NCLEX-PN EXAM 2026/2027 CRAM QUESTIONS
AND CORRECT ANSWERS GRADED A+
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
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.
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
D. 21 pounds
,why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his
birth weight.
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
D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
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
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.
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?"
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
, 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
C. Cucumber salad
why?
the client with diverticulitis should avoid foods with seeds.
A client has rectal cancer and is scheduled for an abdominal perineal resection.
What should be the priority nursing care during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolytes loss in the incisional area
C. Encouraging a high fiber diet
D. Facilitating perineal wound drainage
D. Facilitating perineal wound drainage
why?
AND CORRECT ANSWERS GRADED A+
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
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.
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
D. 21 pounds
,why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his
birth weight.
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
D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
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
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.
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?"
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
, 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
C. Cucumber salad
why?
the client with diverticulitis should avoid foods with seeds.
A client has rectal cancer and is scheduled for an abdominal perineal resection.
What should be the priority nursing care during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolytes loss in the incisional area
C. Encouraging a high fiber diet
D. Facilitating perineal wound drainage
D. Facilitating perineal wound drainage
why?
