NCLEX-PN TEST-BANK
All 200 Questions With Answers And Discussions
Q&As Verified |Grade A+ Assured
~1~
,1. The nurse is caring for a client scheduled for removal of a pituitary tumor
using the transsphenoidal approach. The nurse should be particularly alert for:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria
Correct Answer: A: Removal of the pituitary gland is usually done by a transsphenoidal
approach, through the nose. Nasal congestion further interferes with the airway.
Correct Answer:s B, C, and D are not correct 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, 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
Correct Answer: B: Hypokalemia is evident from the lab values listed. The other
laboratory findings are within normal limits, making
Correct Answer:s A, C, and D
incorrect.
~2~
,3. 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
Correct Answer: A: The primary responsibility of the nurse is to take the vital signs before
any surgery. The actions in Correct Answer:s B, C, and D are the responsibility of the
doctor and, therefore, are incorrect for this question.
4. 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 gases
D. Medicating the client for pain
Correct 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, making
Correct Answer:s A and C incorrect.
Correct 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 prescription for alendronate (Fosamax). Which instruction should be given to
the client?
A. Rest in bed after taking the medication for at least 30 minutes
~3~
, 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
Correct 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, making Correct Answer:s A and C incorrect. Correct 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. Which 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
Correct Answer: B: A torque 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. A pair of forceps, wire cutters, and a screwdriver, in Correct Answer:s 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
~4~
All 200 Questions With Answers And Discussions
Q&As Verified |Grade A+ Assured
~1~
,1. The nurse is caring for a client scheduled for removal of a pituitary tumor
using the transsphenoidal approach. The nurse should be particularly alert for:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria
Correct Answer: A: Removal of the pituitary gland is usually done by a transsphenoidal
approach, through the nose. Nasal congestion further interferes with the airway.
Correct Answer:s B, C, and D are not correct 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, 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
Correct Answer: B: Hypokalemia is evident from the lab values listed. The other
laboratory findings are within normal limits, making
Correct Answer:s A, C, and D
incorrect.
~2~
,3. 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
Correct Answer: A: The primary responsibility of the nurse is to take the vital signs before
any surgery. The actions in Correct Answer:s B, C, and D are the responsibility of the
doctor and, therefore, are incorrect for this question.
4. 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 gases
D. Medicating the client for pain
Correct 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, making
Correct Answer:s A and C incorrect.
Correct 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 prescription for alendronate (Fosamax). Which instruction should be given to
the client?
A. Rest in bed after taking the medication for at least 30 minutes
~3~
, 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
Correct 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, making Correct Answer:s A and C incorrect. Correct 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. Which 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
Correct Answer: B: A torque 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. A pair of forceps, wire cutters, and a screwdriver, in Correct Answer:s 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
~4~
