NCLEX-PN Test #20

Question 1

A client taking a diuretic reports new dizziness when standing. What should the nurse do first?

Accepted Answer

Check the client's blood pressure standing and sitting.

Answer

Provide a salty snack.

Answer

Encourage vigorous exercise.

Answer

Advise drinking less water.

Question 2

A client with an upper respiratory infection reports ear pain and decreased hearing. What should the nurse do first?

Accepted Answer

Assess the client’s ear for signs of infection.

Answer

Encourage chewing hard foods.

Answer

Advise lying flat until pain improves.

Answer

Ignore the complaint unless fever rises.

Question 3

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

Accepted Answer

Check the client’s respiratory rate.

Answer

Provide additional opioid medication.

Answer

Offer a caffeinated drink.

Answer

Have the client walk around.

Question 4

A diabetic client reports increased thirst and frequent urination. What should the nurse do?

Accepted Answer

Check the client’s blood glucose level.

Answer

Restrict fluid intake.

Answer

Give a sugary snack.

Answer

Tell the client to skip the next insulin dose.

Question 5

A postoperative client has not passed gas for two days. What should the nurse do first?

Accepted Answer

Auscultate bowel sounds in all quadrants.

Answer

Provide a laxative immediately.

Answer

Restrict oral fluids.

Answer

Encourage the client to remain in bed.

Question 6

A client prescribed a corticosteroid reports mood swings. What should the nurse tell the client?

Accepted Answer

Mood changes are a common side effect of this medication.

Answer

Stop taking the medication immediately.

Answer

Double the dose to stabilize mood.

Answer

Avoid all physical activity.

Question 7

A client receiving IV therapy reports burning at the IV site. What should the nurse do first?

Accepted Answer

Inspect the IV site for redness and swelling.

Answer

Increase the IV flow rate.

Answer

Tape the site more tightly.

Answer

Ignore the discomfort.

Question 8

The nurse is reinforcing teaching for a client prescribed a bronchodilator. Which statement shows understanding?

Accepted Answer

I will use this medication when I feel short of breath.

Answer

I will take it only before bed.

Answer

I should stop taking it if tremors occur.

Answer

I will share it with a family member if needed.

Question 9

During assessment, the nurse notices a client has a new productive cough with yellow-green sputum. What should the nurse do?

Accepted Answer

Notify the healthcare provider.

Answer

Encourage holding the cough in.

Answer

Decrease fluid intake.

Answer

Tell the client this is normal.

A client taking a diuretic reports new dizziness when standing.What should the nurse do first?