NCLEX-PN Test #9

Question 1

The nurse notices that a client receiving IV fluids has swelling and coolness at the insertion site. What should the nurse do first?

Accepted Answer

Stop the IV infusion immediately.

Answer

Increase the IV flow rate.

Answer

Apply heat without assessing the site.

Answer

Ignore the finding unless pain occurs.

Question 2

A client newly diagnosed with heart failure asks why they need to limit sodium. What is the nurse’s best explanation?

Accepted Answer

Sodium increases fluid retention and worsens heart failure.

Answer

Sodium decreases blood pressure drastically.

Answer

Sodium improves muscle strength.

Answer

Sodium prevents fatigue during activity.

Question 3

A diabetic client reports blurred vision. What should the nurse do first?

Accepted Answer

Check the client’s blood glucose level.

Answer

Encourage the client to take a nap.

Answer

Provide high-sugar snacks.

Answer

Have the client stop all diabetes medications.

Question 4

A client prescribed a new antibiotic reports developing mild diarrhea. What should the nurse instruct the client to do?

Accepted Answer

Increase fluid intake to prevent dehydration.

Answer

Stop taking the antibiotic immediately.

Answer

Avoid all food until symptoms stop.

Answer

Take double the next scheduled antibiotic dose.

Question 5

The nurse is caring for a client experiencing nausea. Which intervention is most appropriate?

Accepted Answer

Offer small sips of cool clear liquids.

Answer

Encourage a heavy meal to settle the stomach.

Answer

Have the client lie completely flat.

Answer

Provide warm milk immediately.

Question 6

A client with asthma reports shortness of breath after climbing stairs. What should the nurse do first?

Accepted Answer

Administer the client’s prescribed rescue inhaler.

Answer

Provide a glass of cold water.

Answer

Encourage the client to lie flat.

Answer

Ask the client to take deep, rapid breaths.

Question 7

The nurse reviews discharge instructions with a client who has a urinary tract infection. Which statement indicates understanding?

Accepted Answer

I will finish all of my antibiotics even if I feel better.

Answer

I can stop the medication as soon as symptoms improve.

Answer

I should avoid drinking water while on antibiotics.

Answer

I will only take the antibiotics on an empty stomach.

Question 8

A postoperative client reports feeling very thirsty. What should the nurse assess first?

Accepted Answer

Assess the client’s mucous membranes.

Answer

Provide large amounts of water immediately.

Answer

Ignore the complaint since thirst is normal.

Answer

Restrict all fluids until nausea stops.

Question 9

A client taking diuretics reports muscle cramps. What should the nurse suspect?

Accepted Answer

Possible low potassium level.

Answer

Improved kidney function.

Answer

Dehydration from drinking too much water.

Answer

Normal adjustment to diuretic therapy.

The nurse notices that a client receiving IV fluids has swelling and coolness at the insertion site.What should the nurse do first?