Page 1 of 72
EXAM CRAM NCLEX-PN PRACTICE |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
A 25-year-old male is brought to the ER with a piece of metal in
his eye. Which action by the nurse is correct?
A. Use a magnet to remove the object
B. Rinse the eye thoroughly with saline
C. Cover both eyes with paper cups
D. Patch the affected eye only - ✔✔✔ Correct Answer > C. Cover
both eyes with paper cups
Why?
Covering both eyes prevents consensual movement of the
affected eye.
A client with caner is to undergo an intravenous pyelogram. The
nurse should:
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A. Force fluids 24 hours before the procedure.
B. Ask the client to void immediately before the study.
C. Hold medication that affects the central nervous system for 12
hours pre- and post-test.
D. Cover the client's reproductive organs with an x-ray shield. -
✔✔✔ Correct Answer > B. Ask the client to void immediately
before the study.
Why?
The client having an intravenous pyelogram will have orders for
laxatives of enemas so asking the client to void before the test is
in order. A full bladder or bowel can obscure the visualization of
the kidney, ureters, and urethra.
The nurse is caring for a client with a malignancy. The
classification of the primary tumor is Tis. The nurse should plan
care for a tumor:
A. That cannot be assessed
B. That is in situ
C. With increasing lymph node involvement
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D. With distant mestastasis - ✔✔✔ Correct Answer > B. That is in
situ.
Why?
Cancer in situ means that the cancer is still localized in the
primary site. Cancer is graded in terms of tumor, grade, node,
involvement, and mestatasis.
A client is 2 days post-operative colon resection. After a
coughing episode, the client's wound eviscerates. Which nursing
action is most appropriate?
A. Reinsert the protruding organ and cover with 4x4s
B. Cover the wound with a sterile 4x4 and ABD dressing
C. Cover the wound with a sterile saline-soaked dressing
D. Apply an abdominal binder and manual pressure to the wound
- ✔✔✔ Correct Answer > C. Cover the wound with a sterile
saline-soaked dressing.
Why?
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If the client eviscerates, the abdominal content should be
covered with a sterile saline-soaked dressing.
The nurse is preparing a client for surgery. Which item is most
important to remove before sending the client to surgery?
A. Hearing aid
B. Contact lenses
C. Wedding ring
D. Artificial eye - ✔✔✔ Correct Answer > B. Contact lenses
Why?
It is most important to remove the contact lenses because
leaving them in can lead to corneal drying, particularly with
contact lenses that are not extended wear lenses.
The nurse on the 3-11 shift is assessing the chart of a client with
an abdominal aneurysm scheduled for surgery in the morning
and finds that the consent form has been signed, but the client is
unclear about the surgery and possible complications. Which is
the most appropriate action?
EXAM CRAM NCLEX-PN PRACTICE |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
A 25-year-old male is brought to the ER with a piece of metal in
his eye. Which action by the nurse is correct?
A. Use a magnet to remove the object
B. Rinse the eye thoroughly with saline
C. Cover both eyes with paper cups
D. Patch the affected eye only - ✔✔✔ Correct Answer > C. Cover
both eyes with paper cups
Why?
Covering both eyes prevents consensual movement of the
affected eye.
A client with caner is to undergo an intravenous pyelogram. The
nurse should:
,Page 2 of 72
A. Force fluids 24 hours before the procedure.
B. Ask the client to void immediately before the study.
C. Hold medication that affects the central nervous system for 12
hours pre- and post-test.
D. Cover the client's reproductive organs with an x-ray shield. -
✔✔✔ Correct Answer > B. Ask the client to void immediately
before the study.
Why?
The client having an intravenous pyelogram will have orders for
laxatives of enemas so asking the client to void before the test is
in order. A full bladder or bowel can obscure the visualization of
the kidney, ureters, and urethra.
The nurse is caring for a client with a malignancy. The
classification of the primary tumor is Tis. The nurse should plan
care for a tumor:
A. That cannot be assessed
B. That is in situ
C. With increasing lymph node involvement
,Page 3 of 72
D. With distant mestastasis - ✔✔✔ Correct Answer > B. That is in
situ.
Why?
Cancer in situ means that the cancer is still localized in the
primary site. Cancer is graded in terms of tumor, grade, node,
involvement, and mestatasis.
A client is 2 days post-operative colon resection. After a
coughing episode, the client's wound eviscerates. Which nursing
action is most appropriate?
A. Reinsert the protruding organ and cover with 4x4s
B. Cover the wound with a sterile 4x4 and ABD dressing
C. Cover the wound with a sterile saline-soaked dressing
D. Apply an abdominal binder and manual pressure to the wound
- ✔✔✔ Correct Answer > C. Cover the wound with a sterile
saline-soaked dressing.
Why?
, Page 4 of 72
If the client eviscerates, the abdominal content should be
covered with a sterile saline-soaked dressing.
The nurse is preparing a client for surgery. Which item is most
important to remove before sending the client to surgery?
A. Hearing aid
B. Contact lenses
C. Wedding ring
D. Artificial eye - ✔✔✔ Correct Answer > B. Contact lenses
Why?
It is most important to remove the contact lenses because
leaving them in can lead to corneal drying, particularly with
contact lenses that are not extended wear lenses.
The nurse on the 3-11 shift is assessing the chart of a client with
an abdominal aneurysm scheduled for surgery in the morning
and finds that the consent form has been signed, but the client is
unclear about the surgery and possible complications. Which is
the most appropriate action?
