NCLEX-PN Test #14

Question 1

During an assessment, the nurse notes a client with heart failure has shortness of breath while resting. What should the nurse do first?

Accepted Answer

Check the client’s oxygen saturation.

Answer

Encourage the client to drink more fluids.

Answer

Lay the client flat in bed.

Answer

Increase the client’s sodium intake.

Question 2

A client taking a new antihypertensive medication reports dizziness. What should the nurse do first?

Accepted Answer

Check the client's blood pressure.

Answer

Stop the medication immediately.

Answer

Tell the client to ignore the dizziness.

Answer

Have the client exercise vigorously.

Question 3

A diabetic client reports increased hunger, sweating, and trembling. What should the nurse do?

Accepted Answer

Provide a fast-acting carbohydrate.

Answer

Encourage the client to rest without eating.

Answer

Give the next insulin dose early.

Answer

Have the client drink only water.

Question 4

The nurse observes a client with COPD using accessory muscles to breathe. What is the priority action?

Accepted Answer

Place the client in high Fowler’s position.

Answer

Encourage the client to lie flat.

Answer

Provide a large meal immediately.

Answer

Limit fluid intake.

Question 5

A client reports constipation while taking iron supplements. What is the nurse’s best response?

Accepted Answer

Increase fluids and dietary fiber.

Answer

Stop taking iron immediately.

Answer

Take double the supplement dose.

Answer

Avoid all fruits and vegetables.

Question 6

The nurse is caring for a client receiving IV fluids who suddenly reports swelling at the IV site. What should the nurse suspect?

Accepted Answer

Infiltration.

Answer

Hypotension.

Answer

Air embolism.

Answer

Electrolyte imbalance.

Question 7

A client with pneumonia has thick mucus and difficulty coughing. What action should the nurse take?

Accepted Answer

Encourage increased fluid intake.

Answer

Limit fluid intake to reduce coughing.

Answer

Instruct the client to avoid coughing.

Answer

Keep the client completely flat.

Question 8

A client receiving an opioid for postoperative pain reports difficulty staying awake. What should the nurse check first?

Accepted Answer

Check the client’s respiratory rate.

Answer

Provide more opioid medication.

Answer

Give a caffeinated drink.

Answer

Tell the client to try walking.

Question 9

A client reports redness and warmth around a surgical incision. What should the nurse do first?

Accepted Answer

Assess the incision and notify the provider.

Answer

Apply ice directly to the incision.

Answer

Tell the client this is normal after surgery.

Answer

Cover the incision with a cold dressing.

During an assessment, the nurse notes a client with heart failure has shortness of breath while resting.What should the nurse do first?