NCLEX-PN Test #11

Question 1

While caring for a client with a fever, the nurse notes flushed skin and sweating. What is the nurse’s first action?

Accepted Answer

Check the client’s temperature.

Answer

Apply ice packs to the entire body.

Answer

Restrict all oral fluids.

Answer

Place the client in a warm blanket.

Question 2

A client with diabetes reports feeling shaky and sweaty. What should the nurse do first?

Accepted Answer

Provide a source of fast-acting glucose.

Answer

Encourage the client to walk outside.

Answer

Give the next scheduled insulin dose early.

Answer

Have the client lie flat with no food.

Question 3

The nurse notes a client receiving oxygen has dry, cracked lips. Which action is most appropriate?

Accepted Answer

Add humidification to the oxygen.

Answer

Increase the oxygen flow rate.

Answer

Apply petroleum jelly inside the nose.

Answer

Encourage the client to breathe faster.

Question 4

A postoperative client reports abdominal bloating. What should the nurse do first?

Accepted Answer

Assess the client’s bowel sounds.

Answer

Give a high-fat meal immediately.

Answer

Encourage complete bed rest.

Answer

Ignore the symptom unless vomiting begins.

Question 5

A client taking an iron supplement reports dark stools. What should the nurse explain?

Accepted Answer

Dark stools are an expected side effect of iron.

Answer

Dark stools mean the dose is too strong.

Answer

Dark stools indicate internal bleeding.

Answer

Dark stools mean the medication is not working.

Question 6

A client taking a diuretic reports leg cramps. What should the nurse suspect first?

Accepted Answer

Possible low potassium level.

Answer

Improved muscle tone.

Answer

Excessive fluid intake.

Answer

Normal adaptation to medication.

Question 7

A client with pneumonia has thick sputum and difficulty coughing. What should the nurse encourage?

Accepted Answer

Increase daily fluid intake.

Answer

Avoid fluids until the cough stops.

Answer

Limit activity to prevent coughing.

Answer

Drink high-caffeine beverages only.

Question 8

During a blood transfusion, the client develops chills and back pain. What is the nurse’s priority?

Accepted Answer

Stop the blood transfusion immediately.

Answer

Increase the transfusion rate.

Answer

Give warm fluids quickly.

Answer

Wait to see if symptoms worsen.

Question 9

The nurse is reviewing dietary teaching for a client with high cholesterol. Which choice shows correct understanding?

Accepted Answer

I will choose baked foods instead of fried foods.

Answer

I will use extra butter for flavor.

Answer

I will avoid vegetables to reduce fiber.

Answer

I will choose only high-fat meats.

While caring for a client with a fever, the nurse notes flushed skin and sweating.What is the nurse’s first action?