NCLEX-PN PRACTICE QUESTIONS
WITH CORRECT SOLUTIONS
After birth, meconium stool, loss of extracellular fluid, and initiation of breastfeeding cause the infant to
lose body mass. There is no evidence to indicate dehydration, hypoglycemia, or allergy to the infant
formula
The nurse if caring for a client with laryngeal cancer. Which finding ascertained in the health history
would not be common for this diagnosis?
A. Foul breath
B. Dysphagia
C. Diarrhea
D. Chronic hiccups - ✔✔✔✔C. Diarrhea
why?
Diarrhea is not common in clients with mouth and throat cancer
A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-
operative measure would usually be included?
A. Closed chest drainage
B. A tracheostomy
C. A mediastinal tube
D. Percussion vibration and drainage - ✔✔✔✔A. A closed chest drainage
why?
,The client with a lung resection will have chest tubes and a drainage-collection device. He probably will
not have a tracheoostomy or mediastinal tube, and he will not have an order for percussion, vibration,
or drainage.
Six hours after birth, the infant is found to have an areas of swelling over the right parietal area that
does not cross the suture line. The nurse should chart this finding as:
A. A cephalohematoma
B. Molding
C. Subdural hematoma
D. Caput succedaneum - ✔✔✔✔A. A cephalohematoma
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.
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 - ✔✔✔✔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.
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 - ✔✔✔✔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.
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.
WITH CORRECT SOLUTIONS
After birth, meconium stool, loss of extracellular fluid, and initiation of breastfeeding cause the infant to
lose body mass. There is no evidence to indicate dehydration, hypoglycemia, or allergy to the infant
formula
The nurse if caring for a client with laryngeal cancer. Which finding ascertained in the health history
would not be common for this diagnosis?
A. Foul breath
B. Dysphagia
C. Diarrhea
D. Chronic hiccups - ✔✔✔✔C. Diarrhea
why?
Diarrhea is not common in clients with mouth and throat cancer
A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-
operative measure would usually be included?
A. Closed chest drainage
B. A tracheostomy
C. A mediastinal tube
D. Percussion vibration and drainage - ✔✔✔✔A. A closed chest drainage
why?
,The client with a lung resection will have chest tubes and a drainage-collection device. He probably will
not have a tracheoostomy or mediastinal tube, and he will not have an order for percussion, vibration,
or drainage.
Six hours after birth, the infant is found to have an areas of swelling over the right parietal area that
does not cross the suture line. The nurse should chart this finding as:
A. A cephalohematoma
B. Molding
C. Subdural hematoma
D. Caput succedaneum - ✔✔✔✔A. A cephalohematoma
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.
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 - ✔✔✔✔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.
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 - ✔✔✔✔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.
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.
