Exam Cram NCLEX-PN PRACTICE QUESTIONS

Exam Cram NCLEX-PN PRACTICE
QUESTIONS
Theinurseiisicaringiforiaiclientischedulediforiremovaliofiaipituitaryitumoriusingitheitranssphenoidali
approach.itheinurseishouldibeiparticularlyialertito:

A.iNasalicongestion
B.iAbdominaliTenderness
C.iMuscleiTetany
D.iOliguriai
〰ANSWER:iA.iNasalicongestion

➰why?i
removaliofitheipituitaryiglandiisiusuallyidoneibyitranssphernoidaliapproachithroughitheinose.iNasa
licongestionifurtheriinterferesiwithitheiairway.

Aiclientiwithicanceriisia,iadmitteditoitheioncologyiunit.iStatilabivaluesireveliHgbi12.6,iWBCi6500,iK
+1.9,iuriciacidi7.0,iNa+136,iandiplateletsi178,000.iTheinurseievaluatesithatitheiclientiisiexperienci
ngiwhichiofitheifollowing?

A.iHypernatremia
B.iHypokalemia
C.iMyelosuppression
D.iLeukocytosisi
〰ANSWER:iB.iHypokalemia

➰why?i
Hypokalemiaiisievidentifromitheilabivaluesilisted.iTheiotherilaboratoryifindingsiareiwithininormalili
mits.imakingianswersiA,CiandiDiincorrect

Ai24iyear-
oldifemaleiclientiisischedulediforisurgeryiinitheimorning.iWhichiofitheifollowingiisitheiprimaryiresp
onsibilityiofitheinurse?

A.itakingitheivitalisigns
B.iobtainingitheipermit
C.iexplainingitheiprocedure
D.iCheckingitheilabiworki
〰ANSWER:iA.itakingitheivitalisigns

➰why?i

,theiprimaryiresponisblityiofitheinurseiisitoitakeitheivitalisignsibeforeianyisurgery.

answersiB,CiandiDiareitheiresponsibilityiofitheidoctor.

Theinurseiisiworkingiinitheiemergencyiroomiwheniaiclientiarrivesiwithisevereiburnsiofitheileftiarm,
ihands,iface,iandineck.iwhichiactionishouldireceiveipriority?




A.istartingianiIV?
B.iApplyingioxygen
C.Obtainingibloodigasi
D.iMedicatingitheiclientifoeipaini
〰ANSWER:iB.iApplyingioxygen

➰why?i
theiclientiwithiburnsitoitheineckineedsiairwayiassessmentsiandisupplementalioxygen,isoiapplyingio
xygeniisipriority.itheinextiactionishouldibeitoistartianiIViandimedicateiforipain.

Theinurseiisivisitingiaihomeihealthiclientiwithiosteoporosis.iTheiclientihasiainewiprescriptioniforial
endronatei(Fosamax).iWhichiinstructionsishouldibeigivenitoitheiclient

A.irestiinibediafteritakingitheimedicationiforiatileasti30imins
B.iAvoidirapidimovementsiafteritakingitheimedication
C.iTakeimedicationiwithiwaterionly
D.iAllowiatileasti1ihouribetweenitakingitheimedicineianditakingiotherimedicationsi
〰ANSWER:iC.iTakeimedicationiwithiwaterionly

➰why?i

Fosmaxishouldibeitakeniwithiwaterionly.iTheiclientishouldialsoiremainiuprightiforiatileasti30iminsia
fteritakingitheimedication.

TheinurseiisimakingiinitialiroundsioniaiclientiwithiaiC5ifractureiandicrutchfieldithongs.iWhichiequi
pmentishouldibeikeptiatitheibedside?

A.iAipairiofiforceps
B.iAitorqueiwrench
C.iAipairioriwireicutters
D.iAiscrewdriveri
〰ANSWER:iB.iAitorqueiwrench

➰why?i

,Aitourqueiwrenchiisikeptiatitheibedsideitoitighteniandiloosenitheiscrewsioficrutchfielditongs.iThisi
wrenchicontrolsitheiamountiofipressureithatiisiplacedionitheiscrews.

Aniinfantiweighsi7ipoundsiatibirth.iTheiexcpectdiweightibyi1iyearishouldibe:

A.i10ipounds
B.12ipounds
C.i18ipounds
D.i21ipoundsi
〰ANSWER:iD.i21ipounds

➰why?i

Aibirthiweightiofi7ipoundsiwouldiindicatei21ipoundsiini1iyearioritripleitheihisibirthiweight.

AiclientiisiadmittediwithiaiEwing'sisacroma.iwhichisymptomsiwouldibeiexpectedidueitoithisitumor'
silocation?

A.iHemiplegia
B.iAphasia
C.iNausea
D.iBoneiPaini
〰ANSWER:iD.iBoneiPain

➰why?i

Sacromaiisiaitypeiofiboneicancer,itherefor,iboneipainiwouldibeiexpected

Theinurseiisicaringiforiaiclientiwithiepilepsyiwhoiisibeingitreatediwithicarbamazepinei(Tegretol).i
Whichilabatoryivalueimightibeiaiindicateiaiseriousisideieffectiofithisidrug?

A.iUriciacidiofi5mg/dL
B.iHematoccritiofi33%
C.iWBCi2,000ipericubicimillimeter
D.iPlateletsi150,000ipericubicimillimeteri
〰ANSWER:iC.iWBCi2,000ipericubicimillimeter

➰why?i

Tegratolicanisuppressitheiboneimarrowiandidecreaseitheiwhiteibloodicellsicount;ithus,iailabivaluei
ofiWBCi2,000ipericubicimillimeteriindicatesisideieffectsiofitheidrug.

, Ai6-month-
oldiclientiisiadmittediwithipossibleiintussuception.iWhichiquestioniduringitheinursingihistoryiisilea
stihelpfuliiniobtainingiinformationiregardingithisidiagnosis?

A.i"tellimeiaboutitheipain"
B."whatidoesihisivomitilookilike?"
C."iDescribeihisiusualidiet."
D.i"ihaveiyouinoticedichangesiinihisiadominalisize?"i
〰ANSWER:iC."iDescribeihisiusualidiet."

➰why?i

Theileast-
helpfuliquestionsiareithoseidescribingihisiusualidiet.iA,iB,iandiDiareiusefuliinideterminingitheiextent
iofidiseaseiprocessiandithus,iareiincorrect




Theinurseiisiassistingiaiclientiwithidiverticulosisitoiselectiappropiateifoods.iWhichifoodishouldibeia
voided?

A.iBran
B.iFreshiPeaches
C.iCucumberisaladi
D.iYeastiRollsi
〰ANSWER:iC.iCucumberisaladi

➰why?i

theiclientiwithidiverticulitisishouldiavoidifoodsiwithiseeds.

Aiclientihasirectalicanceriandiisischedulediforianiabdominaliperinealiresection.iWhatishouldibeithei
priorityinursingicareiduringitheipost-opiperiod?

A.iTeachingihowitoiirrigateitheiilleostomy
B.iStoppingielectrolytesilossiinitheiincisionaliarea
C.iEncouragingiaihighifiberidiet
D.iFacilitatingiperinealiwoundidrainagei
〰ANSWER:iD.iFacilitatingiperinealiwoundidrainage

➰why?i

theiclientiwithiaiperinealiresectioniwillihaveiaiperinealiincision.iDrainsiwillibeiuseditoifacilitateiwou
ndidrainage.iThisiwillihelpipreventiinfectioniofitheisurgicalisite.iTheiclientiwillinotihaveianiillestomy.i