NCLEX-PN Test #7

Question 1

While assessing a client with dehydration, the nurse notes poor skin turgor. What should the nurse do first?

Accepted Answer

Assess the client’s vital signs.

Answer

Restrict all fluid intake.

Answer

Encourage caffeinated beverages.

Answer

Apply warm packs to the skin.

Question 2

A client prescribed a beta blocker reports feeling unusually tired. What should the nurse do first?

Accepted Answer

Check the client’s apical pulse.

Answer

Stop the medication immediately.

Answer

Encourage strenuous exercise.

Answer

Tell the client to ignore the fatigue.

Question 3

A client with a gastrostomy tube reports nausea during the feeding. What should the nurse do first?

Accepted Answer

Pause the tube feeding immediately.

Answer

Increase the feeding rate.

Answer

Place the client in a flat position.

Answer

Flush the tube with a large volume of water.

Question 4

A client with hypothyroidism reports feeling unusually cold. Which explanation should the nurse provide?

Accepted Answer

Cold intolerance is expected due to a slowed metabolism.

Answer

It indicates the thyroid medication is working too quickly.

Answer

It means the client should stop all medications.

Answer

It indicates dehydration and low fluid intake.

Question 5

A client receiving an opioid reports intense itching. What should the nurse do first?

Accepted Answer

Assess the severity of the itching.

Answer

Stop the opioid immediately without evaluation.

Answer

Give another opioid to counteract itching.

Answer

Ignore the symptom unless a rash appears.

Question 6

A diabetic client asks why foot care is important. What is the nurse’s best explanation?

Accepted Answer

Reduced sensation increases the risk of injury and infection.

Answer

Feet must stay completely dry at all times.

Answer

Toenails should be cut very short regularly.

Answer

Walking barefoot helps toughen the skin.

Question 7

A postoperative client reports increasing incisional pain. What should the nurse do first?

Accepted Answer

Inspect the surgical incision.

Answer

Double the client’s pain medication dose.

Answer

Have the client ambulate immediately.

Answer

Apply ice without assessment.

Question 8

A client with a urinary catheter develops cloudy, foul-smelling urine. What should the nurse do first?

Accepted Answer

Report findings to the healthcare provider.

Answer

Remove the catheter immediately without instructions.

Answer

Tell the client this is normal urine appearance.

Answer

Increase the catheter drainage bag height.

Question 9

A client receiving steroids asks why blood glucose monitoring is required. What is the nurse’s best response?

Accepted Answer

Steroids can raise blood glucose levels.

Answer

Steroids always lower blood glucose levels.

Answer

Monitoring is only necessary at bedtime.

Answer

Monitoring prevents weight gain.

While assessing a client with dehydration, the nurse notes poor skin turgor.What should the nurse do first?