1 | P a g e | © copyright 2024/2025 | Grade A+
Exam Cram NCLEX-PN PRACTICE
Questions & 100% Correct Answers
the nurse is caring for a client scheduled for removal of a pituitary tumor
using the transsphenoidal approach. the nurse should be particularly alert to:
A. Nasal congestion
B. Abdominal Tenderness
C. Muscle Tetany
D. Oliguria
✓ ~~> A. Nasal congestion
why?
removal of the pituitary gland is usually done by transsphernoidal approach
through the nose. Nasal congestion further interferes with the airway.
A client with cancer is a, admitted to the oncology unit. Stat lab values revel
Hgb 12.6, WBC 6500, K+1.9, uric acid 7.0, Na+136, and platelets 178,000. The
nurse evaluates that the client is experiencing which of the following?
A. Hypernatremia
Master01 | September, 2024/2025 | Latest update
, 2 | P a g e | © copyright 2024/2025 | Grade A+
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
✓ ~~> B. Hypokalemia
why?
Hypokalemia is evident from the lab values listed. The other laboratory
findings are within normal limits. making answers A,C and D incorrect
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
✓ ~~> A. taking the vital signs
why?
Master01 | September, 2024/2025 | Latest update
, 3 | P a g e | © copyright 2024/2025 | Grade A+
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.
Master01 | September, 2024/2025 | Latest update
, 4 | P a g e | © copyright 2024/2025 | Grade A+
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
Master01 | September, 2024/2025 | Latest update
Exam Cram NCLEX-PN PRACTICE
Questions & 100% Correct Answers
the nurse is caring for a client scheduled for removal of a pituitary tumor
using the transsphenoidal approach. the nurse should be particularly alert to:
A. Nasal congestion
B. Abdominal Tenderness
C. Muscle Tetany
D. Oliguria
✓ ~~> A. Nasal congestion
why?
removal of the pituitary gland is usually done by transsphernoidal approach
through the nose. Nasal congestion further interferes with the airway.
A client with cancer is a, admitted to the oncology unit. Stat lab values revel
Hgb 12.6, WBC 6500, K+1.9, uric acid 7.0, Na+136, and platelets 178,000. The
nurse evaluates that the client is experiencing which of the following?
A. Hypernatremia
Master01 | September, 2024/2025 | Latest update
, 2 | P a g e | © copyright 2024/2025 | Grade A+
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
✓ ~~> B. Hypokalemia
why?
Hypokalemia is evident from the lab values listed. The other laboratory
findings are within normal limits. making answers A,C and D incorrect
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
✓ ~~> A. taking the vital signs
why?
Master01 | September, 2024/2025 | Latest update
, 3 | P a g e | © copyright 2024/2025 | Grade A+
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.
Master01 | September, 2024/2025 | Latest update
, 4 | P a g e | © copyright 2024/2025 | Grade A+
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
Master01 | September, 2024/2025 | Latest update
