NCLEX-PN Test #16

Question 1

A client with influenza reports new chest discomfort and increased shortness of breath. What should the nurse do first?

Accepted Answer

Check the client’s oxygen saturation.

Answer

Encourage the client to rest without assessment.

Answer

Offer warm fluids for comfort.

Answer

Increase daily activity.

Question 2

A client taking a diuretic reports new muscle weakness. What should the nurse suspect?

Accepted Answer

Possible low potassium level.

Answer

Improved medication effectiveness.

Answer

Dehydration from excessive water intake.

Answer

Normal response to diuretic therapy.

Question 3

A postoperative client has not voided for 7 hours. What should the nurse do first?

Accepted Answer

Assess the bladder for distention.

Answer

Administer a diuretic.

Answer

Restrict fluids immediately.

Answer

Ignore the issue unless the client reports pain.

Question 4

The nurse is reinforcing teaching for a client prescribed an inhaled steroid. Which statement shows understanding?

Accepted Answer

I will rinse my mouth after each dose.

Answer

I will use it only when I feel short of breath.

Answer

I should stop it if my mouth gets dry.

Answer

I will breathe in quickly and forcefully.

Question 5

A client reports diarrhea after starting antibiotics. What is the nurse’s best initial action?

Accepted Answer

Encourage increased fluid intake.

Answer

Stop the antibiotic immediately.

Answer

Give a high-fat snack.

Answer

Place the client on strict bedrest.

Question 6

The nurse is caring for a confused client who keeps pulling at their IV line. What should the nurse do?

Accepted Answer

Cover the IV site with a protective dressing.

Answer

Ignore the behavior unless the IV is removed.

Answer

Apply restraints immediately.

Answer

Discontinue the IV line entirely.

Question 7

A diabetic client reports burning and numbness in the feet. What should the nurse do?

Accepted Answer

Report the symptoms to the provider.

Answer

Advise walking barefoot to improve circulation.

Answer

Recommend tight shoes.

Answer

Have the client stop all diabetes medications.

Question 8

A client prescribed a sedating antihistamine reports feeling drowsy. What should the nurse tell the client?

Accepted Answer

Avoid driving until you know how it affects you.

Answer

Ignore the drowsinessu2014it will stop immediately.

Answer

Take double the dose if symptoms persist.

Answer

Take it only on an empty stomach.

Question 9

During a pneumonia assessment, the client has thick mucus and difficulty expectorating. What should the nurse do?

Accepted Answer

Encourage the client to drink more fluids.

Answer

Have the client lie completely flat.

Answer

Limit fluids until coughing decreases.

Answer

Advise the client to avoid coughing.

A client with influenza reports new chest discomfort and increased shortness of breath.What should the nurse do first?