Lippincott Style NCLEX Practice Questions
Lippincott-style NCLEX practice Q&A: Covers heart failure, furosemide, hypokalemia, warfarin safety, and critical nursing assessments. Perfect for clinical judgment and exam prep.
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Lippincott-Style NCLEX Practice Questions
Question 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/L
B. Blood pressure of 110/70 mmHg
C. Heart rate of 80 bpm
□. Reports of nausea
Question 2: A nurse is educating a client on warfarin therapy. Which statement indicates a
need 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/L
B. Blood pressure of 110/70 mmHg
C. Heart rate of 80 bpm
D. Reports of nausea
Question 4: A client with diabetes mellitus reports shakiness and confusion. The nurse
should first: (Variation 1) (Select all that apply)
A Check the client's blood glucose
B. Administer insulin
C. Give a high-protein snack
D. Encourage fluids
Question 5: A nurse is assessing a client with chronic obstructive pulmonary disease
(COPD). Which finding is most concerning? (Variation 5)
A Barrel-shaped chest
B. Clubbing of fingers
C. Oxygen saturation of 88%
D. Respiratory rate of 22 breaths/min
Question 6: A nurse is caring for a client with pneumonia. Which nursing intervention is the
priority? (Variation 9) (Which intervention is the priority?)
A Encourage oral fluids
Question 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/L
B. Blood pressure of 110/70 mmHg
C. Heart rate of 80 bpm
□. Reports of nausea
Question 2: A nurse is educating a client on warfarin therapy. Which statement indicates a
need 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/L
B. Blood pressure of 110/70 mmHg
C. Heart rate of 80 bpm
D. Reports of nausea
Question 4: A client with diabetes mellitus reports shakiness and confusion. The nurse
should first: (Variation 1) (Select all that apply)
A Check the client's blood glucose
B. Administer insulin
C. Give a high-protein snack
D. Encourage fluids
Question 5: A nurse is assessing a client with chronic obstructive pulmonary disease
(COPD). Which finding is most concerning? (Variation 5)
A Barrel-shaped chest
B. Clubbing of fingers
C. Oxygen saturation of 88%
D. Respiratory rate of 22 breaths/min
Question 6: A nurse is caring for a client with pneumonia. Which nursing intervention is the
priority? (Variation 9) (Which intervention is the priority?)
A Encourage oral fluids
B. Obtain a sputum culture
C. Administer oxygen therapy
D. Monitor temperature
Question 7: A nurse is assessing a client with chronic obstructive pulmonary disease
(COPD). Which finding is most concerning? (Variation 8) (Select ail that apply)
A. Barrel-shaped chest
B. Clubbing of fingers
C. Oxygen saturation of 88%
D. Respiratory rate of 22 breath s/min
Question 8: A nurse is educating a client on warfarin therapy. Which statement indicates a
need 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: A nurse is assessing a client with chronic obstructive pulmonary disease
(COPD). Which finding is most concerning? (Variation 19)
A. Barrel-shaped chest
B. Clubbing of fingers
C. Oxygen saturation of 88%
D. Respiratory rate of 22 breaths/min
Question 10: A nurse is educating a client on warfarin therapy. Which statement indicates a
need 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 nurse
should first: (Variation 6) (Which intervention is the priority?)
A Check the client's blood glucose
B. Administer insulin
C. Give a high-protein snack
D. Encourage fluids
Question 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
C. Administer oxygen therapy
D. Monitor temperature
Question 7: A nurse is assessing a client with chronic obstructive pulmonary disease
(COPD). Which finding is most concerning? (Variation 8) (Select ail that apply)
A. Barrel-shaped chest
B. Clubbing of fingers
C. Oxygen saturation of 88%
D. Respiratory rate of 22 breath s/min
Question 8: A nurse is educating a client on warfarin therapy. Which statement indicates a
need 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: A nurse is assessing a client with chronic obstructive pulmonary disease
(COPD). Which finding is most concerning? (Variation 19)
A. Barrel-shaped chest
B. Clubbing of fingers
C. Oxygen saturation of 88%
D. Respiratory rate of 22 breaths/min
Question 10: A nurse is educating a client on warfarin therapy. Which statement indicates a
need 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 nurse
should first: (Variation 6) (Which intervention is the priority?)
A Check the client's blood glucose
B. Administer insulin
C. Give a high-protein snack
D. Encourage fluids
Question 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
B. Blood pressure of 110/70 mmHg
C. Heart rate of 80 bpm
D. Reports of nausea
Question 13: A client with diabetes mellitus reports shakiness and confusion. The nurse
should first: (Variation 15) (Select all that apply)
A Check the client's blood glucose
B. Administer insulin
C. Give a high-protein snack
□. Encourage fluids
Question 14: A nurse is educating a client on warfarin therapy. Which statement indicates a
need 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.1
Question 15: A client with diabetes mellitus reports shakiness and confusion. The nurse
should first: (Variation 20) (Which task should the nurse delegate?)
A Check the client's blood glucose
B. Administer insulin
C. Give a high-protein snack
D. Encourage fluids
Question 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/L
B. Blood pressure of 110/70 mmHg
C. Heart rate of 80 bpm
□. Reports of nausea
Question 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/L
B. Blood pressure of 110/70 mmHg
C. Heart rate of 80 bpm
D. Reports of nausea
Question 18: A nurse is educating a client on warfarin therapy. Which statement indicates a
need for further teaching? (Variation 2)
A 'I will avoid green leafy vegetables.'
C. Heart rate of 80 bpm
D. Reports of nausea
Question 13: A client with diabetes mellitus reports shakiness and confusion. The nurse
should first: (Variation 15) (Select all that apply)
A Check the client's blood glucose
B. Administer insulin
C. Give a high-protein snack
□. Encourage fluids
Question 14: A nurse is educating a client on warfarin therapy. Which statement indicates a
need 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.1
Question 15: A client with diabetes mellitus reports shakiness and confusion. The nurse
should first: (Variation 20) (Which task should the nurse delegate?)
A Check the client's blood glucose
B. Administer insulin
C. Give a high-protein snack
D. Encourage fluids
Question 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/L
B. Blood pressure of 110/70 mmHg
C. Heart rate of 80 bpm
□. Reports of nausea
Question 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/L
B. Blood pressure of 110/70 mmHg
C. Heart rate of 80 bpm
D. Reports of nausea
Question 18: A nurse is educating a client on warfarin therapy. Which statement indicates a
need for further teaching? (Variation 2)
A 'I will avoid green leafy vegetables.'
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