NCLEX-PN Test #12

Question 1

The nurse observes a client with heart failure has 2+ pitting edema in both legs. What should the nurse do first?

Accepted Answer

Obtain the client’s daily weight.

Answer

Encourage the client to walk more frequently.

Answer

Provide salt-rich snacks.

Answer

Apply heat packs to both legs.

Question 2

A client taking potassium supplements reports nausea. What is the nurse’s best initial action?

Accepted Answer

Instruct the client to take the medication with meals.

Answer

Have the client stop the medication immediately.

Answer

Double the next potassium dose.

Answer

Recommend lying flat after taking the medication.

Question 3

During assessment, a client with COPD has pursed-lip breathing. What does this indicate?

Accepted Answer

The client is attempting to control air trapping.

Answer

The client is becoming dehydrated.

Answer

The client is overusing accessory muscles unnecessarily.

Answer

The client has developed a new cardiac problem.

Question 4

A client with a new diagnosis of hypertension asks why daily exercise is recommended. What is the best explanation?

Accepted Answer

Exercise helps lower blood pressure naturally.

Answer

Exercise eliminates the need for medication completely.

Answer

Exercise increases sodium levels in the blood.

Answer

Exercise reduces the need for hydration.

Question 5

The nurse is providing care to a client with a urinary catheter. Which action helps prevent infection?

Accepted Answer

Keep the drainage bag below bladder level.

Answer

Disconnect the catheter tubing daily.

Answer

Clamp the catheter when the bag is half full.

Answer

Hang the drainage bag on the side rail.

Question 6

A client receiving an opioid for postoperative pain becomes unusually drowsy. What should the nurse do first?

Accepted Answer

Assess the client’s respiratory rate.

Answer

Feed the client a meal to increase alertness.

Answer

Provide a warm blanket.

Answer

Ignore the drowsiness unless the client becomes unconscious.

Question 7

A client receiving IV fluids reports pain and redness at the IV site. What should the nurse suspect?

Accepted Answer

Phlebitis.

Answer

Hypoglycemia.

Answer

Fluid overload.

Answer

Electrolyte imbalance.

Question 8

A client with anxiety begins rapid, shallow breathing. What is the nurse’s first action?

Accepted Answer

Encourage slow, deep breathing.

Answer

Encourage the client to breathe faster.

Answer

Place the client completely flat.

Answer

Offer caffeinated beverages.

Question 9

A client recovering from surgery reports new warmth and redness around the incision. What should the nurse do first?

Accepted Answer

Assess the incision and notify the provider.

Answer

Cover the incision with ice.

Answer

Advise the client to scratch the area.

Answer

Ignore the symptom unless fever develops.

The nurse observes a client with heart failure has 2+ pitting edema in both legs.What should the nurse do first?