NCLEX-PN EXAM CRAM PRACTICE QUESTIONS & ANSWERS 2026-2027 |… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NCLEX-PN Exam Cram
Practice Questions &
Answers 2026-2027 | High-
Yield Review (Rationales)
Verified Answers Exam Ready With Rationales 100 QUESTIONS
DOCUMENT OVERVIEW
This document provides 100 NCLEX-PN practice questions, each accompanied by the
correct answer and detailed rationales. It covers essential nursing knowledge for
certification preparation. Students can utilize this resource for high-yield review and to
solidify their understanding of critical nursing concepts.
TOPICS
Neurology and Musculoskeletal Q1–Q8
Oncology and Hematology Q9–Q18
Perioperative and General Nursing Q19–Q63
Endocrine and Metabolic Q64–Q69
Gastrointestinal System Q70–Q81
Cardiovascular System Q82–Q100
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 100
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
CORRECT 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.
RATIONALE
Transsphenoidal pituitary surgery involves accessing the pituitary gland through the nasal cavity,
making nasal congestion a direct post-operative concern due to potential airway compromise. This
question tests understanding of surgical access routes and their immediate implications for
patient care.
Q2 QUESTION 2 OF 100
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
CORRECT 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.
Page 2
, RATIONALE
A torque wrench is essential for adjusting the screws on Crutchfield tongs to maintain proper
cervical traction without overtightening. This equipment directly addresses the management of
cervical traction devices used in spinal fracture care.
Q3 QUESTION 3 OF 100
The nurse is caring for a client with epilepsy who is being treated with carbamazepine
(Tegretol). Which labatory value might be a indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
CORRECT ANSWER
C. WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab
value of WBC 2,000 per cubic millimeter indicates side effects of the drug.
RATIONALE
Carbamazepine is known to cause bone marrow suppression, leading to a decrease in white blood
cell count, making a WBC of 2,000 cells/mm³ an indicator of this serious adverse effect. This
highlights the principle of drug-induced hematologic toxicity.
Q4 QUESTION 4 OF 100
A client arrives in the emergency room with a possible fractured femur. The nurse should
anticipate an order for:
A. Trendelenburg position
B. Ice to the entire extremity
C. Bucks traction
D. An abduction pillow
CORRECT ANSWER
C. Bucks traction
why?
The client with a fractured femur will be placed in Bucks traction to realign the leg and decrease
spasms and pain.
Page 3
, RATIONALE
Bucks traction is applied to a fractured femur to provide alignment, reduce muscle spasms, and
minimize pain by immobilizing the limb. This intervention addresses the immediate management
goal of stabilizing the fracture and preventing further injury.
Q5 QUESTION 5 OF 100
This client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication
should be kept during the test?
A. Atropine sulfate
B. Furosemide
C. Prostigmin
D.Promethazine
CORRECT ANSWER
A. Atropine sulfate
why?
Atropine sulfate is the antidote for Tensilon and is given to treat cholenergic crises
RATIONALE
Atropine sulfate is administered to counteract the muscarinic side effects of edrophonium
(Tensilon), such as bradycardia and excessive secretions, which can occur during the diagnostic
test for myasthenia gravis. This management of cholinergic side effects is critical to patient safety
during the Tensilon test.
Q6 QUESTION 6 OF 100
The nurse is caring for a client with cerebral plasy. The nurse should provide frequent rest
periods because:
A: Grimacing and withering movements decrease with relaxation and rest.
B. Hypoactive deep tendon reflexes become more active with rest
C. Stretch reflexes become more increases with rest
D. Fine motor movements are improved
CORRECT ANSWER
A. Grimacing and withering movements decrease with relaxation and rest.
why?
Frequent rest periods help to relx tense muscles and preserve energy
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NCLEX-PN Exam Cram
Practice Questions &
Answers 2026-2027 | High-
Yield Review (Rationales)
Verified Answers Exam Ready With Rationales 100 QUESTIONS
DOCUMENT OVERVIEW
This document provides 100 NCLEX-PN practice questions, each accompanied by the
correct answer and detailed rationales. It covers essential nursing knowledge for
certification preparation. Students can utilize this resource for high-yield review and to
solidify their understanding of critical nursing concepts.
TOPICS
Neurology and Musculoskeletal Q1–Q8
Oncology and Hematology Q9–Q18
Perioperative and General Nursing Q19–Q63
Endocrine and Metabolic Q64–Q69
Gastrointestinal System Q70–Q81
Cardiovascular System Q82–Q100
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 100
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
CORRECT 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.
RATIONALE
Transsphenoidal pituitary surgery involves accessing the pituitary gland through the nasal cavity,
making nasal congestion a direct post-operative concern due to potential airway compromise. This
question tests understanding of surgical access routes and their immediate implications for
patient care.
Q2 QUESTION 2 OF 100
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
CORRECT 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.
Page 2
, RATIONALE
A torque wrench is essential for adjusting the screws on Crutchfield tongs to maintain proper
cervical traction without overtightening. This equipment directly addresses the management of
cervical traction devices used in spinal fracture care.
Q3 QUESTION 3 OF 100
The nurse is caring for a client with epilepsy who is being treated with carbamazepine
(Tegretol). Which labatory value might be a indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
CORRECT ANSWER
C. WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab
value of WBC 2,000 per cubic millimeter indicates side effects of the drug.
RATIONALE
Carbamazepine is known to cause bone marrow suppression, leading to a decrease in white blood
cell count, making a WBC of 2,000 cells/mm³ an indicator of this serious adverse effect. This
highlights the principle of drug-induced hematologic toxicity.
Q4 QUESTION 4 OF 100
A client arrives in the emergency room with a possible fractured femur. The nurse should
anticipate an order for:
A. Trendelenburg position
B. Ice to the entire extremity
C. Bucks traction
D. An abduction pillow
CORRECT ANSWER
C. Bucks traction
why?
The client with a fractured femur will be placed in Bucks traction to realign the leg and decrease
spasms and pain.
Page 3
, RATIONALE
Bucks traction is applied to a fractured femur to provide alignment, reduce muscle spasms, and
minimize pain by immobilizing the limb. This intervention addresses the immediate management
goal of stabilizing the fracture and preventing further injury.
Q5 QUESTION 5 OF 100
This client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication
should be kept during the test?
A. Atropine sulfate
B. Furosemide
C. Prostigmin
D.Promethazine
CORRECT ANSWER
A. Atropine sulfate
why?
Atropine sulfate is the antidote for Tensilon and is given to treat cholenergic crises
RATIONALE
Atropine sulfate is administered to counteract the muscarinic side effects of edrophonium
(Tensilon), such as bradycardia and excessive secretions, which can occur during the diagnostic
test for myasthenia gravis. This management of cholinergic side effects is critical to patient safety
during the Tensilon test.
Q6 QUESTION 6 OF 100
The nurse is caring for a client with cerebral plasy. The nurse should provide frequent rest
periods because:
A: Grimacing and withering movements decrease with relaxation and rest.
B. Hypoactive deep tendon reflexes become more active with rest
C. Stretch reflexes become more increases with rest
D. Fine motor movements are improved
CORRECT ANSWER
A. Grimacing and withering movements decrease with relaxation and rest.
why?
Frequent rest periods help to relx tense muscles and preserve energy
Page 4
