NCLEX-PN Test #13

Question 1

During assessment, a client with diabetes reports excessive thirst and frequent urination. What should the nurse do first?

Accepted Answer

Check the client’s blood glucose level.

Answer

Restrict the client’s fluid intake.

Answer

Give the next scheduled insulin dose early.

Answer

Encourage the client to lie down and rest.

Question 2

A client with hypertension asks why they must avoid high-sodium foods. What is the nurse’s best explanation?

Accepted Answer

Sodium causes your body to retain fluid and increase blood pressure.

Answer

Sodium reduces the effectiveness of all medications.

Answer

Sodium causes dizziness in most people.

Answer

Sodium lowers the heart rate significantly.

Question 3

A client receiving IV antibiotics reports swelling and tenderness at the IV site. What should the nurse do first?

Accepted Answer

Stop the IV infusion immediately.

Answer

Increase the IV flow rate.

Answer

Ask the client to massage the site.

Answer

Apply an ice pack without assessing.

Question 4

A postoperative client has decreased bowel sounds and abdominal bloating. What is the nurse’s priority action?

Accepted Answer

Assess bowel sounds in all four quadrants.

Answer

Provide a high-fiber meal immediately.

Answer

Encourage immediate ambulation without assessment.

Answer

Restrict all oral intake.

Question 5

A client taking an opioid reports feeling very drowsy. What should the nurse assess first?

Accepted Answer

Assess the client’s respiratory rate.

Answer

Give another opioid dose to promote tolerance.

Answer

Encourage the client to stay awake.

Answer

Give warm fluids to increase alertness.

Question 6

The nurse is reinforcing teaching for a client prescribed a diuretic. Which statement indicates correct understanding?

Accepted Answer

I will take my diuretic in the morning.

Answer

I should take it right before bedtime.

Answer

I will stop taking it if I urinate too much.

Answer

I should restrict fluids while on this medication.

Question 7

A client with respiratory infection has thick, sticky mucus. What should the nurse encourage?

Accepted Answer

Increase daily fluid intake.

Answer

Avoid all fluids until the cough stops.

Answer

Lie completely flat to rest the lungs.

Answer

Take deep breaths without fluids.

Question 8

The nurse is caring for a client with possible dehydration. Which finding is most concerning?

Accepted Answer

Very low urine output.

Answer

Warm hands and feet.

Answer

Slightly dry lips.

Answer

Mild thirst after walking.

Question 9

A postoperative client reports pain at the incision site. What should the nurse do first?

Accepted Answer

Assess the surgical incision.

Answer

Give pain medication immediately without assessing.

Answer

Ignore the pain unless fever develops.

Answer

Have the client ambulate immediately.

During assessment, a client with diabetes reports excessive thirst and frequent urination.What should the nurse do first?