[ NCLEX PN TEST-BANK ]
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
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 for:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria
Answer:
Answer A: Nasal congestion. Removal of the pituitary gland is usually
done by a transsphenoidal approach, through the nose. Nasal
congestion further interferes with the airway. Answers B, C, and D are
not correct because they are not directly associated with the pituitary
gland.
Question 2: A client with cancer is admitted to the oncology unit.
Stat lab values reveal 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
Answer:
Answer B: Hypokalemia. Hypokalemia is evident from the lab values
listed. The other laboratory findings are within normal limits, making
answers A, C, and D incorrect.
,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
Answer:
Answer A: Taking the vital signs. The primary responsibility of the nurse
is to take the vital signs before any surgery. The actions in answers B,
C, and D are the responsibility of the doctor and, therefore, are
incorrect for this question.
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 gases
D. Medicating the client for pain
Answer:
Answer B: Applying oxygen. The client with burns to the neck needs
airway assessment and supplemental oxygen, so applying oxygen is
the priority. The next action should be to start an IV and medicate for
pain, making answers A and C incorrect. Answer D, obtaining blood
gases, is ordered by the doctor.
Question 5: The nurse is visiting a home health client with
osteoporosis. The client has a new prescription for alendronate
(Fosamax). Which instruction should be given to the client?
, A. Rest in bed after taking the medication for at least 30 minutes
B. Avoid rapid movements after taking the medication
C. Take the medication with water only
D. Allow at least 1 hour between taking the medicine and taking other
medications
Answer:
Answer B: Avoid rapid movements after taking the medication. The
client with burns to the neck needs airway assessment and
supplemental oxygen, so applying oxygen is the priority. The next
action should be to start an IV and medicate for pain, making answers
A and C incorrect. Answer D, obtaining blood gases, is ordered by the
doctor.
Question 6: The nurse is making initial rounds on a client with a C5
fracture and crutchfield tongs. Which equipment should be kept at
the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D. A screwdriver
Answer:
Answer B: A torque wrench. A torque 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. A pair of forceps,
wire cutters, and a screwdriver, in answers A, C, and D, would not be
used and, thus, are incorrect.
Question 7: An infant weighs 7 pounds at birth. The expected
weight by 1 year should be:
A. 10 pounds
B. 12 pounds
, C. 18 pounds
D. 21 pounds
Answer:
Answer D: 21 pounds. A birth weight of 7 pounds would indicate 21
pounds in 1 year, or triple his birth weight. Answers A, B, and C
therefore are incorrect.
Question 8: A client is admitted with a Ewing’s sarcoma. Which
symptoms would be expected due to this tumor’s location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain
Answer:
Answer D: Bone pain. Sarcoma is a type of bone cancer; therefore,
bone pain would be expected. Answers A, B, and C are not specific to
this type of cancer and are incorrect.
Question 9: The nurse is caring for a client with epilepsy who is
being treated with carbamazepine (Tegretol). Which laboratory
value might indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
Answer:
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
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 for:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria
Answer:
Answer A: Nasal congestion. Removal of the pituitary gland is usually
done by a transsphenoidal approach, through the nose. Nasal
congestion further interferes with the airway. Answers B, C, and D are
not correct because they are not directly associated with the pituitary
gland.
Question 2: A client with cancer is admitted to the oncology unit.
Stat lab values reveal 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
Answer:
Answer B: Hypokalemia. Hypokalemia is evident from the lab values
listed. The other laboratory findings are within normal limits, making
answers A, C, and D incorrect.
,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
Answer:
Answer A: Taking the vital signs. The primary responsibility of the nurse
is to take the vital signs before any surgery. The actions in answers B,
C, and D are the responsibility of the doctor and, therefore, are
incorrect for this question.
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 gases
D. Medicating the client for pain
Answer:
Answer B: Applying oxygen. The client with burns to the neck needs
airway assessment and supplemental oxygen, so applying oxygen is
the priority. The next action should be to start an IV and medicate for
pain, making answers A and C incorrect. Answer D, obtaining blood
gases, is ordered by the doctor.
Question 5: The nurse is visiting a home health client with
osteoporosis. The client has a new prescription for alendronate
(Fosamax). Which instruction should be given to the client?
, A. Rest in bed after taking the medication for at least 30 minutes
B. Avoid rapid movements after taking the medication
C. Take the medication with water only
D. Allow at least 1 hour between taking the medicine and taking other
medications
Answer:
Answer B: Avoid rapid movements after taking the medication. The
client with burns to the neck needs airway assessment and
supplemental oxygen, so applying oxygen is the priority. The next
action should be to start an IV and medicate for pain, making answers
A and C incorrect. Answer D, obtaining blood gases, is ordered by the
doctor.
Question 6: The nurse is making initial rounds on a client with a C5
fracture and crutchfield tongs. Which equipment should be kept at
the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D. A screwdriver
Answer:
Answer B: A torque wrench. A torque 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. A pair of forceps,
wire cutters, and a screwdriver, in answers A, C, and D, would not be
used and, thus, are incorrect.
Question 7: An infant weighs 7 pounds at birth. The expected
weight by 1 year should be:
A. 10 pounds
B. 12 pounds
, C. 18 pounds
D. 21 pounds
Answer:
Answer D: 21 pounds. A birth weight of 7 pounds would indicate 21
pounds in 1 year, or triple his birth weight. Answers A, B, and C
therefore are incorrect.
Question 8: A client is admitted with a Ewing’s sarcoma. Which
symptoms would be expected due to this tumor’s location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain
Answer:
Answer D: Bone pain. Sarcoma is a type of bone cancer; therefore,
bone pain would be expected. Answers A, B, and C are not specific to
this type of cancer and are incorrect.
Question 9: The nurse is caring for a client with epilepsy who is
being treated with carbamazepine (Tegretol). Which laboratory
value might indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
Answer:
