NCLEX-PN Test #19

Question 1

A client with pneumonia has a productive cough and reports that mucus is difficult to expel. What should the nurse encourage?

Accepted Answer

Increase fluid intake throughout the day.

Answer

Reduce fluid intake to decrease coughing.

Answer

Lie flat to promote drainage.

Answer

Avoid coughing to rest the lungs.

Question 2

The nurse notes that a client with heart failure has sudden weight gain. What should the nurse do first?

Accepted Answer

Review the client’s daily weight record.

Answer

Increase sodium intake.

Answer

Encourage heavy exercise.

Answer

Advise wearing tight clothing.

Question 3

A client taking a sedating antihistamine feels extremely drowsy. What should the nurse teach?

Accepted Answer

Avoid driving or operating machinery.

Answer

Take another dose to feel more awake.

Answer

Drink caffeinated beverages only.

Answer

Ignore the drowsiness; it is harmless.

Question 4

A client with diabetes reports numbness in both feet. What is the nurse's best response?

Accepted Answer

Report the finding to the healthcare provider.

Answer

Massage the feet vigorously.

Answer

Wear shoes that are very tight.

Answer

Stop all diabetes medications.

Question 5

A postoperative client reports nausea after receiving pain medication. What should the nurse do first?

Accepted Answer

Assess the severity of the nausea.

Answer

Immediately stop all pain medication.

Answer

Provide a heavy meal.

Answer

Tell the client to ignore the feeling.

Question 6

The nurse is caring for a client with a urinary catheter. What action helps prevent infection?

Accepted Answer

Keep the drainage bag below bladder level.

Answer

Disconnect the catheter tubing frequently.

Answer

Hang the bag on the bed rail above the bladder.

Answer

Clamp the catheter often.

Question 7

A client receiving IV fluids reports swelling and coolness at the IV site. What should the nurse do?

Accepted Answer

Stop the IV infusion immediately.

Answer

Increase the IV flow rate.

Answer

Apply heat without assessment.

Answer

Ignore the swelling unless pain increases.

Question 8

A client newly prescribed insulin asks why regular meals are important. What is the best explanation?

Accepted Answer

Meals help prevent blood sugar from dropping too low.

Answer

Skipping meals helps the insulin work better.

Answer

Regular meals prevent weight gain.

Answer

Meals prevent insulin from wearing off.

Question 9

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

Accepted Answer

Assess the incision and notify the provider.

Answer

Apply cold compresses immediately.

Answer

Encourage scratching the incision.

Answer

Ignore the symptoms until fever appears.

A client with pneumonia has a productive cough and reports that mucus is difficult to expel.What should the nurse encourage?