NCLEX-PN Test #22 Flashcards
6 cards from real NCLEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 NCLEX-PN Test #22 flashcards as text
A nurse is caring for a client with cirrhosis who is experiencing ascites. Which dietary modification should the nurse anticipate?
Answer: Sodium-restricted diet
Sodium restriction is the primary dietary modification for ascites because sodium retention contributes to fluid accumulation in the peritoneal cavity.
A client is prescribed lithium carbonate for bipolar disorder. Which laboratory value requires the nurse to hold the medication and notify the provider?
Answer: Serum lithium level of 2.1 mEq/L
A serum lithium level of 2.1 mEq/L exceeds the therapeutic range (0.6-1.2 mEq/L) and indicates lithium toxicity.
A nurse is reinforcing teaching with a client newly diagnosed with glaucoma. Which statement by the client indicates effective teaching?
Answer: I need to use my prescribed eye drops consistently to control eye pressure
Glaucoma requires lifelong medication compliance to maintain controlled intraocular pressure and prevent optic nerve damage.
A client with an indwelling urinary catheter develops a temperature of 101.8°F (38.8°C) and cloudy, foul-smelling urine. Which action should the nurse take first?
Answer: Encourage increased fluid intake and notify the provider
Cloudy, foul-smelling urine with fever suggests a catheter-associated urinary tract infection (CAUTI). The nurse should encourage fluids and notify the provider for further orders.
A practical nurse is assisting with the care of a neonate born at 34 weeks gestation. Which assessment finding warrants immediate intervention?
Answer: Nasal flaring and grunting with respirations
Nasal flaring and grunting are signs of respiratory distress in a neonate and require immediate intervention to prevent deterioration.
A nurse is reinforcing teaching about osteoporosis prevention with a postmenopausal client. Which recommendation is most appropriate?
Answer: Take calcium and vitamin D supplements as prescribed and perform weight-bearing exercises
Calcium, vitamin D supplementation, and weight-bearing exercise are the cornerstone recommendations for osteoporosis prevention.