NCLEX-
PN TESTBANK with 200questions all a
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nswered
NCLEX-PN & elaborated
Test-Bank (200
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clearly
Questions with Answers and Explanation)
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1. Thednursedisdcaringdfordadclientdscheduleddfordremovaldofdadpituitarydtumordusingdthedt
ranssphenoidaldapproach.dThednursedshoulddbedparticularlydalertdfor:
A. Nasaldcongestion
B. Abdominaldtenderness
C. Muscledtetany
D. Oliguria
AnswerdA:dRemovaldofdthedpituitarydglanddisdusuallyddonedbydadtranssphenoidaldapproach,dthrough
dthednose.dNasaldcongestiondfurtherdinterferesdwithdthedairway.dAnswersdB,dC,danddDdarednotdcorrectd
becausedtheydarednotddirectlydassociateddwithdthedpituitarydgland.
2. Adclientdwithdcancerdisdadmitteddtodthedoncologydunit.dStatdlabdvaluesdrevealdHgbd12.6,dW
BCd6500,dK+d1.9,duricdacidd7.0,dNa+d136,danddplateletsd178,000.dThednursedevaluatesdthatdthedclie
ntdisdexperiencingdwhichdofdthedfollowing?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
AnswerdB:dHypokalemiadisdevidentdfromdthedlabdvaluesdlisted.dThedotherdlaboratorydfindingsdaredwi
thindnormaldlimits,dmakingdanswersdA,dC,danddD
incorrect.
, NCLEX-
PN TESTBANK with 200questions all a
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3. A 24-year-nswered & elaborated clearly
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old female client is scheduled for surgery in the morning. Which of the following is the pri
d d d d d d d d d d d d d d d d
marydresponsibilitydofdthednurse?
A. Takingdthedvitaldsigns
B. Obtainingdthedpermit
C. Explainingdthedprocedure
D. Checkingdthedlabdwork
AnswerdA:dThedprimarydresponsibilitydofdthednursedisdtodtakedthedvitaldsignsdbeforedanydsurgery.dThe
dactionsdindanswersdB,dC,danddDdaredthedresponsibilitydofdtheddoctordand,dtherefore,daredincorrectdfor
dthisdquestion.
4. Thednursedisdworkingdindthedemergencydroomdwhendadclientdarrivesdwithdseveredburnsdofdt
hedleftdarm,dhands,dface,danddneck.dWhichdactiondshoulddreceivedpriority?
A. StartingdandIV
B. Applyingdoxygen
C. Obtainingdblooddgases
D. Medicatingdthedclientdfordpain
AnswerdB:dThedclientdwithdburnsdtodthedneckdneedsdairwaydassessmentdanddsupplementaldoxygen,ds
odapplyingdoxygendisdthedpriority.dThednextdactiondshoulddbedtodstartdandIVdanddmedicatedfordpain,dm
akingdanswersdAdanddCdincorrect.dAnswerdD,dobtainingdblooddgases,disdordereddbydtheddoctor.
5. Thednursedisdvisitingdadhomedhealthdclientdwithdosteoporosis.dThedclientdhasdadnewdp
rescriptiondfordalendronated(Fosamax).dWhichdinstructiondshoulddbedgivendtodthedclient?
A. Restdindbeddafterdtakingdthedmedicationdfordatdleastd30dminutes
B. Avoiddrapiddmovementsdafterdtakingdthedmedication
C. Takedthedmedicationdwithdwaterdonly
, NCLEX-
PN TESTBANK with 200questions all a
d d d d dd
D.
nswered & elaborated clearly
Allow at least 1 hour between taking the medicine and taking other medications
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d
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AnswerdB:dThedclientdwithdburnsdtodthedneckdneedsdairwaydassessmentdanddsupplementaldoxygen,ds
odapplyingdoxygendisdthedpriority.dThednextdactiondshoulddbedtodstartdandIVdanddmedicatedfordpain,dm
akingdanswersdAdanddCdincorrect.dAnswerdD,dobtainingdblooddgases,disdordereddbydtheddoctor.
6. ThednursedisdmakingdinitialdroundsdondadclientdwithdadC5dfracturedanddcrutchfielddtongs.d
Whichdequipmentdshoulddbedkeptdatdthedbedside?
A. Adpairdofdforceps
B. Adtorquedwrench
C. Adpairdofdwiredcutters
D. Adscrewdriver
AnswerdB:dAdtorquedwrenchdisdkeptdatdthedbedsidedtodtightendanddloosendthedscrewsdofdcrutchfielddt
ongs.dThisdwrenchdcontrolsdthedamountdofdpressuredthatdisdplaceddondthedscrews.dAdpairdofdforceps,d
wiredcutters,danddadscrewdriver,dindanswersdA,dC,danddD,dwoulddnotdbeduseddand,dthus,daredincorrect.
7. Andinfantdweighsd7dpoundsdatdbirth.dThedexpecteddweightdbyd1dyeardshould
be:
A. 10dpounds
B. 12dpounds
C. 18dpounds
D. 21dpounds
, NCLEX-
PN TESTBANK with 200questions all a
d d d d dd
Answer D: A birthnswered
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&
weight of 7 pounds elaborated
woulddindicate 21 poundsclearly
t. Answers A, B, and C therefore are incorrect.
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in 1 year, or triple his birth weigh
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d
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d
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8. AdclientdisdadmitteddwithdadEwing’sdsarcoma.dWhichdsymptomsdwoulddbedexpecteddduedtodt
hisdtumor’sdlocation?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bonedpain
AnswerdD:dSarcomadisdadtypedofdbonedcancer;dtherefore,dbonedpaindwoulddbedexpected.dAnswersdA,
dB,danddCdarednotdspecificdtodthisdtypedofdcancerdanddaredincorrect.
9. Thednursedisdcaringdfordadclientdwithdepilepsydwhodisdbeingdtreateddwithdcarbamazepined(
Tegretol).dWhichdlaboratorydvaluedmightdindicatedadseriousdsidedeffectdofdthisddrug?
A. Uricdaciddofd5mg/dL
B. Hematocritdofd33%
C. WBCd2,000dperdcubicdmillimeter
D. Plateletsd150,000dperdcubicdmillimeter
AnswerdC:dTegretoldcandsuppressdthedbonedmarrowdandddecreasedthedwhitedblooddcelldcount;dthus,da
dlabdvaluedofdWBCd2,000dperdcubicdmillimeterdindicatesdsidedeffectsdofdtheddrug.dAnswersdAdanddDd
aredwithindnormaldlimits,danddanswerdBdisdadlowerdlimitdofdnormal;dtherefore,danswersdA,dB,danddDda
redincorrect.
PN TESTBANK with 200questions all a
d d d d dd
nswered
NCLEX-PN & elaborated
Test-Bank (200
d d
d d
d
clearly
Questions with Answers and Explanation)
d d
d
d d
1. Thednursedisdcaringdfordadclientdscheduleddfordremovaldofdadpituitarydtumordusingdthedt
ranssphenoidaldapproach.dThednursedshoulddbedparticularlydalertdfor:
A. Nasaldcongestion
B. Abdominaldtenderness
C. Muscledtetany
D. Oliguria
AnswerdA:dRemovaldofdthedpituitarydglanddisdusuallyddonedbydadtranssphenoidaldapproach,dthrough
dthednose.dNasaldcongestiondfurtherdinterferesdwithdthedairway.dAnswersdB,dC,danddDdarednotdcorrectd
becausedtheydarednotddirectlydassociateddwithdthedpituitarydgland.
2. Adclientdwithdcancerdisdadmitteddtodthedoncologydunit.dStatdlabdvaluesdrevealdHgbd12.6,dW
BCd6500,dK+d1.9,duricdacidd7.0,dNa+d136,danddplateletsd178,000.dThednursedevaluatesdthatdthedclie
ntdisdexperiencingdwhichdofdthedfollowing?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
AnswerdB:dHypokalemiadisdevidentdfromdthedlabdvaluesdlisted.dThedotherdlaboratorydfindingsdaredwi
thindnormaldlimits,dmakingdanswersdA,dC,danddD
incorrect.
, NCLEX-
PN TESTBANK with 200questions all a
d d d d dd
3. A 24-year-nswered & elaborated clearly
d
d d d
old female client is scheduled for surgery in the morning. Which of the following is the pri
d d d d d d d d d d d d d d d d
marydresponsibilitydofdthednurse?
A. Takingdthedvitaldsigns
B. Obtainingdthedpermit
C. Explainingdthedprocedure
D. Checkingdthedlabdwork
AnswerdA:dThedprimarydresponsibilitydofdthednursedisdtodtakedthedvitaldsignsdbeforedanydsurgery.dThe
dactionsdindanswersdB,dC,danddDdaredthedresponsibilitydofdtheddoctordand,dtherefore,daredincorrectdfor
dthisdquestion.
4. Thednursedisdworkingdindthedemergencydroomdwhendadclientdarrivesdwithdseveredburnsdofdt
hedleftdarm,dhands,dface,danddneck.dWhichdactiondshoulddreceivedpriority?
A. StartingdandIV
B. Applyingdoxygen
C. Obtainingdblooddgases
D. Medicatingdthedclientdfordpain
AnswerdB:dThedclientdwithdburnsdtodthedneckdneedsdairwaydassessmentdanddsupplementaldoxygen,ds
odapplyingdoxygendisdthedpriority.dThednextdactiondshoulddbedtodstartdandIVdanddmedicatedfordpain,dm
akingdanswersdAdanddCdincorrect.dAnswerdD,dobtainingdblooddgases,disdordereddbydtheddoctor.
5. Thednursedisdvisitingdadhomedhealthdclientdwithdosteoporosis.dThedclientdhasdadnewdp
rescriptiondfordalendronated(Fosamax).dWhichdinstructiondshoulddbedgivendtodthedclient?
A. Restdindbeddafterdtakingdthedmedicationdfordatdleastd30dminutes
B. Avoiddrapiddmovementsdafterdtakingdthedmedication
C. Takedthedmedicationdwithdwaterdonly
, NCLEX-
PN TESTBANK with 200questions all a
d d d d dd
D.
nswered & elaborated clearly
Allow at least 1 hour between taking the medicine and taking other medications
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d
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AnswerdB:dThedclientdwithdburnsdtodthedneckdneedsdairwaydassessmentdanddsupplementaldoxygen,ds
odapplyingdoxygendisdthedpriority.dThednextdactiondshoulddbedtodstartdandIVdanddmedicatedfordpain,dm
akingdanswersdAdanddCdincorrect.dAnswerdD,dobtainingdblooddgases,disdordereddbydtheddoctor.
6. ThednursedisdmakingdinitialdroundsdondadclientdwithdadC5dfracturedanddcrutchfielddtongs.d
Whichdequipmentdshoulddbedkeptdatdthedbedside?
A. Adpairdofdforceps
B. Adtorquedwrench
C. Adpairdofdwiredcutters
D. Adscrewdriver
AnswerdB:dAdtorquedwrenchdisdkeptdatdthedbedsidedtodtightendanddloosendthedscrewsdofdcrutchfielddt
ongs.dThisdwrenchdcontrolsdthedamountdofdpressuredthatdisdplaceddondthedscrews.dAdpairdofdforceps,d
wiredcutters,danddadscrewdriver,dindanswersdA,dC,danddD,dwoulddnotdbeduseddand,dthus,daredincorrect.
7. Andinfantdweighsd7dpoundsdatdbirth.dThedexpecteddweightdbyd1dyeardshould
be:
A. 10dpounds
B. 12dpounds
C. 18dpounds
D. 21dpounds
, NCLEX-
PN TESTBANK with 200questions all a
d d d d dd
Answer D: A birthnswered
d d d d
&
weight of 7 pounds elaborated
woulddindicate 21 poundsclearly
t. Answers A, B, and C therefore are incorrect.
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in 1 year, or triple his birth weigh
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8. AdclientdisdadmitteddwithdadEwing’sdsarcoma.dWhichdsymptomsdwoulddbedexpecteddduedtodt
hisdtumor’sdlocation?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bonedpain
AnswerdD:dSarcomadisdadtypedofdbonedcancer;dtherefore,dbonedpaindwoulddbedexpected.dAnswersdA,
dB,danddCdarednotdspecificdtodthisdtypedofdcancerdanddaredincorrect.
9. Thednursedisdcaringdfordadclientdwithdepilepsydwhodisdbeingdtreateddwithdcarbamazepined(
Tegretol).dWhichdlaboratorydvaluedmightdindicatedadseriousdsidedeffectdofdthisddrug?
A. Uricdaciddofd5mg/dL
B. Hematocritdofd33%
C. WBCd2,000dperdcubicdmillimeter
D. Plateletsd150,000dperdcubicdmillimeter
AnswerdC:dTegretoldcandsuppressdthedbonedmarrowdandddecreasedthedwhitedblooddcelldcount;dthus,da
dlabdvaluedofdWBCd2,000dperdcubicdmillimeterdindicatesdsidedeffectsdofdtheddrug.dAnswersdAdanddDd
aredwithindnormaldlimits,danddanswerdBdisdadlowerdlimitdofdnormal;dtherefore,danswersdA,dB,danddDda
redincorrect.
