NCLEX-PN Test #2

Question 1

A client with Type 2 diabetes becomes sweaty and shaky during morning care. What should the nurse do first?

Accepted Answer

Give the client a source of fast-acting sugar.

Answer

Call dietary to send the client’s breakfast tray.

Answer

Have the client lie down and rest.

Answer

Check the client’s urine for ketones.

Question 2

A client prescribed furosemide reports leg cramps. Which assessment is most important?

Accepted Answer

Assess the client for possible hypokalemia.

Answer

Ask the client about daily exercise habits.

Answer

Evaluate the client’s hydration level only.

Answer

Encourage increased protein intake.

Question 3

The nurse is caring for a client on contact precautions. Which action is necessary?

Accepted Answer

Wear gloves and gown upon entering the room.

Answer

Keep the door closed at all times.

Answer

Wear only a mask for protection.

Answer

Place the client in a negative-pressure room.

Question 4

A client receiving morphine IV develops slow respirations. What is the priority action?

Accepted Answer

Stop the opioid infusion and assess respirations.

Answer

Increase the infusion rate of the opioid.

Answer

Encourage the client to cough deeply.

Answer

Provide warm fluids to stimulate breathing.

Question 5

Which sign indicates that a client with pneumonia is improving?

Accepted Answer

Increased oxygen saturation and reduced coughing.

Answer

More frequent productive coughing episodes.

Answer

Rising temperature throughout the day.

Answer

Increasing fatigue with minimal activity.

Question 6

A client receiving a blood transfusion develops chills and fever. What is the nurse’s first action?

Accepted Answer

Stop the transfusion immediately.

Answer

Increase the infusion rate to complete the blood quickly.

Answer

Give the client warm blankets.

Answer

Call the laboratory to request another unit.

Question 7

The nurse prepares to administer an intramuscular injection to an adult. Which site is preferred?

Accepted Answer

Ventrogluteal site.

Answer

Dorsogluteal site.

Answer

Upper outer triceps.

Answer

Anterior thigh only.

Question 8

A client with heart failure reports sudden weight gain. What should the nurse do?

Accepted Answer

Report the weight gain to the provider.

Answer

Encourage the client to increase sodium intake.

Answer

Advise more frequent rest periods.

Answer

Have the client drink more fluids.

Question 9

Before giving an antibiotic, which action is most important?

Accepted Answer

Collect ordered cultures before administration.

Answer

Check the client’s vaccination record.

Answer

Ask the client to fast before the dose.

Answer

Administer all other medications first.