NCLEX-RN Quiz #1 A client is admitted with diabetic ketoacidosis (DKA). Which of the following interventions should the nurse prioritize? A) Administer IV insulin
B) Monitor blood glucose hourly
C) Start an IV of normal saline
D) Provide a high-carbohydrate diet
Show Answer Correct Answer: Start an IV of normal saline
A client is receiving furosemide for heart failure. Which electrolyte imbalance should the nurse monitor for? A) Hypercalcemia
B) Hyperkalemia
C) Hypokalemia
D) Hypermagnesemia
Show Answer Correct Answer: Hypokalemia
What is the priority nursing action for a client who begins experiencing a tonic-clonic seizure? A) Insert a bite block
B) Restrain the client to prevent injury
C) Turn the client to the side
D) Administer oxygen immediately
Show Answer Correct Answer: Turn the client to the side
Which symptom is most indicative of right-sided heart failure? A) Crackles in the lungs
B) Peripheral edema
C) Decreased oxygen saturation
D) Cough with frothy sputum
Show Answer Correct Answer: Peripheral edema
The nurse is assessing a client with a chest tube. What finding requires immediate intervention? A) Continuous bubbling in the water seal chamber
B) Drainage of 50 mL/hour
C) Fluctuation in the water seal chamber with inspiration
D) Mild pain at the insertion site
Show Answer Correct Answer: Continuous bubbling in the water seal chamber
A client is scheduled for a colonoscopy. Which of the following dietary instructions should the nurse provide? A) Consume a clear liquid diet the day before the procedure
B) Avoid all fluids for 12 hours before the procedure
C) Follow a high-fiber diet two days before the procedure
D) Eat normally the day of the procedure
Show Answer Correct Answer: Consume a clear liquid diet the day before the procedure
What is the priority assessment for a client receiving morphine for pain management? A) Heart rate
B) Respiratory rate
C) Blood pressure
D) Level of consciousness
Show Answer Correct Answer: Respiratory rate
A client with pneumonia has an SpO2 of 88% on room air. What is the nurse's first action? A) Increase fluid intake
B) Administer oxygen therapy
C) Perform chest physiotherapy
D) Raise the head of the bed
Show Answer Correct Answer: Administer oxygen therapy
Which of the following is an early sign of hypoxia? A) Cyanosis
B) Bradycardia
C) Restlessness
D) Decreased urine output
Show Answer Correct Answer: Restlessness
A client with hypothyroidism is prescribed levothyroxine. Which instruction should the nurse include? A) Take the medication with food
B) Avoid taking calcium supplements within 4 hours
C) Take the medication at bedtime
D) Increase fluid intake to prevent dehydration
Show Answer Correct Answer: Avoid taking calcium supplements within 4 hours
