NCLEX-PN 2021 EXAM
1. 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
2. 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
3. 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
4. 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
5. 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
6. 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
7. 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
8. 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 his pain.”
B. “What does his vomit look like?”
C. “Describe his usual diet.”
D. “Have you noticed changes in his abdominal size?”
9. The nurse is assisting a client with diverticulosis to select appropriate foods. Which food
should be avoided?
A. Bran
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls
10. 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 electrolyte loss in the incisional area
C. Encouraging a high-fiber diet
D. Facilitating perineal wound drainage
11. The nurse is performing discharge teaching on a client with diverticulitis who has been
placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet?
, A. Roasted chicken
B. Noodles
C. Cooked broccoli
D. Custard
12. A client arrives in the emergency room with a possible fractured femur. The nurse should
anticipate an order for:
A. Trendelenburg position
B. Ice to the entire extremity
C. Buck’s traction
D. An abduction pillow
13. A client with cancer is to undergo an intravenous pyelogram. The nurse should:
A. Force fluids 24 hours before the procedure
B. Ask the client to void immediately before the study
C. Hold medication that affects the central nervous system for 12 hours pre- and post-test
D. Cover the client’s reproductive organs with an x-ray shield
14. The nurse is caring for a client with a malignancy. The classification of the primary
tumor is Tis. The nurse should plan care for a tumor:
A. That cannot be assessed
B. That is in situ
C. With increasing lymph node involvement
D. With distant metastasis
1. 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
2. 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
3. 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
4. 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
5. 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
6. 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
7. 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
8. 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 his pain.”
B. “What does his vomit look like?”
C. “Describe his usual diet.”
D. “Have you noticed changes in his abdominal size?”
9. The nurse is assisting a client with diverticulosis to select appropriate foods. Which food
should be avoided?
A. Bran
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls
10. 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 electrolyte loss in the incisional area
C. Encouraging a high-fiber diet
D. Facilitating perineal wound drainage
11. The nurse is performing discharge teaching on a client with diverticulitis who has been
placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet?
, A. Roasted chicken
B. Noodles
C. Cooked broccoli
D. Custard
12. A client arrives in the emergency room with a possible fractured femur. The nurse should
anticipate an order for:
A. Trendelenburg position
B. Ice to the entire extremity
C. Buck’s traction
D. An abduction pillow
13. A client with cancer is to undergo an intravenous pyelogram. The nurse should:
A. Force fluids 24 hours before the procedure
B. Ask the client to void immediately before the study
C. Hold medication that affects the central nervous system for 12 hours pre- and post-test
D. Cover the client’s reproductive organs with an x-ray shield
14. The nurse is caring for a client with a malignancy. The classification of the primary
tumor is Tis. The nurse should plan care for a tumor:
A. That cannot be assessed
B. That is in situ
C. With increasing lymph node involvement
D. With distant metastasis
