encourage the client to walk barefoot at home.

Answer

Instruct the client to stop diabetes medications.

Answer

Apply heat packs without assessment.

Question 7

The nurse is caring for a client with suspected dehydration. Which assessment is most important?

Accepted Answer

Measure the client’s urine output.

Answer

Offer warm soup frequently.

Answer

Encourage caffeinated beverages.

Answer

Place the client on fluid restriction.

Question 8

A client receiving IV antibiotics complains of sudden itching and flushing. What should the nurse do first?

Accepted Answer

Stop the antibiotic infusion immediately.

Answer

Increase the antibiotic infusion rate.

Answer

Give the next scheduled antibiotic dose early.

Answer

Encourage the client to eat a snack.

Question 9

During wound care, the nurse observes a sudden increase in yellow drainage. What should the nurse do first?

Accepted Answer

Document the findings and notify the provider.

Answer

Remove the dressing and leave the wound exposed.

Answer

Ignore the drainage unless odor develops.

Answer

Apply ice directly to the wound.