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

Oxygen therapy, especially when delivered via nasal cannula, can have a drying effect on the nasal passages and mucous membranes, leading to discomfort, irritation, and potential tissue breakdown. Adding humidity to the oxygen flow helps to moisten the inspired air, preventing dryness and maintaining the integrity of the nasal mucosa. This is the most appropriate initial intervention.

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

Feeling lightheaded after starting a new blood pressure medication suggests a potential drop in blood pressure, possibly orthostatic hypotension. The nurse's best initial action is to check the client's blood pressure to confirm hypotension. This objective assessment provides crucial data to determine the severity of the issue and guide appropriate interventions, such as notifying the provider or adjusting the medication.

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

Increasing pain unrelieved by medication in a new cast is a red flag for potential complications like compartment syndrome or neurovascular compromise. The nurse's first action must be to perform a thorough neurovascular assessment (checking circulation, movement, and sensation) to identify any emergent issues. This assessment is critical for preventing irreversible tissue damage.

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

Many liquid medications, especially suspensions, contain medication particles that can settle at the bottom of the bottle over time. Shaking the bottle before each dose ensures that the medication is evenly distributed throughout the liquid. This guarantees that the client receives the correct and consistent dosage with every administration, maximizing therapeutic effect.

Question 5

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

Accepted Answer

Encourage increased fluid intake.

Answer

Increased fluid intake helps to thin thick respiratory secretions, making them less viscous and easier for the client to cough up and clear from their airways. This intervention improves airway patency, reduces the effort of breathing, and can prevent further complications from retained secretions. Hydration is a key component of respiratory care for thick sputum.

NCLEX Practice Test

NCLEX Practice Test

NCLEX-PN Test #6