NCLEX-PN Test #3

Question 1

While caring for a client with anemia, the nurse notes increasing fatigue and pale skin. What should the nurse do first?

Accepted Answer

Assess the client’s vital signs.

Answer

Offer the client a warm blanket.

Answer

Encourage the client to increase activity.

Answer

Provide a high-calorie snack.

Question 2

A client with hypertension states they stopped taking their medication because they felt fine. What is the nurse’s best response?

Accepted Answer

Explain that hypertension may have no symptoms but still needs treatment.

Answer

Tell them to restart the medication when symptoms return.

Answer

Advise them to double the dose for missed days.

Answer

Recommend stopping medication permanently.

Question 3

A client receiving IV fluids complains of swelling and pain at the IV site. What should the nurse do first?

Accepted Answer

Stop the IV infusion immediately.

Answer

Increase the IV rate to flush the line.

Answer

Apply heat to the IV site.

Answer

Ask the client to move their arm more.

Question 4

The nurse is reinforcing teaching for a client starting iron supplements. Which statement shows understanding?

Accepted Answer

I may have dark stools while taking this medication.

Answer

I should take this medication with dairy products.

Answer

I should stop taking it if constipation occurs.

Answer

It must always be taken on a completely empty stomach.

Question 5

A client with asthma begins to wheeze after activity. What is the nurse’s priority action?

Accepted Answer

Administer the prescribed rescue inhaler.

Answer

Offer warm water to relax airway muscles.

Answer

Encourage deep breathing exercises.

Answer

Lower the head of the bed.

Question 6

A client with dehydration is receiving IV fluids. Which finding indicates improvement?

Accepted Answer

Moist oral mucous membranes.

Answer

Dark, concentrated urine.

Answer

Weak, rapid pulse.

Answer

Increased thirst.

Question 7

A client receiving antibiotics develops watery diarrhea. What should the nurse do first?

Accepted Answer

Report the symptom to the healthcare provider.

Answer

Encourage increased dairy intake.

Answer

Provide an antidiarrheal medication immediately.

Answer

Stop all medications without instruction.

Question 8

A client with a urinary tract infection reports burning during urination. What should the nurse encourage?

Accepted Answer

Increase oral fluid intake.

Answer

Limit all fluids until symptoms improve.

Answer

Avoid all warm beverages.

Answer

Begin taking leftover antibiotics at home.

Question 9

During wound care, the nurse notices yellow drainage. What should the nurse do first?

Accepted Answer

Document the color, odor, and amount of drainage.

Answer

Remove all dressings and leave the wound open.

Answer

Apply ice directly to the wound.

Answer

Stop wound care completely.