Exam Cram NCLEX-PN Practice Questions and Answers 2026 | NCLEX-
PN Exam Prep & Nursing Study Guide
thexnursexisxcaringxforxaxclientxscheduledxforxremovalxofxaxpituitaryxtumorxusingxthextranssphenoidalxap
proach.xthexnursexshouldxbexparticularlyxalertxto:
A.xNasalxcongestion
B.xAbdominalxTenderness
C.xMusclexTetany
D.xOliguriax-xcorrectxanswerx ✅A.xNasalxcongestion
why?
removalxofxthexpituitaryxglandxisxusuallyxdonexbyxtranssphernoidalxapproachxthroughxthexnose.xNasalxc
ongestionxfurtherxinterferesxwithxthexairway.
Axclientxwithxcancerxisxa,xadmittedxtoxthexoncologyxunit.xStatxlabxvaluesxrevelxHgbx12.6,xWBCx6500,xK+1.
9,xuricxacidx7.0,xNa+136,xandxplateletsx178,000.xThexnursexevaluatesxthatxthexclientxisxexperiencingxwhic
hxofxthexfollowing?
A.xHypernatremia
B.xHypokalemia
C.xMyelosuppression
D.xLeukocytosisx-xcorrectxanswerx ✅B.xHypokalemia
why?
Hypokalemiaxisxevidentxfromxthexlabxvaluesxlisted.xThexotherxlaboratoryxfindingsxarexwithinxnormalxlimit
s.xmakingxanswersxA,CxandxDxincorrect
Ax24xyear-
oldxfemalexclientxisxscheduledxforxsurgeryxinxthexmorning.xWhichxofxthexfollowingxisxthexprimaryxrespon
sibilityxofxthexnurse?
,A.xtakingxthexvitalxsigns
B.xobtainingxthexpermit
C.xexplainingxthexprocedure
D.xCheckingxthexlabxworkx-xcorrectxanswerx ✅A.xtakingxthexvitalxsigns
why?
thexprimaryxresponisblityxofxthexnursexisxtoxtakexthexvitalxsignsxbeforexanyxsurgery.
answersxB,CxandxDxarexthexresponsibilityxofxthexdoctor.
Thexnursexisxworkingxinxthexemergencyxroomxwhenxaxclientxarrivesxwithxseverexburnsxofxthexleftxarm,xh
ands,xface,xandxneck.xwhichxactionxshouldxreceivexpriority?
A.xstartingxanxIV?
B.xApplyingxoxygen
C.Obtainingxbloodxgasx
D.xMedicatingxthexclientxfoexpainx-xcorrectxanswerx ✅B.xApplyingxoxygen
why?
thexclientxwithxburnsxtoxthexneckxneedsxairwayxassessmentsxandxsupplementalxoxygen,xsoxapplyingxoxy
genxisxpriority.xthexnextxactionxshouldxbextoxstartxanxIVxandxmedicatexforxpain.
Thexnursexisxvisitingxaxhomexhealthxclientxwithxosteoporosis.xThexclientxhasxaxnewxprescriptionxforxalen
dronatex(Fosamax).xWhichxinstructionsxshouldxbexgivenxtoxthexclient
A.xrestxinxbedxafterxtakingxthexmedicationxforxatxleastx30xmins
B.xAvoidxrapidxmovementsxafterxtakingxthexmedication
C.xTakexmedicationxwithxwaterxonly
D.xAllowxatxleastx1xhourxbetweenxtakingxthexmedicinexandxtakingxotherxmedicationsx-
xcorrectxanswerx ✅C.xTakexmedicationxwithxwaterxonly
,why?
Fosmaxxshouldxbextakenxwithxwaterxonly.xThexclientxshouldxalsoxremainxuprightxforxatxleastx30xminsxaft
erxtakingxthexmedication.
ThexnursexisxmakingxinitialxroundsxonxaxclientxwithxaxC5xfracturexandxcrutchfieldxthongs.xWhichxequipm
entxshouldxbexkeptxatxthexbedside?
A.xAxpairxofxforceps
B.xAxtorquexwrench
C.xAxpairxorxwirexcutters
D.xAxscrewdriverx-xcorrectxanswerx ✅B.xAxtorquexwrench
why?
Axtourquexwrenchxisxkeptxatxthexbedsidextoxtightenxandxloosenxthexscrewsxofxcrutchfieldxtongs.xThisxwr
enchxcontrolsxthexamountxofxpressurexthatxisxplacedxonxthexscrews.
Anxinfantxweighsx7xpoundsxatxbirth.xThexexcpectdxweightxbyx1xyearxshouldxbe:
A.x10xpounds
B.12xpounds
C.x18xpounds
D.x21xpoundsx-xcorrectxanswerx ✅D.x21xpounds
why?
Axbirthxweightxofx7xpoundsxwouldxindicatex21xpoundsxinx1xyearxorxtriplexthexhisxbirthxweight.
, AxclientxisxadmittedxwithxaxEwing'sxsacroma.xwhichxsymptomsxwouldxbexexpectedxduextoxthisxtumor'sxl
ocation?
A.xHemiplegia
B.xAphasia
C.xNausea
D.xBonexPainx-xcorrectxanswerx ✅D.xBonexPain
why?
Sacromaxisxaxtypexofxbonexcancer,xtherefor,xbonexpainxwouldxbexexpected
Thexnursexisxcaringxforxaxclientxwithxepilepsyxwhoxisxbeingxtreatedxwithxcarbamazepinex(Tegretol).xWhic
hxlabatoryxvaluexmightxbexaxindicatexaxseriousxsidexeffectxofxthisxdrug?
A.xUricxacidxofx5mg/dL
B.xHematoccritxofx33%
C.xWBCx2,000xperxcubicxmillimeter
D.xPlateletsx150,000xperxcubicxmillimeterx-xcorrectxanswerx ✅C.xWBCx2,000xperxcubicxmillimeter
why?
Tegratolxcanxsuppressxthexbonexmarrowxandxdecreasexthexwhitexbloodxcellsxcount;xthus,xaxlabxvaluexofx
WBCx2,000xperxcubicxmillimeterxindicatesxsidexeffectsxofxthexdrug.
Ax6-month-
oldxclientxisxadmittedxwithxpossiblexintussuception.xWhichxquestionxduringxthexnursingxhistoryxisxleastxh
elpfulxinxobtainingxinformationxregardingxthisxdiagnosis?
A.x"tellxmexaboutxthexpain"
PN Exam Prep & Nursing Study Guide
thexnursexisxcaringxforxaxclientxscheduledxforxremovalxofxaxpituitaryxtumorxusingxthextranssphenoidalxap
proach.xthexnursexshouldxbexparticularlyxalertxto:
A.xNasalxcongestion
B.xAbdominalxTenderness
C.xMusclexTetany
D.xOliguriax-xcorrectxanswerx ✅A.xNasalxcongestion
why?
removalxofxthexpituitaryxglandxisxusuallyxdonexbyxtranssphernoidalxapproachxthroughxthexnose.xNasalxc
ongestionxfurtherxinterferesxwithxthexairway.
Axclientxwithxcancerxisxa,xadmittedxtoxthexoncologyxunit.xStatxlabxvaluesxrevelxHgbx12.6,xWBCx6500,xK+1.
9,xuricxacidx7.0,xNa+136,xandxplateletsx178,000.xThexnursexevaluatesxthatxthexclientxisxexperiencingxwhic
hxofxthexfollowing?
A.xHypernatremia
B.xHypokalemia
C.xMyelosuppression
D.xLeukocytosisx-xcorrectxanswerx ✅B.xHypokalemia
why?
Hypokalemiaxisxevidentxfromxthexlabxvaluesxlisted.xThexotherxlaboratoryxfindingsxarexwithinxnormalxlimit
s.xmakingxanswersxA,CxandxDxincorrect
Ax24xyear-
oldxfemalexclientxisxscheduledxforxsurgeryxinxthexmorning.xWhichxofxthexfollowingxisxthexprimaryxrespon
sibilityxofxthexnurse?
,A.xtakingxthexvitalxsigns
B.xobtainingxthexpermit
C.xexplainingxthexprocedure
D.xCheckingxthexlabxworkx-xcorrectxanswerx ✅A.xtakingxthexvitalxsigns
why?
thexprimaryxresponisblityxofxthexnursexisxtoxtakexthexvitalxsignsxbeforexanyxsurgery.
answersxB,CxandxDxarexthexresponsibilityxofxthexdoctor.
Thexnursexisxworkingxinxthexemergencyxroomxwhenxaxclientxarrivesxwithxseverexburnsxofxthexleftxarm,xh
ands,xface,xandxneck.xwhichxactionxshouldxreceivexpriority?
A.xstartingxanxIV?
B.xApplyingxoxygen
C.Obtainingxbloodxgasx
D.xMedicatingxthexclientxfoexpainx-xcorrectxanswerx ✅B.xApplyingxoxygen
why?
thexclientxwithxburnsxtoxthexneckxneedsxairwayxassessmentsxandxsupplementalxoxygen,xsoxapplyingxoxy
genxisxpriority.xthexnextxactionxshouldxbextoxstartxanxIVxandxmedicatexforxpain.
Thexnursexisxvisitingxaxhomexhealthxclientxwithxosteoporosis.xThexclientxhasxaxnewxprescriptionxforxalen
dronatex(Fosamax).xWhichxinstructionsxshouldxbexgivenxtoxthexclient
A.xrestxinxbedxafterxtakingxthexmedicationxforxatxleastx30xmins
B.xAvoidxrapidxmovementsxafterxtakingxthexmedication
C.xTakexmedicationxwithxwaterxonly
D.xAllowxatxleastx1xhourxbetweenxtakingxthexmedicinexandxtakingxotherxmedicationsx-
xcorrectxanswerx ✅C.xTakexmedicationxwithxwaterxonly
,why?
Fosmaxxshouldxbextakenxwithxwaterxonly.xThexclientxshouldxalsoxremainxuprightxforxatxleastx30xminsxaft
erxtakingxthexmedication.
ThexnursexisxmakingxinitialxroundsxonxaxclientxwithxaxC5xfracturexandxcrutchfieldxthongs.xWhichxequipm
entxshouldxbexkeptxatxthexbedside?
A.xAxpairxofxforceps
B.xAxtorquexwrench
C.xAxpairxorxwirexcutters
D.xAxscrewdriverx-xcorrectxanswerx ✅B.xAxtorquexwrench
why?
Axtourquexwrenchxisxkeptxatxthexbedsidextoxtightenxandxloosenxthexscrewsxofxcrutchfieldxtongs.xThisxwr
enchxcontrolsxthexamountxofxpressurexthatxisxplacedxonxthexscrews.
Anxinfantxweighsx7xpoundsxatxbirth.xThexexcpectdxweightxbyx1xyearxshouldxbe:
A.x10xpounds
B.12xpounds
C.x18xpounds
D.x21xpoundsx-xcorrectxanswerx ✅D.x21xpounds
why?
Axbirthxweightxofx7xpoundsxwouldxindicatex21xpoundsxinx1xyearxorxtriplexthexhisxbirthxweight.
, AxclientxisxadmittedxwithxaxEwing'sxsacroma.xwhichxsymptomsxwouldxbexexpectedxduextoxthisxtumor'sxl
ocation?
A.xHemiplegia
B.xAphasia
C.xNausea
D.xBonexPainx-xcorrectxanswerx ✅D.xBonexPain
why?
Sacromaxisxaxtypexofxbonexcancer,xtherefor,xbonexpainxwouldxbexexpected
Thexnursexisxcaringxforxaxclientxwithxepilepsyxwhoxisxbeingxtreatedxwithxcarbamazepinex(Tegretol).xWhic
hxlabatoryxvaluexmightxbexaxindicatexaxseriousxsidexeffectxofxthisxdrug?
A.xUricxacidxofx5mg/dL
B.xHematoccritxofx33%
C.xWBCx2,000xperxcubicxmillimeter
D.xPlateletsx150,000xperxcubicxmillimeterx-xcorrectxanswerx ✅C.xWBCx2,000xperxcubicxmillimeter
why?
Tegratolxcanxsuppressxthexbonexmarrowxandxdecreasexthexwhitexbloodxcellsxcount;xthus,xaxlabxvaluexofx
WBCx2,000xperxcubicxmillimeterxindicatesxsidexeffectsxofxthexdrug.
Ax6-month-
oldxclientxisxadmittedxwithxpossiblexintussuception.xWhichxquestionxduringxthexnursingxhistoryxisxleastxh
elpfulxinxobtainingxinformationxregardingxthisxdiagnosis?
A.x"tellxmexaboutxthexpain"
