NCLEX-PN TESTBANK (SOLVED QUESTIONS AND
ANSWERS GRADED A + UPDATED 2022) DOWNLOAD TO
SCORE.2023
1. The/nurse/is/caring/for/a/client/scheduled/for/removal/of/a/pituitary/tumor/using/the/tr
anssphenoidal/approach./The/nurse/should/be/particularly/alert/for:
A. Nasal/congestion
B. Abdominal/tenderness
C. Muscle/tetany
D. Oliguria
Answer/A:/Removal/of/the/pituitary/gland/is/usually/done/by/a/transsphenoidal/approach,/throug
h/the/nose./Nasal/congestion/further/interferes/with/the/airway./Answers/B,/C,/and/D/are/not/corre
ct/because/they/are/not/directly/associated/with/the/pituitary/gland.
2. A/client/with/cancer/is/admitted/to/the/oncology/unit./Stat/lab/values/reveal/Hgb/12.6,/W
BC/6500,/K+/1.9,/uric/acid/7.0,/Na+/136,/and/platelets/178,000./The/nurse/evaluates/that/the/clien
t/is/experiencing/which/of/the/following?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
Answer/B:/Hypokalemia/is/evident/from/the/lab/values/listed./The/other/laboratory/findings/are/w
ithin/normal/limits,/making/answers/A,/C,/and/D
incorrect.
,3. A/24-year-
old/female/client/is/scheduled/for/surgery/in/the/morning./Which/of/the/following/is/the/pri
mary/responsibility/of/the/nurse?
A. Taking/the/vital/signs
B. Obtaining/the/permit
C. Explaining/the/procedure
D. Checking/the/lab/work
Answer/A:/The/primary/responsibility/of/the/nurse/is/to/take/the/vital/signs/before/any/surgery./The/a
ctions/in/answers/B,/C,/and/D/are/the/responsibility/of/the/doctor/and,/therefore,/are/incorrect/for/thi
s/question.
4. The/nurse/is/working/in/the/emergency/room/when/a/client/arrives/with/severe/burns/of/th
e/left/arm,/hands,/face,/and/neck./Which/action/should/receive/priority?
A. Starting/an/IV
B. Applying/oxygen
C. Obtaining/blood/gases
D. Medicating/the/client/for/pain
Answer/B:/The/client/with/burns/to/the/neck/needs/airway/assessment/and/supplemental/oxygen,/so
/applying/oxygen/is/the/priority./The/next/action/should/be/to/start/an/IV/and/medicate/for/pain,/maki
ng/answers/A/and/C/incorrect./Answer/D,/obtaining/blood/gases,/is/ordered/by/the/doctor.
5. The/nurse/is/visiting/a/home/health/client/with/osteoporosis./The/client/has/a/new/pr
escription/for/alendronate/(Fosamax)./Which/instruction/should/be/given/to/the/client?
A. Rest/in/bed/after/taking/the/medication/for/at/least/30/minutes
B. Avoid/rapid/movements/after/taking/the/medication
,C. Take/the/medication/with/water/only
, D. Allow/at/least/1/hour/between/taking/the/medicine/and/taking/other/medications
Answer/B:/The/client/with/burns/to/the/neck/needs/airway/assessment/and/supplemental/oxygen,/so
/applying/oxygen/is/the/priority./The/next/action/should/be/to/start/an/IV/and/medicate/for/pain,/maki
ng/answers/A/and/C/incorrect./Answer/D,/obtaining/blood/gases,/is/ordered/by/the/doctor.
6. The/nurse/is/making/initial/rounds/on/a/client/with/a/C5/fracture/and/crutchfield/tongs./W
hich/equipment/should/be/kept/at/the/bedside?
A. A/pair/of/forceps
B. A/torque/wrench
C. A/pair/of/wire/cutters
D. A/screwdriver
Answer/B:/A/torque/wrench/is/kept/at/the/bedside/to/tighten/and/loosen/the/screws/of/crutchfield/ton
gs./This/wrench/controls/the/amount/of/pressure/that/is/placed/on/the/screws./A/pair/of/forceps,/wir
e/cutters,/and/a/screwdriver,/in/answers/A,/C,/and/D,/would/not/be/used/and,/thus,/are/incorrect.
7. An/infant/weighs/7/pounds/at/birth./The/expected/weight/by/1/year/should
be:
A. 10/pounds
B. 12/pounds
C. 18/pounds
D. 21/pounds
ANSWERS GRADED A + UPDATED 2022) DOWNLOAD TO
SCORE.2023
1. The/nurse/is/caring/for/a/client/scheduled/for/removal/of/a/pituitary/tumor/using/the/tr
anssphenoidal/approach./The/nurse/should/be/particularly/alert/for:
A. Nasal/congestion
B. Abdominal/tenderness
C. Muscle/tetany
D. Oliguria
Answer/A:/Removal/of/the/pituitary/gland/is/usually/done/by/a/transsphenoidal/approach,/throug
h/the/nose./Nasal/congestion/further/interferes/with/the/airway./Answers/B,/C,/and/D/are/not/corre
ct/because/they/are/not/directly/associated/with/the/pituitary/gland.
2. A/client/with/cancer/is/admitted/to/the/oncology/unit./Stat/lab/values/reveal/Hgb/12.6,/W
BC/6500,/K+/1.9,/uric/acid/7.0,/Na+/136,/and/platelets/178,000./The/nurse/evaluates/that/the/clien
t/is/experiencing/which/of/the/following?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
Answer/B:/Hypokalemia/is/evident/from/the/lab/values/listed./The/other/laboratory/findings/are/w
ithin/normal/limits,/making/answers/A,/C,/and/D
incorrect.
,3. A/24-year-
old/female/client/is/scheduled/for/surgery/in/the/morning./Which/of/the/following/is/the/pri
mary/responsibility/of/the/nurse?
A. Taking/the/vital/signs
B. Obtaining/the/permit
C. Explaining/the/procedure
D. Checking/the/lab/work
Answer/A:/The/primary/responsibility/of/the/nurse/is/to/take/the/vital/signs/before/any/surgery./The/a
ctions/in/answers/B,/C,/and/D/are/the/responsibility/of/the/doctor/and,/therefore,/are/incorrect/for/thi
s/question.
4. The/nurse/is/working/in/the/emergency/room/when/a/client/arrives/with/severe/burns/of/th
e/left/arm,/hands,/face,/and/neck./Which/action/should/receive/priority?
A. Starting/an/IV
B. Applying/oxygen
C. Obtaining/blood/gases
D. Medicating/the/client/for/pain
Answer/B:/The/client/with/burns/to/the/neck/needs/airway/assessment/and/supplemental/oxygen,/so
/applying/oxygen/is/the/priority./The/next/action/should/be/to/start/an/IV/and/medicate/for/pain,/maki
ng/answers/A/and/C/incorrect./Answer/D,/obtaining/blood/gases,/is/ordered/by/the/doctor.
5. The/nurse/is/visiting/a/home/health/client/with/osteoporosis./The/client/has/a/new/pr
escription/for/alendronate/(Fosamax)./Which/instruction/should/be/given/to/the/client?
A. Rest/in/bed/after/taking/the/medication/for/at/least/30/minutes
B. Avoid/rapid/movements/after/taking/the/medication
,C. Take/the/medication/with/water/only
, D. Allow/at/least/1/hour/between/taking/the/medicine/and/taking/other/medications
Answer/B:/The/client/with/burns/to/the/neck/needs/airway/assessment/and/supplemental/oxygen,/so
/applying/oxygen/is/the/priority./The/next/action/should/be/to/start/an/IV/and/medicate/for/pain,/maki
ng/answers/A/and/C/incorrect./Answer/D,/obtaining/blood/gases,/is/ordered/by/the/doctor.
6. The/nurse/is/making/initial/rounds/on/a/client/with/a/C5/fracture/and/crutchfield/tongs./W
hich/equipment/should/be/kept/at/the/bedside?
A. A/pair/of/forceps
B. A/torque/wrench
C. A/pair/of/wire/cutters
D. A/screwdriver
Answer/B:/A/torque/wrench/is/kept/at/the/bedside/to/tighten/and/loosen/the/screws/of/crutchfield/ton
gs./This/wrench/controls/the/amount/of/pressure/that/is/placed/on/the/screws./A/pair/of/forceps,/wir
e/cutters,/and/a/screwdriver,/in/answers/A,/C,/and/D,/would/not/be/used/and,/thus,/are/incorrect.
7. An/infant/weighs/7/pounds/at/birth./The/expected/weight/by/1/year/should
be:
A. 10/pounds
B. 12/pounds
C. 18/pounds
D. 21/pounds
