NCLEX-PN Exam Cram 2026 |
Practice Questions with Detailed
Rationales
the nurse is caring for a client scheduled for removal of a pituitary
tumor using the transsphenoidal approach. the nurse should be
particularly alert to:
A. Nasal congestion
B. Abdominal Tenderness
C. Muscle Tetany
D. Oliguria - answer-A. Nasal congestion
why?
removal of the pituitary gland is usually done by transsphernoidal
approach through the nose. Nasal congestion further interferes with
the airway.
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 - answer-B. 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 24 year-old female client is scheduled for surgery in the morning.
Which of the following is the primary responsibility of the nurse?
A. taking the vital signs
B. obtaining the permit
C. explaining the procedure
D. Checking the lab work - answer-A. taking the vital signs
why?
the primary responisblity of the nurse is to take the vital signs before
any surgery.
answers B,C and D are the responsibility of the doctor.
,The nurse is working in the emergency room when a client arrives with
severe burns of the left arm, hands, face, and neck. which action should
receive priority?
A. starting an IV?
B. Applying oxygen
C.Obtaining blood gas
D. Medicating the client foe pain - answer-B. Applying oxygen
why?
the client with burns to the neck needs airway assessments and
supplemental oxygen, so applying oxygen is priority. the next action
should be to start an IV and medicate for pain.
The nurse is visiting a home health client with osteoporosis. The client
has a new prescription for alendronate (Fosamax). Which instructions
should be given to the client
A. rest in bed after taking the medication for at least 30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine and taking other
medications - answer-C. Take medication with water only
, why?
Fosmax should be taken with water only. The client should also remain
upright for at least 30 mins after taking the medication.
The nurse is making initial rounds on a client with a C5 fracture and
crutchfield thongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
D. A screwdriver - answer-B. A torque wrench
why?
A tourque wrench is kept at the bedside to tighten and loosen the
screws of crutchfield tongs. This wrench controls the amount of
pressure that is placed on the screws.
An infant weighs 7 pounds at birth. The excpectd weight by 1 year
should be:
A. 10 pounds
Practice Questions with Detailed
Rationales
the nurse is caring for a client scheduled for removal of a pituitary
tumor using the transsphenoidal approach. the nurse should be
particularly alert to:
A. Nasal congestion
B. Abdominal Tenderness
C. Muscle Tetany
D. Oliguria - answer-A. Nasal congestion
why?
removal of the pituitary gland is usually done by transsphernoidal
approach through the nose. Nasal congestion further interferes with
the airway.
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 - answer-B. 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 24 year-old female client is scheduled for surgery in the morning.
Which of the following is the primary responsibility of the nurse?
A. taking the vital signs
B. obtaining the permit
C. explaining the procedure
D. Checking the lab work - answer-A. taking the vital signs
why?
the primary responisblity of the nurse is to take the vital signs before
any surgery.
answers B,C and D are the responsibility of the doctor.
,The nurse is working in the emergency room when a client arrives with
severe burns of the left arm, hands, face, and neck. which action should
receive priority?
A. starting an IV?
B. Applying oxygen
C.Obtaining blood gas
D. Medicating the client foe pain - answer-B. Applying oxygen
why?
the client with burns to the neck needs airway assessments and
supplemental oxygen, so applying oxygen is priority. the next action
should be to start an IV and medicate for pain.
The nurse is visiting a home health client with osteoporosis. The client
has a new prescription for alendronate (Fosamax). Which instructions
should be given to the client
A. rest in bed after taking the medication for at least 30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine and taking other
medications - answer-C. Take medication with water only
, why?
Fosmax should be taken with water only. The client should also remain
upright for at least 30 mins after taking the medication.
The nurse is making initial rounds on a client with a C5 fracture and
crutchfield thongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
D. A screwdriver - answer-B. A torque wrench
why?
A tourque wrench is kept at the bedside to tighten and loosen the
screws of crutchfield tongs. This wrench controls the amount of
pressure that is placed on the screws.
An infant weighs 7 pounds at birth. The excpectd weight by 1 year
should be:
A. 10 pounds
