NCLEX-PN Test #12 1

Question 1

A client with chronic kidney disease has a serum potassium level of 6.2 mEq/L. Which food should the nurse instruct the client to avoid?

Accepted Answer

Baked potato with skin

Answer

White rice

Answer

Pasta with butter

Answer

Scrambled eggs

Question 2

A nurse is reviewing a client's medication list and notes the client takes warfarin. The client asks if they can take ibuprofen for a headache. What is the most appropriate response?

Accepted Answer

'You should avoid ibuprofen because it can increase your risk of bleeding when taken with warfarin.'

Answer

'Ibuprofen is safe to take with warfarin in small doses.'

Answer

'Take ibuprofen only at bedtime to reduce interaction risk.'

Answer

'Ibuprofen will reduce the effectiveness of your warfarin.'

Question 3

A nurse is performing a focused assessment on a client who reports difficulty breathing. In which order should the nurse complete the assessment? (Place in priority order: 1=first)

Accepted Answer

Measure oxygen saturation

Answer

Inspect chest rise and respiratory rate

Answer

Auscultate breath sounds

Answer

All of the above simultaneously using a systematic approach

Question 4

The nurse is teaching a client how to use a metered-dose inhaler (MDI) without a spacer. Which instruction is correct?

Accepted Answer

Hold the inhaler 1–2 inches from the open mouth, activate, and inhale slowly and deeply

Answer

Inhale quickly and forcefully after activating the inhaler

Answer

Place the inhaler mouthpiece directly in the mouth and activate while inhaling rapidly

Answer

Activate the inhaler twice in rapid succession for a full dose

Question 5

A nurse is caring for a client who had a thyroidectomy 12 hours ago. The client reports tingling around the mouth and in the fingertips. Which complication should the nurse suspect?

Accepted Answer

Hypocalcemia from accidental parathyroid removal

Answer

Thyroid storm

Answer

Hemorrhage at the surgical site

Answer

Laryngeal nerve damage

Question 6

A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is appropriate to delegate?

Accepted Answer

Measuring and recording urinary output for a stable postoperative client

Answer

Performing a focused respiratory assessment on a client with pneumonia

Answer

Educating a diabetic client about insulin injection technique

Answer

Evaluating the effectiveness of a pain medication given 30 minutes ago