EXAM CRAM NCLEX PN 4 QUESTIONS WITH
ANSWERS PROVIDED GRADED A++
1. A client is admitted to the emergency room with a gunshot wound to the right arm. After
dressing the wound and administering the prescribed antibiotic, the nurse should:
A. Ask the client if he has any medication allergies.
B. Check the client’s immunization record.
C. Apply a splint to immobilize the arm.
D. Administer medication for pain.
2. The nurse is caring for a client with suspected endometrial cancer. Which symptom is
associated with endometrial cancer?
A. Frothy vaginal discharge
B. Thick, white vaginal discharge
C. Purulent vaginal discharge
D. Watery vaginal discharge
3. A client with Parkinson’s disease is scheduled for stereotactic surgery. Which finding
indicates that the surgery had its intended effect?
A. The client no longer has intractable tremors.
B. The client has sufficient production of dopamine.
C. The client no longer requires any medication.
D. The client will have increased production of serotonin.
4. A client with AIDS asks the nurse why he cannot have a pitcher of water left at his
bedside. The nurse should tell the client that:
,A. It would be best for him to drink ice water.
B. He should drink several glasses of juice instead.
C. It makes it easier to keep a record of his intake.
, A. It would be best for him to drink ice water.
D. He should drink only freshly run water.
5. An elderly client is diagnosed with interstitial cystitis. Which finding differentiates
interstitial cystitis from other forms of cystitis?
A. The client is asymptomatic.
B. The urine is free of bacteria.
C. The urine contains blood.
D. Males are affected more often.
6. The mother of a male child with cystic fibrosis tells the nurse that she hopes her son’s
children won’t have the disease. The nurse is aware that:
A. There is a 25% chance that his children will have cystic fibrosis.
B. Most of the males with cystic fibrosis are sterile.
C. There is a 50% chance that his children will be carriers.
D. Most males with cystic fibrosis are capable of having children, so genetic
counseling is advised.
7. A six-month-old is hospitalized with symptoms of botulism. What aspect of the infant’s
history is associated with Clostridium botulinum infection?
A. The infant sucks on his fingers and toes.
B. The mother sweetens the infant’s cereal with honey.
C. The infant was switched to soy-based formula.
D. The father recently purchased an aquarium.
8. The mother of a six-year-old with autistic disorder tells the nurse that her son has
been much more difficult to care for since the birth of his sister. The best explanation
for changes in the child’s behavior is:
, A. The child did not want a sibling.
B. The child was not adequately prepared for the baby’s arrival.
C. The child’s daily routine has been upset by the birth of his sister.
D. The child is just trying to get the parent’s attention.
9. The parents of a child with cystic fibrosis ask what determines the prognosis of the
disease. The nurse knows that the greatest determinant of the prognosis is:
A. The degree of pulmonary involvement
B. The ability to maintain an ideal weight
C. The secretion of lipase by the pancreas
D. The regulation of sodium and chloride excretion
10. The nurse is assessing a client hospitalized with a duodenal ulcer. Which finding
should be reported to the doctor immediately?
A. BP 82/60, pulse 120
B. Pulse 68, respirations 24
C. BP 110/88, pulse 56
D. Pulse 82, respirations 16
11. While caring for a client in the second stage of labor, the nurse notices a pattern
of early decelerations. The nurse should:
A. Notify the physician immediately.
B. Turn the client on her left side.
C. Apply oxygen via a tight face mask.
D. Document the finding on the flow sheet.
12. The nurse is teaching the client with AIDS regarding needed changes in food preparation.
Which
ANSWERS PROVIDED GRADED A++
1. A client is admitted to the emergency room with a gunshot wound to the right arm. After
dressing the wound and administering the prescribed antibiotic, the nurse should:
A. Ask the client if he has any medication allergies.
B. Check the client’s immunization record.
C. Apply a splint to immobilize the arm.
D. Administer medication for pain.
2. The nurse is caring for a client with suspected endometrial cancer. Which symptom is
associated with endometrial cancer?
A. Frothy vaginal discharge
B. Thick, white vaginal discharge
C. Purulent vaginal discharge
D. Watery vaginal discharge
3. A client with Parkinson’s disease is scheduled for stereotactic surgery. Which finding
indicates that the surgery had its intended effect?
A. The client no longer has intractable tremors.
B. The client has sufficient production of dopamine.
C. The client no longer requires any medication.
D. The client will have increased production of serotonin.
4. A client with AIDS asks the nurse why he cannot have a pitcher of water left at his
bedside. The nurse should tell the client that:
,A. It would be best for him to drink ice water.
B. He should drink several glasses of juice instead.
C. It makes it easier to keep a record of his intake.
, A. It would be best for him to drink ice water.
D. He should drink only freshly run water.
5. An elderly client is diagnosed with interstitial cystitis. Which finding differentiates
interstitial cystitis from other forms of cystitis?
A. The client is asymptomatic.
B. The urine is free of bacteria.
C. The urine contains blood.
D. Males are affected more often.
6. The mother of a male child with cystic fibrosis tells the nurse that she hopes her son’s
children won’t have the disease. The nurse is aware that:
A. There is a 25% chance that his children will have cystic fibrosis.
B. Most of the males with cystic fibrosis are sterile.
C. There is a 50% chance that his children will be carriers.
D. Most males with cystic fibrosis are capable of having children, so genetic
counseling is advised.
7. A six-month-old is hospitalized with symptoms of botulism. What aspect of the infant’s
history is associated with Clostridium botulinum infection?
A. The infant sucks on his fingers and toes.
B. The mother sweetens the infant’s cereal with honey.
C. The infant was switched to soy-based formula.
D. The father recently purchased an aquarium.
8. The mother of a six-year-old with autistic disorder tells the nurse that her son has
been much more difficult to care for since the birth of his sister. The best explanation
for changes in the child’s behavior is:
, A. The child did not want a sibling.
B. The child was not adequately prepared for the baby’s arrival.
C. The child’s daily routine has been upset by the birth of his sister.
D. The child is just trying to get the parent’s attention.
9. The parents of a child with cystic fibrosis ask what determines the prognosis of the
disease. The nurse knows that the greatest determinant of the prognosis is:
A. The degree of pulmonary involvement
B. The ability to maintain an ideal weight
C. The secretion of lipase by the pancreas
D. The regulation of sodium and chloride excretion
10. The nurse is assessing a client hospitalized with a duodenal ulcer. Which finding
should be reported to the doctor immediately?
A. BP 82/60, pulse 120
B. Pulse 68, respirations 24
C. BP 110/88, pulse 56
D. Pulse 82, respirations 16
11. While caring for a client in the second stage of labor, the nurse notices a pattern
of early decelerations. The nurse should:
A. Notify the physician immediately.
B. Turn the client on her left side.
C. Apply oxygen via a tight face mask.
D. Document the finding on the flow sheet.
12. The nurse is teaching the client with AIDS regarding needed changes in food preparation.
Which
