NCLEX-PN Test #6

Question 1

The nurse notes that a client receiving oxygen by nasal cannula has dry nasal passages. What should the nurse do first?

Accepted Answer

Add humidity to the client’s oxygen.

Answer

Lower the client’s oxygen flow rate.

Answer

Encourage the client to drink coffee.

Answer

Apply petroleum jelly inside the nostrils.

Question 2

A client taking a new blood pressure medication reports feeling lightheaded. What is the nurse’s best initial action?

Accepted Answer

Check the client’s blood pressure.

Answer

Encourage vigorous exercise.

Answer

Stop the medication immediately.

Answer

Give the client a salty snack.

Question 3

A client with a new leg cast reports increasing pain unrelieved by medication. What should the nurse do first?

Accepted Answer

Assess circulation, movement, and sensation.

Answer

Apply ice directly inside the cast.

Answer

Elevate the leg above the heart without assessment.

Answer

Reassure the client this is normal.

Question 4

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

Accepted Answer

I will shake the bottle before each dose.

Answer

I should store it on a sunny windowsill.

Answer

I will stop the medication when I feel better.

Answer

I will mix it with alcohol for better taste.

Question 5

A client with a respiratory infection has thick sputum. Which intervention is most helpful?

Accepted Answer

Encourage increased fluid intake.

Answer

Reduce all fluid intake until coughing stops.

Answer

Have the client lie flat during coughing.

Answer

Limit the client’s movement.

Question 6

The nurse is caring for a client who has not had a bowel movement in three days. Which action should the nurse take first?

Accepted Answer

Assess bowel sounds in all four quadrants.

Answer

Administer a laxative without assessment.

Answer

Encourage the client to ignore the symptoms.

Answer

Place the client on fluid restriction.

Question 7

A client with diabetes reports cold, clammy skin and shakiness. What should the nurse do first?

Accepted Answer

Provide a fast-acting carbohydrate source.

Answer

Have the client perform deep breathing exercises.

Answer

Encourage the client to take their insulin early.

Answer

Offer a high-protein meal only.

Question 8

A postoperative client reports nausea. What should the nurse do first?

Accepted Answer

Assess the severity and frequency of the nausea.

Answer

Give a large meal immediately.

Answer

Lower the head of the bed completely.

Answer

Ignore the complaint until vomiting occurs.

Question 9

While reviewing wound care instructions, the client asks how often to change the dressing. What should the nurse say?

Accepted Answer

Follow the frequency ordered by your healthcare provider.

Answer

Change the dressing every hour for cleanliness.

Answer

Only change the dressing when it is completely falling off.

Answer

Never replace the dressing once it is applied.

The nurse notes that a client receiving oxygen by nasal cannula has dry nasal passages.What should the nurse do first?