Exam Cram NCLEX-PN PRACTICE
QUESTIONS with correct answers
thenurseiscaringforaclientscheduledforremovalofapituitarytumorusingthetranssphenoidalapproach.the
nurseshouldbeparticularlyalertto:
A.Nasalcongestion
B.AbdominalTenderness
C.MuscleTetany
D.Oliguria-✔✔A.Nasalcongestion
why?
removalofthepituitaryglandisusuallydonebytranssphernoidalapproachthroughthenose.Nasalcongestionf
urtherinterfereswiththeairway.
Aclientwithcancerisa,admittedtotheoncologyunit.StatlabvaluesrevelHgb12.6,WBC6500,K+1.9,uricacid7.0
,Na+136,andplatelets178,000.Thenurseevaluatesthattheclientisexperiencingwhichofthefollowing?
A.Hypernatremia
B.Hypokalemia
C.Myelosuppression
D.Leukocytosis-✔✔B.Hypokalemia
why?
Hypokalemiaisevidentfromthelabvalueslisted.Theotherlaboratoryfindingsarewithinnormallimits.makinga
nswersA,CandDincorrect
A24year-
oldfemaleclientisscheduledforsurgeryinthemorning.Whichofthefollowingistheprimaryresponsibilityofthe
nurse?
,A.takingthevitalsigns
B.obtainingthepermit
C.explainingtheprocedure
D.Checkingthelabwork-✔✔A.takingthevitalsigns
why?
theprimaryresponisblityofthenurseistotakethevitalsignsbeforeanysurgery.
answersB,CandDaretheresponsibilityofthedoctor.
Thenurseisworkingintheemergencyroomwhenaclientarriveswithsevereburnsoftheleftarm,hands,face,an
dneck.whichactionshouldreceivepriority?
A.startinganIV?
B.Applyingoxygen
C.Obtainingbloodgas
D.Medicatingtheclientfoepain-✔✔B.Applyingoxygen
why?
theclientwithburnstotheneckneedsairwayassessmentsandsupplementaloxygen,soapplyingoxygenispriori
ty.thenextactionshouldbetostartanIVandmedicateforpain.
Thenurseisvisitingahomehealthclientwithosteoporosis.Theclienthasanewprescriptionforalendronate(Fos
amax).Whichinstructionsshouldbegiventotheclient
A.restinbedaftertakingthemedicationforatleast30mins
B.Avoidrapidmovementsaftertakingthemedication
C.Takemedicationwithwateronly
D.Allowatleast1hourbetweentakingthemedicineandtakingothermedications-
✔✔C.Takemedicationwithwateronly
why?
,Fosmaxshouldbetakenwithwateronly.Theclientshouldalsoremainuprightforatleast30minsaftertakingthe
medication.
ThenurseismakinginitialroundsonaclientwithaC5fractureandcrutchfieldthongs.Whichequipmentshouldb
ekeptatthebedside?
A.Apairofforceps
B.Atorquewrench
C.Apairorwirecutters
D.Ascrewdriver-✔✔B.Atorquewrench
why?
Atourquewrenchiskeptatthebedsidetotightenandloosenthescrewsofcrutchfieldtongs.Thiswrenchcontrols
theamountofpressurethatisplacedonthescrews.
Aninfantweighs7poundsatbirth.Theexcpectdweightby1yearshouldbe:
A.10pounds
B.12pounds
C.18pounds
D.21pounds-✔✔D.21pounds
why?
Abirthweightof7poundswouldindicate21poundsin1yearortriplethehisbirthweight.
AclientisadmittedwithaEwing'ssacroma.whichsymptomswouldbeexpectedduetothistumor'slocation?
A.Hemiplegia
B.Aphasia
C.Nausea
, D.BonePain-✔✔D.BonePain
why?
Sacromaisatypeofbonecancer,therefor,bonepainwouldbeexpected
Thenurseiscaringforaclientwithepilepsywhoisbeingtreatedwithcarbamazepine(Tegretol).Whichlabatoryv
aluemightbeaindicateaserioussideeffectofthisdrug?
A.Uricacidof5mg/dL
B.Hematoccritof33%
C.WBC2,000percubicmillimeter
D.Platelets150,000percubicmillimeter-✔✔C.WBC2,000percubicmillimeter
why?
Tegratolcansuppressthebonemarrowanddecreasethewhitebloodcellscount;thus,alabvalueofWBC2,000p
ercubicmillimeterindicatessideeffectsofthedrug.
A6-month-
oldclientisadmittedwithpossibleintussuception.Whichquestionduringthenursinghistoryisleasthelpfulinob
taininginformationregardingthisdiagnosis?
A."tellmeaboutthepain"
B."whatdoeshisvomitlooklike?"
C."Describehisusualdiet."
D."haveyounoticedchangesinhisadominalsize?"-✔✔C."Describehisusualdiet."
why?
Theleast-
helpfulquestionsarethosedescribinghisusualdiet.A,B,andDareusefulindeterminingtheextentofdiseasepro
cessandthus,areincorrect
QUESTIONS with correct answers
thenurseiscaringforaclientscheduledforremovalofapituitarytumorusingthetranssphenoidalapproach.the
nurseshouldbeparticularlyalertto:
A.Nasalcongestion
B.AbdominalTenderness
C.MuscleTetany
D.Oliguria-✔✔A.Nasalcongestion
why?
removalofthepituitaryglandisusuallydonebytranssphernoidalapproachthroughthenose.Nasalcongestionf
urtherinterfereswiththeairway.
Aclientwithcancerisa,admittedtotheoncologyunit.StatlabvaluesrevelHgb12.6,WBC6500,K+1.9,uricacid7.0
,Na+136,andplatelets178,000.Thenurseevaluatesthattheclientisexperiencingwhichofthefollowing?
A.Hypernatremia
B.Hypokalemia
C.Myelosuppression
D.Leukocytosis-✔✔B.Hypokalemia
why?
Hypokalemiaisevidentfromthelabvalueslisted.Theotherlaboratoryfindingsarewithinnormallimits.makinga
nswersA,CandDincorrect
A24year-
oldfemaleclientisscheduledforsurgeryinthemorning.Whichofthefollowingistheprimaryresponsibilityofthe
nurse?
,A.takingthevitalsigns
B.obtainingthepermit
C.explainingtheprocedure
D.Checkingthelabwork-✔✔A.takingthevitalsigns
why?
theprimaryresponisblityofthenurseistotakethevitalsignsbeforeanysurgery.
answersB,CandDaretheresponsibilityofthedoctor.
Thenurseisworkingintheemergencyroomwhenaclientarriveswithsevereburnsoftheleftarm,hands,face,an
dneck.whichactionshouldreceivepriority?
A.startinganIV?
B.Applyingoxygen
C.Obtainingbloodgas
D.Medicatingtheclientfoepain-✔✔B.Applyingoxygen
why?
theclientwithburnstotheneckneedsairwayassessmentsandsupplementaloxygen,soapplyingoxygenispriori
ty.thenextactionshouldbetostartanIVandmedicateforpain.
Thenurseisvisitingahomehealthclientwithosteoporosis.Theclienthasanewprescriptionforalendronate(Fos
amax).Whichinstructionsshouldbegiventotheclient
A.restinbedaftertakingthemedicationforatleast30mins
B.Avoidrapidmovementsaftertakingthemedication
C.Takemedicationwithwateronly
D.Allowatleast1hourbetweentakingthemedicineandtakingothermedications-
✔✔C.Takemedicationwithwateronly
why?
,Fosmaxshouldbetakenwithwateronly.Theclientshouldalsoremainuprightforatleast30minsaftertakingthe
medication.
ThenurseismakinginitialroundsonaclientwithaC5fractureandcrutchfieldthongs.Whichequipmentshouldb
ekeptatthebedside?
A.Apairofforceps
B.Atorquewrench
C.Apairorwirecutters
D.Ascrewdriver-✔✔B.Atorquewrench
why?
Atourquewrenchiskeptatthebedsidetotightenandloosenthescrewsofcrutchfieldtongs.Thiswrenchcontrols
theamountofpressurethatisplacedonthescrews.
Aninfantweighs7poundsatbirth.Theexcpectdweightby1yearshouldbe:
A.10pounds
B.12pounds
C.18pounds
D.21pounds-✔✔D.21pounds
why?
Abirthweightof7poundswouldindicate21poundsin1yearortriplethehisbirthweight.
AclientisadmittedwithaEwing'ssacroma.whichsymptomswouldbeexpectedduetothistumor'slocation?
A.Hemiplegia
B.Aphasia
C.Nausea
, D.BonePain-✔✔D.BonePain
why?
Sacromaisatypeofbonecancer,therefor,bonepainwouldbeexpected
Thenurseiscaringforaclientwithepilepsywhoisbeingtreatedwithcarbamazepine(Tegretol).Whichlabatoryv
aluemightbeaindicateaserioussideeffectofthisdrug?
A.Uricacidof5mg/dL
B.Hematoccritof33%
C.WBC2,000percubicmillimeter
D.Platelets150,000percubicmillimeter-✔✔C.WBC2,000percubicmillimeter
why?
Tegratolcansuppressthebonemarrowanddecreasethewhitebloodcellscount;thus,alabvalueofWBC2,000p
ercubicmillimeterindicatessideeffectsofthedrug.
A6-month-
oldclientisadmittedwithpossibleintussuception.Whichquestionduringthenursinghistoryisleasthelpfulinob
taininginformationregardingthisdiagnosis?
A."tellmeaboutthepain"
B."whatdoeshisvomitlooklike?"
C."Describehisusualdiet."
D."haveyounoticedchangesinhisadominalsize?"-✔✔C."Describehisusualdiet."
why?
Theleast-
helpfulquestionsarethosedescribinghisusualdiet.A,B,andDareusefulindeterminingtheextentofdiseasepro
cessandthus,areincorrect
