NCLEX PN Practice Exam

1. The nurse is caring for a client following an appendectomy. The client reports nausea and complains of surgical site pain at a 6 on a 0 to 10 scale. The client's employer is present in the room and states he is paying for the insurance and wants to know what pain medication has been prescribed by the physician. Which of the following is the appropriate nurse response? A. Answer any questions the employer may have as he pays for the insurance. B. Tell the employer his question is inappropriate and that the information is none of his business. C. Explain to the employer that you cannot release private information and ask the employer to step out while you conduct your assessment of the client. D. Ask the employer to leave and wait until the client returns home to visit. 2. The nurse is caring for a client with a history of advanced chronic obstructive pulmonary disease (COPD). The client had conventional gallbladder surgery 2 days previously. Which intervention has priority for preventing respiratory complications? A. Incentive spirometry every 4 hours. B. Coughing and deep breathing four times daily. C. Getting the client out of bed 4 times daily as ordered by the physician. D. Giving oxygen at 4 L/minute according to the physician's order.