Exam Cram NCLEX-PN PRACTICE
QUESTIONS
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
100+
Key Solutions
VERIFIED ANSWERS
Question 1
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.
Question 2
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?
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
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,Question 3
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?
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.
Question 4
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.
Question 5
The nurse is visiting a home health client with osteoporosis. The client has a new prescription for 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.
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,Question 6
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
D. A screwdriver
Correct Answer
B. A torque wrench
why?
A tourque wrench is kept at the bedside to tighten and loosen the screws of crutchfield tongs. This wrench controls the
amount of pressure that is placed on the screws.
Question 7
An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds
Correct Answer
D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth weight.
Question 8
A client is admitted with a Ewing's sacroma. which symptoms would be expected due to this tumor's location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain
Correct Answer
D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
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, Question 9
The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which labatory value might
be a indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
Correct Answer
C. WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab value of WBC 2,000 per
cubic millimeter indicates side effects of the drug.
Question 10
A 6-month-old client is admitted with possible intussuception. Which question during the nursing history is least helpful in
obtaining information regarding this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?"
Correct Answer
C." Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are useful in determining the extent of disease
process and thus, are incorrect
Question 11
The nurse is assisting a client with diverticulosis to select appropiate foods. Which food should be avoided?
A. Bran
B. Fresh Peaches
C. Cucumber salad
D. Yeast Rolls
Correct Answer
C. Cucumber salad
why?
the client with diverticulitis should avoid foods with seeds.
Trusted by thousands of students and professionals worldwide Page 4 of 35
QUESTIONS
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
100+
Key Solutions
VERIFIED ANSWERS
Question 1
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.
Question 2
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?
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
Trusted by thousands of students and professionals worldwide Page 1 of 35
,Question 3
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?
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.
Question 4
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.
Question 5
The nurse is visiting a home health client with osteoporosis. The client has a new prescription for 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.
Trusted by thousands of students and professionals worldwide Page 2 of 35
,Question 6
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
D. A screwdriver
Correct Answer
B. A torque wrench
why?
A tourque wrench is kept at the bedside to tighten and loosen the screws of crutchfield tongs. This wrench controls the
amount of pressure that is placed on the screws.
Question 7
An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds
Correct Answer
D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth weight.
Question 8
A client is admitted with a Ewing's sacroma. which symptoms would be expected due to this tumor's location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain
Correct Answer
D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
Trusted by thousands of students and professionals worldwide Page 3 of 35
, Question 9
The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which labatory value might
be a indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
Correct Answer
C. WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab value of WBC 2,000 per
cubic millimeter indicates side effects of the drug.
Question 10
A 6-month-old client is admitted with possible intussuception. Which question during the nursing history is least helpful in
obtaining information regarding this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?"
Correct Answer
C." Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are useful in determining the extent of disease
process and thus, are incorrect
Question 11
The nurse is assisting a client with diverticulosis to select appropiate foods. Which food should be avoided?
A. Bran
B. Fresh Peaches
C. Cucumber salad
D. Yeast Rolls
Correct Answer
C. Cucumber salad
why?
the client with diverticulitis should avoid foods with seeds.
Trusted by thousands of students and professionals worldwide Page 4 of 35
