1
Exam Cram NCLEX-PN PRACTICE
QUESTIONS and Answers| Graded A+
the nurse is caring for a client scheduled for removal of
a pituitary tumor using the transsphenoidal approach.
the nurse should be particularly alert to:
A. Nasal congestion
B. Abdominal Tenderness
C. Muscle Tetany
D. Oliguria - Correct Answer-A. Nasal congestion
why?
removal of the pituitary gland is usually done by
transsphernoidal approach through the nose. Nasal
congestion further interferes with the airway.
A client with cancer is a, admitted to the oncology
unit. Stat lab values revel Hgb 12.6, WBC 6500, K+1.9,
uric acid 7.0, Na+136, and platelets 178,000. The nurse
evaluates that the client is experiencing which of the
following?
1
, 2
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis - Correct Answer-B. Hypokalemia
why?
Hypokalemia is evident from the lab values listed. The
other laboratory findings are within normal limits.
making answers A,C and D incorrect
A 24 year-old female client is scheduled for surgery in
the morning. Which of the following is the primary
responsibility of the nurse?
A. taking the vital signs
B. obtaining the permit
C. explaining the procedure
D. Checking the lab work - Correct Answer-A. taking
the vital signs
why?
2
, 3
the primary responisblity of the nurse is to take the
vital signs before any surgery.
answers B,C and D are the responsibility of the doctor.
The nurse is working in the emergency room when a
client arrives with severe burns of the left arm, hands,
face, and neck. which action should receive priority?
A. starting an IV?
B. Applying oxygen
C.Obtaining blood gas
D. Medicating the client foe pain - Correct Answer-B.
Applying oxygen
why?
the client with burns to the neck needs airway
assessments and supplemental oxygen, so applying
oxygen is priority. the next action should be to start an
IV and medicate for pain.
The nurse is visiting a home health client with
osteoporosis. The client has a new prescription for
3
, 4
alendronate (Fosamax). Which instructions should be
given to the client
A. rest in bed after taking the medication for at least
30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine
and taking other medications - Correct Answer-C. Take
medication with water only
why?
Fosmax should be taken with water only. The client
should also remain upright for at least 30 mins after
taking the medication.
The nurse is making initial rounds on a client with a C5
fracture and crutchfield thongs. Which equipment
should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
4
Exam Cram NCLEX-PN PRACTICE
QUESTIONS and Answers| Graded A+
the nurse is caring for a client scheduled for removal of
a pituitary tumor using the transsphenoidal approach.
the nurse should be particularly alert to:
A. Nasal congestion
B. Abdominal Tenderness
C. Muscle Tetany
D. Oliguria - Correct Answer-A. Nasal congestion
why?
removal of the pituitary gland is usually done by
transsphernoidal approach through the nose. Nasal
congestion further interferes with the airway.
A client with cancer is a, admitted to the oncology
unit. Stat lab values revel Hgb 12.6, WBC 6500, K+1.9,
uric acid 7.0, Na+136, and platelets 178,000. The nurse
evaluates that the client is experiencing which of the
following?
1
, 2
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis - Correct Answer-B. Hypokalemia
why?
Hypokalemia is evident from the lab values listed. The
other laboratory findings are within normal limits.
making answers A,C and D incorrect
A 24 year-old female client is scheduled for surgery in
the morning. Which of the following is the primary
responsibility of the nurse?
A. taking the vital signs
B. obtaining the permit
C. explaining the procedure
D. Checking the lab work - Correct Answer-A. taking
the vital signs
why?
2
, 3
the primary responisblity of the nurse is to take the
vital signs before any surgery.
answers B,C and D are the responsibility of the doctor.
The nurse is working in the emergency room when a
client arrives with severe burns of the left arm, hands,
face, and neck. which action should receive priority?
A. starting an IV?
B. Applying oxygen
C.Obtaining blood gas
D. Medicating the client foe pain - Correct Answer-B.
Applying oxygen
why?
the client with burns to the neck needs airway
assessments and supplemental oxygen, so applying
oxygen is priority. the next action should be to start an
IV and medicate for pain.
The nurse is visiting a home health client with
osteoporosis. The client has a new prescription for
3
, 4
alendronate (Fosamax). Which instructions should be
given to the client
A. rest in bed after taking the medication for at least
30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine
and taking other medications - Correct Answer-C. Take
medication with water only
why?
Fosmax should be taken with water only. The client
should also remain upright for at least 30 mins after
taking the medication.
The nurse is making initial rounds on a client with a C5
fracture and crutchfield thongs. Which equipment
should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
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