Lippincott Style NCLEX Practice Questions

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Lippincott-Style NCLEX Practice QuestionsQuestion 1: A nurse is caring for a client with heart failure who is receiving furosemide.Which assessment finding requires immediate action? (Variation 12) (Select all that apply)A Potassium level of 3.0 mEq/LB. Blood pressure of 110/70 mmHgC. Heart rate of 80 bpm□. Reports of nauseaQuestion 2: A nurse is educating a client on warfarin therapy. Which statement indicates aneed for further teaching? (Variation 8)A 'I will avoid green leafy vegetables.'B. 'I will use an electric razor to shave.'C. 'I will take ibuprofen for headaches.'D. 'I will have regular blood tests to monitor my INR.'Question 3: A nurse is caring for a client with heart failure who is receiving furosemide.Which assessment finding requires immediate action? (Variation 18)A Potassium level of 3.0 mEq/LB. Blood pressure of 110/70 mmHgC. Heart rate of 80 bpmD. Reports of nauseaQuestion 4: A client withdiabetes mellitusreports shakiness andconfusion. Thenurseshould first: (Variation 1) (Select all that apply)A Check the client's blood glucoseB. Administer insulinC. Give a high-protein snackD. Encourage fluidsQuestion5: Anurseisassessinga clientwithchronicobstructivepulmonarydisease(COPD). Which finding is most concerning? (Variation 5)A Barrel-shaped chestB. Clubbing of fingersC. Oxygen saturation of 88%D. Respiratory rate of 22 breaths/minQuestion 6: A nurse is caring for a client with pneumonia. Which nursing intervention is thepriority? (Variation 9) (Which intervention is the priority?)A Encourage oral fluids

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B. Obtain a sputum cultureC. Administer oxygen therapyD. Monitor temperatureQuestion 7:Anurseisassessinga clientwithchronicobstructivepulmonarydisease(COPD). Which finding is most concerning? (Variation 8) (Select ail that apply)A.Barrel-shaped chestB. Clubbing of fingersC. Oxygen saturation of 88%D. Respiratory rate of 22 breaths/minQuestion 8: A nurse is educating a client on warfarin therapy. Which statement indicates aneed for further teaching? (Variation 6) (Which task should the nurse delegate?)A 'I will avoid green leafy vegetables.'B. ’I will use an electric razor to shave/C. 1 will take ibuprofen for headaches.’D. 1 will have regular blood tests to monitor my INR.'Question 8:Anurseisassessinga clientwithchronicobstructivepulmonarydisease(COPD). Which finding is most concerning? (Variation 19)A. Barrel-shaped chestB. Clubbing of fingersC. Oxygen saturation of 88%D. Respiratory rate of 22 breaths/minQuestion 10: A nurse is educating a client on warfarin therapy. Which statement indicates aneed for further teaching? (Variation 12} (Select all that apply)A 'I will avoid green leafy vegetables.'B. 'I will use an electric razor to shave.'C. 1 will take ibuprofen for headaches.’D. ’I will have regular blood tests to monitor my INR.'Question 11: A client with diabetes mellitus reports shakiness and confusion. The nurseshould first: (Variation 6) (Which intervention is the priority?)A Check the client's blood glucoseB. Administer insulinC. Give a high-protein snackD. Encourage fluidsQuestion 12: A nurse is caring for a client with heart failure who is receiving furosemide.Which assessment finding requires immediate action? (Variation 14)A Potassium level of 3.0 mEq/L

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B. Blood pressure of 110/70 mmHgC. Heart rate of 80 bpmD. Reports of nauseaQuestion 13: A client with diabetes mellitus reports shakiness and confusion. The nurseshould first: (Variation 15) (Select all that apply)A Check the client's blood glucoseB. Administer insulinC. Give a high-protein snack□. Encourage fluidsQuestion 14: A nurse is educating a client on warfarin therapy. Which statement indicates aneed for further teaching? (Variation 13)A 'I will avoid green leafy vegetables.'B ’I will use an electric razor to shave/C. 'I will take ibuprofen for headaches/□. 'I will have regular blood tests to monitor my INR.1Question 15: A client with diabetes mellitus reports shakiness and confusion. The nurseshould first: (Variation 20) (Which task should the nurse delegate?)A Check the client's blood glucoseB. Administer insulinC. Give a high-protein snackD. Encourage fluidsQuestion 16: A nurse is caring for a client with heart failure who is receiving furosemide.Which assessment finding requires immediate action? (Variation 4) (Select all that apply)A Potassium level of 3.0 mEq/LB. Blood pressure of 110/70 mmHgC. Heart rate of 80 bpm□. Reports of nauseaQuestion 17: A nurse is caring for a client with heart failure who is receiving furosemide.Which assessment finding requires immediate action? (Variation 6)A Potassium level of 3 0 mEq/LB.Bloodpressureof110/70mmHgC. Heart rate of 80 bpmD. Reports of nauseaQuestion 18: A nurse is educating a client on warfarin therapy. Which statement indicates aneed for further teaching? (Variation 2)A 'I will avoid green leafy vegetables.'

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B. 'Iwilluseanelectric razor to shave.'C. 'I will takeibuprofenfor headaches.'□. ’I will have regular blood tests to monitor my INR.'Question 19: A nurse is educating a client on warfarin therapy. Which statement indicates aneed for further teaching? (Variation 20) (Select all that apply)A 'I will avoid green leafy vegetables.'B. 'I will use an electric razor to shave/C. 1 will take ibuprofen for headaches/D. 1 will have regular blood tests to monitor my INR.'Question 20: A nurse is educating a client on warfarin therapy. Which statement indicates aneed for further teaching? (Variation 17)A 'I will avoid green leafy vegetables.'B. 'I will use an electric razor to shave/C. 'I will take ibuprofen for headaches/D. 'I will have regular blood tests to monitor my INR/Question 21: A nurse is caring for a client with pneumonia. Which nursing intervention is thepriority? (Variation 2) (Which intervention is the priority?)A Encourage oral fluidsB. Obtain a sputum cultureC. Administer oxygen therapy□. Monitor temperatureQuestion 22: A nurse is caring for a client with heart failure who is receiving furosemide.Which assessment finding requires immediate action? (Variation 16) (Select all that apply)A Potassium level of 3.0 mEq/LB. Blood pressure of 110/70 mmHgC. Heart rate of 80 bpmD. Reports of nauseaQuestion 23: A nurse is caring for a client with heart failure who is receiving furosemide.Which assessment finding requires immediate action? (Variation 5)A Potassium levelof 3.0mEq/LB. Blood pressure of 110/70 mmHgC. Heart rate of 80 bpmD. Reports of nauseaQuestion 24: A nurse is assessing a client with chronic obstructive pulmonary disease(COPD). Which finding is most concerning? (Variation 3)A Barrel-shaped chest

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B. Clubbing of fingersC. Oxygen saturation of 88%□. Respiratory rate of 22 breaths/minQuestion 25: A nurseis assessing a client withchronic obstructivepulmonary disease(COPD). Which finding is most concerning? (Variation 13) (Select all that apply)A Barrel-shaped chestB. ClubbingoffingersC. Oxygen saturation of 88%D. Respiratory rate of 22 breaths/minQuestion 26: A nurse is educating a client on warfarin therapy. Which statement indicates aneed for further teaching? (Variation 9) (Which intervention is the priority?)A 'I will avoid green leafy vegetables.’B. 'I will use an electric razor to shave.’C.'Iwill take ibuprofen for headaches/D.'Iwillhaveregular blood tests to monitor myINR.’Question 27: A client with diabetes mellitus reports shakiness and confusion. The nurseshould first: (Variation 9)A Check the client's blood glucoseB. AdministerinsulinC. Give a high-protein snackD. Encourage fluidsQuestion 28: A nurseis assessing a client withchronic obstructivepulmonarydisease(COPD). Which finding is most concerning? (Variation 11) (Select all that apply)A Barrel-shaped chestB. Clubbingof fingersC. Oxygen saturation of 88%D. Respiratory rate of 22 breaths/minQuestion 29: A nurse is caring for a client with pneumonia. Which nursing intervention is thepriority? (Variation 11) (Which task should the nurse delegate?)A Encourage oral fluidsB. Obtain a sputum cultureC. Administer oxygen therapyD. Monitor temperatureQuestion 30: A nurseis assessing a client withchronic obstructivepulmonarydisease(COPD). Which finding is most concerning? (Variation 15)A Barrel-shaped chest

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B. Clubbing of fingersC. Oxygen saturation of 88%D. Respiratory rate of 22 breaths/minQuestion 31: A nurseis assessing a clientwith chronic obstructivepulmonary disease(COPD). Which finding is most concerning? (Variation 17) (Select all that apply)A.Barrel-shaped chestB. Clubbing of fingersC. Oxygen saturation of 88%D. Respiratory rate of 22 breaths/minQuestion 32: A nurseis assessing a clientwith chronic obstructivepulmonary disease(COPD). Which finding is most concerning? (Variation 6)A Barrel-shaped chestB. Clubbing of fingersC. Oxygen saturation of 88%D. Respiratory rate of 22 breaths/minQuestion 33: A nurse is caring for a client with pneumonia. Which nursing intervention is thepriority? (Variation 1)A Encourage oral fluidsB. Obtain a sputum cultureC. Administer oxygen therapyD. Monitor temperatureQuestion 34: A nurse is educating a client on warfarin therapy. Which statement indicates aneed for further teaching? (Variation 15) (Select all that apply)A 'I will avoid green leafy vegetables.1B. ’I will use an electric razor to shave.1C. 'I will take ibuprofen for headaches/D. 'I will have regular blood tests to monitor my INR.1Question 35: A nurse is caring for a client with heart failure who is receiving furosemide.Which assessment finding requires immediate action? (Variation 19)A Potassium level of 3.0 mEq/LB. Blood pressure of 110/70 mmHgC. Heart rate of 80 bpmD. Reports of nauseaQuestion 36: A nurse is caring for a client with pneumonia. Which nursing intervention is thepriority? (Variation 18) (Which intervention is the priority?)A Encourage oral fluids

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