EXAM CRAM NCLEX-PN PRACTICE QUESTIONS AND
ANSWERS 2024-2025 VERSION GRADED A+
A. "My sister still has episodes of crying and it's been 3 months since daddy died."
B. "Sally seems to have forgotten the bad things that daddy did in his lifetime."
C. "She really had a hard time after daddy's funeral. She said that she had a sense of longing."
D. "Sally has not been sad at all by daddy's death. She acts like nothing has happened." - ansD. "Sally
has not been sad at all by daddy's death. She acts like nothing has happened at all."
why?
Abnormal grieving is exhibited by a lack of feeling sad; if the client's sister appears not to grieve, it might
be abnormal grieving. This family member might be suppressing feelings of grief.
A client with acute leukemia develops a low white blood cell count. In addition to the institute of isolation
the nurse should:
A. Request that food be served with disposable utensils
B. Ask the client to wear a mask when visitors are present
C. Prep IV with mild soap, water, and alcohol
D. Provide foods in seal single serving packages - ansD. Provide foods in seal single serving packages
why?
Because the client is immune-suppressed, foods should be served in sealed containers, to avoid food
contaminants.
A client with cancer develops xerostomia. The nurse can help alleviate the discomfort associated with
xerostomia by:
A. Offering a hard candy
B. Administering an analgesic medication
C. Splinting swollen joints
D. Providing saliva substitue - ansD. Providing saliva substitute
,EXAM CRAM NCLEX-PN PRACTICE QUESTIONS AND
ANSWERS 2024-2025 VERSION GRADED A+
why?
Xerostomia is dry mouth, and offering the client a saliva substitute will help the most.
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
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis - ansB. 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 client with caner 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. - ansB. Ask the client to void immediately
before the study.
why?
The client having an intravenous pyelogram will have orders for laxatives of enemas so asking the client
to void before the test is in order. A full bladder or bowel can obscure the visualization of the kidney,
ureters, and urethra.
A client with glomerulonephritis is placed on a low sodium diet. Which of the following snacks is suitable
for the client with low sodium restritctions?
,EXAM CRAM NCLEX-PN PRACTICE QUESTIONS AND
ANSWERS 2024-2025 VERSION GRADED A+
A. Peanut butter cookies
B. Grilled cheese sandwich
C. Cottage cheese and fruit
D. Fresh peach - ansD. Fresh peach
why?
The fresh peach is the lowest in sodium of these choices
A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse
anticipate?
A. Blood pressure every 15 minutes
B. Insertion of a levine tube
C. Cardiac monitoring
D. Dressing changes 2x per day - ansB. Insertion of a levine tube
why?
The client with pancreatitis frequently has nausea and vomiting. Lavage is often used to decompress the
stomach and rest the bowel, so the insertion of a levine tube should be anticipated.
A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which
statement in the teaching session?
A. "You will be sitting for the examination procedure."
B. "Portions of the procedure will cause pain or discomfort."
C. "You will be given some medication to anesthetize the area."
D. "you will not be able to drink fluids for 24 hours before the study." - ansB. "Portions of the procedure
will cause pain or discomfort."
why?
, EXAM CRAM NCLEX-PN PRACTICE QUESTIONS AND
ANSWERS 2024-2025 VERSION GRADED A+
Portions of the exam are painful especially when the sample is being withdrawn so this should be
included in the session with the client.
A home health nurse is making preparations for morning visits. Which of the following clients should the
nurse visit first?
A. A client with brain- attack (stroke) with tube feeding
B. A client with congestive heart failure complaining of nighttime dyspnea
C. A client with a thoracotomy 6 months ago
D. A client with Parkinson disease - ansB. The client with congestive heart failure complaining of nighttime
dyspnea
why?
The client with congestive heart failure who is complaining of nighttime dyspnea should be seen first
because airway si number one in nursing care
A home health nurse is planning for her daily visits. Which client should the home health nurse visit first?
A. A client with AIDS being treated with Foscarnet
B. A client with a fractured femur in a long leg cast
C. A client with a laryngeal cancer with a laryngetomy
D. A client with diabetic ulcers to the left foot - ansC. A client with a laryngeal cancer with a laryngetomy
why?
The client with laryngeal cancer has a potential airway alteration and should be seen first.
A new nursing graduate indicates in charting enteries that he is a licensed practical nurse, although he
has not received the results of the licensing exam. The graduate's actions can result in what type of
charge?
ANSWERS 2024-2025 VERSION GRADED A+
A. "My sister still has episodes of crying and it's been 3 months since daddy died."
B. "Sally seems to have forgotten the bad things that daddy did in his lifetime."
C. "She really had a hard time after daddy's funeral. She said that she had a sense of longing."
D. "Sally has not been sad at all by daddy's death. She acts like nothing has happened." - ansD. "Sally
has not been sad at all by daddy's death. She acts like nothing has happened at all."
why?
Abnormal grieving is exhibited by a lack of feeling sad; if the client's sister appears not to grieve, it might
be abnormal grieving. This family member might be suppressing feelings of grief.
A client with acute leukemia develops a low white blood cell count. In addition to the institute of isolation
the nurse should:
A. Request that food be served with disposable utensils
B. Ask the client to wear a mask when visitors are present
C. Prep IV with mild soap, water, and alcohol
D. Provide foods in seal single serving packages - ansD. Provide foods in seal single serving packages
why?
Because the client is immune-suppressed, foods should be served in sealed containers, to avoid food
contaminants.
A client with cancer develops xerostomia. The nurse can help alleviate the discomfort associated with
xerostomia by:
A. Offering a hard candy
B. Administering an analgesic medication
C. Splinting swollen joints
D. Providing saliva substitue - ansD. Providing saliva substitute
,EXAM CRAM NCLEX-PN PRACTICE QUESTIONS AND
ANSWERS 2024-2025 VERSION GRADED A+
why?
Xerostomia is dry mouth, and offering the client a saliva substitute will help the most.
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
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis - ansB. 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 client with caner 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. - ansB. Ask the client to void immediately
before the study.
why?
The client having an intravenous pyelogram will have orders for laxatives of enemas so asking the client
to void before the test is in order. A full bladder or bowel can obscure the visualization of the kidney,
ureters, and urethra.
A client with glomerulonephritis is placed on a low sodium diet. Which of the following snacks is suitable
for the client with low sodium restritctions?
,EXAM CRAM NCLEX-PN PRACTICE QUESTIONS AND
ANSWERS 2024-2025 VERSION GRADED A+
A. Peanut butter cookies
B. Grilled cheese sandwich
C. Cottage cheese and fruit
D. Fresh peach - ansD. Fresh peach
why?
The fresh peach is the lowest in sodium of these choices
A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse
anticipate?
A. Blood pressure every 15 minutes
B. Insertion of a levine tube
C. Cardiac monitoring
D. Dressing changes 2x per day - ansB. Insertion of a levine tube
why?
The client with pancreatitis frequently has nausea and vomiting. Lavage is often used to decompress the
stomach and rest the bowel, so the insertion of a levine tube should be anticipated.
A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which
statement in the teaching session?
A. "You will be sitting for the examination procedure."
B. "Portions of the procedure will cause pain or discomfort."
C. "You will be given some medication to anesthetize the area."
D. "you will not be able to drink fluids for 24 hours before the study." - ansB. "Portions of the procedure
will cause pain or discomfort."
why?
, EXAM CRAM NCLEX-PN PRACTICE QUESTIONS AND
ANSWERS 2024-2025 VERSION GRADED A+
Portions of the exam are painful especially when the sample is being withdrawn so this should be
included in the session with the client.
A home health nurse is making preparations for morning visits. Which of the following clients should the
nurse visit first?
A. A client with brain- attack (stroke) with tube feeding
B. A client with congestive heart failure complaining of nighttime dyspnea
C. A client with a thoracotomy 6 months ago
D. A client with Parkinson disease - ansB. The client with congestive heart failure complaining of nighttime
dyspnea
why?
The client with congestive heart failure who is complaining of nighttime dyspnea should be seen first
because airway si number one in nursing care
A home health nurse is planning for her daily visits. Which client should the home health nurse visit first?
A. A client with AIDS being treated with Foscarnet
B. A client with a fractured femur in a long leg cast
C. A client with a laryngeal cancer with a laryngetomy
D. A client with diabetic ulcers to the left foot - ansC. A client with a laryngeal cancer with a laryngetomy
why?
The client with laryngeal cancer has a potential airway alteration and should be seen first.
A new nursing graduate indicates in charting enteries that he is a licensed practical nurse, although he
has not received the results of the licensing exam. The graduate's actions can result in what type of
charge?
