NCLEX-PN Test #8

Question 1

A client with hypertension reports a persistent dry cough after starting an ACE inhibitor. What should the nurse do?

Accepted Answer

Report the symptom to the healthcare provider.

Answer

Advise the client to double the dose.

Answer

Instruct the client to stop the medication immediately.

Answer

Encourage drinking carbonated beverages.

Question 2

A client with chronic kidney disease reports decreased urine output. What should the nurse do first?

Accepted Answer

Review the client’s intake and output record.

Answer

Restrict all oral fluids immediately.

Answer

Encourage high-protein supplements.

Answer

Ignore the finding unless edema appears.

Question 3

During morning rounds, a client with COPD appears more lethargic than usual. What should the nurse do first?

Accepted Answer

Check the client’s oxygen saturation level.

Answer

Offer a caffeinated beverage.

Answer

Lower the client’s oxygen flow rate.

Answer

Encourage vigorous activity.

Question 4

A client with a fever is prescribed acetaminophen. Which teaching is most important?

Accepted Answer

Avoid taking more than the recommended daily dose.

Answer

Take it only on an empty stomach.

Answer

Store it in a warm environment.

Answer

Always take it with caffeinated beverages.

Question 5

The nurse is caring for a client at risk for pressure injuries. Which action is most important?

Accepted Answer

Reposition the client at least every two hours.

Answer

Use only plastic pads under the client.

Answer

Keep the client in the same position for comfort.

Answer

Apply lotion every hour instead of repositioning.

Question 6

A client who recently began antidepressant therapy reports increased energy but persistent sadness. What is the nurse’s priority?

Accepted Answer

Notify the healthcare provider immediately.

Answer

Encourage the client to exercise vigorously.

Answer

Tell the client they should feel better within hours.

Answer

Advise the client to skip doses occasionally.

Question 7

A client with diabetes asks why foot inspections are necessary. What is the nurse’s best response?

Accepted Answer

You may not feel injuries due to decreased sensation in your feet.

Answer

Inspecting your feet prevents all infections completely.

Answer

Foot care is optional if your blood sugar is normal.

Answer

Walking barefoot strengthens your foot muscles.

Question 8

A client receiving IV antibiotics suddenly develops hives. What should the nurse do first?

Accepted Answer

Stop the IV infusion immediately.

Answer

Increase the infusion rate.

Answer

Ask the client to take deep breaths.

Answer

Continue the infusion until symptoms worsen.

Question 9

A postoperative client reports severe abdominal pain that is increasing. What should the nurse do first?

Accepted Answer

Assess the client’s abdomen for tenderness and distention.

Answer

Offer a strong pain medication first.

Answer

Have the client ambulate immediately.

Answer

Ignore the pain unless vomiting occurs.

A client with hypertension reports a persistent dry cough after starting an ACE inhibitor.What should the nurse do?