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Exam Cram NCLEX-PN PRACTICE QUESTIONS Flashcards

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Exam Cram NCLEX-PN PRACTICE QUESTIONS Flashcards

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Dallas College BIOL 2401


Exam Cram NCLEX-PN PRACTICE
QUESTIONS
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the nurse is caring for a client scheduled for removal of a A. Nasal congestion
pituitary tumor using the transsphenoidal approach. the
nurse should be particularly alert to: why?
removal of the pituitary gland is usually done by transsphernoidal approach
A. Nasal congestion through the nose. Nasal congestion further interferes with the airway.
B. Abdominal Tenderness
C. Muscle Tetany
D. Oliguria


A client with cancer is a, admitted to the oncology unit. B. Hypokalemia
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 why?
that the client is experiencing which of the following? Hypokalemia is evident from the lab values listed. The other laboratory findings
are within normal limits. making answers A,C and D incorrect
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis

,A 24 year-old female client is scheduled for surgery in A. taking the vital signs
the morning. Which of the following is the primary
responsibility of the nurse? why?
the primary responisblity of the nurse is to take the vital signs before any surgery.
A. taking the vital signs
B. obtaining the permit answers B,C and D are the responsibility of the doctor.
C. explaining the procedure
D. Checking the lab work




The nurse is working in the emergency room when a B. Applying oxygen
client arrives with severe burns of the left arm, hands,
face, and neck. which action should receive priority? why?
the client with burns to the neck needs airway assessments and supplemental
A. starting an IV? oxygen, so applying oxygen is priority. the next action should be to start an IV
B. Applying oxygen and medicate for pain.
C.Obtaining blood gas
D. Medicating the client foe pain


The nurse is visiting a home health client with C. Take medication with water only
osteoporosis. The client has a new prescription for
alendronate (Fosamax). Which instructions should be why?
given to the client
Fosmax should be taken with water only. The client should also remain upright for
A. rest in bed after taking the medication for at least 30 at least 30 mins after taking the medication.
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


The nurse is making initial rounds on a client with a C5 B. A torque wrench
fracture and crutchfield thongs. Which equipment should
be kept at the bedside? why?


A. A pair of forceps A tourque wrench is kept at the bedside to tighten and loosen the screws of
B. A torque wrench crutchfield tongs. This wrench controls the amount of pressure that is placed on
C. A pair or wire cutters the screws.
D. A screwdriver

, An infant weighs 7 pounds at birth. The excpectd weight D. 21 pounds
by 1 year should be:
why?
A. 10 pounds
B.12 pounds A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth
C. 18 pounds weight.
D. 21 pounds


A client is admitted with a Ewing's sacroma. which D. Bone Pain
symptoms would be expected due to this tumor's
location? why?


A. Hemiplegia Sacroma is a type of bone cancer, therefor, bone pain would be expected
B. Aphasia
C. Nausea
D. Bone Pain


The nurse is caring for a client with epilepsy who is being C. WBC 2,000 per cubic millimeter
treated with carbamazepine (Tegretol). Which labatory
value might be a indicate a serious side effect of this why?
drug?
Tegratol can suppress the bone marrow and decrease the white blood cells
A. Uric acid of 5mg/dL count; thus, a lab value of WBC 2,000 per cubic millimeter indicates side effects of
B. Hematoccrit of 33% the drug.
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter


A 6-month-old client is admitted with possible C." Describe his usual diet."
intussuception. Which question during the nursing history
is least helpful in obtaining information regarding this why?
diagnosis?
The least-helpful questions are those describing his usual diet. A, B, and D are
A. "tell me about the pain" useful in determining the extent of disease process and thus, are incorrect
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?"


The nurse is assisting a client with diverticulosis to select C. Cucumber salad
appropiate foods. Which food should be avoided?
why?
A. Bran
B. Fresh Peaches the client with diverticulitis should avoid foods with seeds.
C. Cucumber salad
D. Yeast Rolls

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