NCLEX PN Test Bank Exam - 200 Questions & Answers Explained (Rated A+) | 100% Approved Updated 2023

1. Thenurseiscaringforaclientscheduledforremovalofapituitarytumor usingthetranssphenoidal approach. Thenurse should be particularlyalert for: A. Nasalcongestion B. Abdominaltenderness C. Muscletetany D. Oliguria Answer A: Removal of the pituitary gland is usually done by a transsphenoidal approach,throughthenose.Nasalcongestionfurtherinterfereswiththeairway. AnswersB,C,andDarenotcorrectbecausetheyarenotdirectlyassociatedwith the pituitary gland. 2. A client with cancer is admitted to the oncology unit. Stat lab values revealHgb12.6,WBC6500,K+1.9,uricacid7.0,Na+136,andplatelets178,000. The nurse evaluates that the client is experiencing which of the following? A. Hypernatremia B. Hypokalemia C. Myelosuppression D. Leukocytosis AnswerB:Hypokalemiaisevidentfromthelabvalueslisted.Theotherlaboratory findings are within normal limits, making answers A, C, and D incorrect. 3. A24-year-oldfemaleclientisscheduledforsurgeryinthemorning.Which of the following is the primary responsibility of the nurse? A. Takingthevitalsigns B. Obtainingthepermit C. Explainingtheprocedure D. Checkingthelabwork Answer A: The primary responsibility of the nurse is to take the vital signs before anysurgery.TheactionsinanswersB,C,andDaretheresponsibilityofthedoctor and, therefore, are incorrect for this question. 4. The nurse is working in the emergency room when a client arrives with severeburnsoftheleftarm,hands,face,andneck.Whichactionshouldreceive priority? A. StartinganIV B. Applyingoxygen C. Obtainingbloodgases D. Medicatingtheclientforpain Answer B: The client with burns to the neck needs airway assessment and supplementaloxygen,soapplyingoxygenisthepriority.Thenextactionshouldbe tostartanIVandmedicateforpain,makinganswersAandCincorrect.AnswerD, obtaining blood gases, is ordered by the doctor. 5. Thenurseisvisitingahomehealthclientwithosteoporosis.Theclienthas a new prescription for alendronate (Fosamax). Which instruction should be given to the client? A. Restinbedaftertakingthemedicationforatleast30minutes B. Avoidrapidmovementsaftertakingthemedication C. Takethemedicationwithwateronly D. Allowatleast1hourbetweentakingthemedicineandtakingother medications Answer B: The client with burns to the neck needs airway assessment and supplementaloxygen,soapplyingoxygenisthepriority.Thenextactionshouldbe tostartanIVandmedicateforpain,makinganswersAandCincorrect.AnswerD, obtaining blood gases, is ordered by the doctor.