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NCLEX-PN Exam Cram Practice
Questions & Answers 2026-2027 |
High-Yield Review (Rationales)
Document Overview
This document contains 100 NCLEX-PN practice questions, each paired with its correct
answer and a detailed rationale. It provides high-yield review for nursing assessment and
care. This resource is suitable for comprehensive study, targeted review, and certification
preparation.
100% Accurate Questions and Answers 100% Guarantee Pass - Verified by Experts
Expert-Verified
Verified Answers · Detailed Rationales · 100 Questions · September 2026
NCLEX-PN Exam Cram Practice Questions & Answers 2026-2027 | High-Yield Review (Rationales) - Practice Questions Page 0
, Topics Covered
Section 1: Neurology and Sensory Organs Q 1-11
Questions covering neurology and Sensory Organs concepts.
Section 2: Oncology and Hematology Q 12-21
Questions covering oncology and Hematology concepts.
Section 3: Perioperative and Surgical Care Q 22-40
Questions covering perioperative and Surgical Care concepts.
Section 4: Endocrine, Renal, and Musculoskeletal Q 41-59
Questions covering endocrine, Renal, and Musculoskeletal concepts.
Section 5: Pediatrics and Maternity Q 60-72
Questions covering pediatrics and Maternity concepts.
Section 6: Gastrointestinal System Q 73-84
Questions covering gastrointestinal System concepts.
Section 7: Cardiovascular System Q 85-100
Questions covering cardiovascular System concepts.
Questions
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: The transsphenoidal approach for pituitary tumor removal involves accessing the pituitary gland through
the nasal cavity and sphenoid sinus. Postoperatively, nasal congestion can significantly impede the client's airway,
making it a primary concern for the nurse. Therefore, monitoring for nasal congestion is critical to ensure adequate
respiration following this surgical procedure. This aligns with removal of the pituitary gland is usually done by
transsphernoidal approach through the nose. Nasal congestion further interferes with the airway., Nasal congestion
and why?.
NCLEX-PN Exam Cram Practice Questions & Answers 2026-2027 | High-Yield Review (Rationales) - Practice Questions Page 0
, 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.
Rationale: Crutchfield tongs are a type of skeletal traction used for cervical spine immobilization, and their screws
require periodic adjustment to maintain proper tension. A torque wrench is specifically designed to apply a precise
amount of rotational force, making it the appropriate tool to tighten or loosen the tongs' screws without overtightening
or loosening them excessively. Keeping this specialized wrench at the bedside ensures immediate access for necessary
adjustments to maintain the integrity of the skeletal traction. This aligns with 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. and why?.
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 (Tegretol) is known to cause bone marrow suppression, leading to a decrease in
circulating white blood cells (WBCs). A WBC count of 2,000 per cubic millimeter is significantly below the normal
range, indicating potential neutropenia and a serious adverse effect of carbamazepine therapy. This finding requires
prompt medical attention due to the increased risk of infection. This aligns with Tegratol can suppress the bone
marrow and decrease the white blood cells count, 000 per cubic millimeter indicates side effects of the drug. and a lab
value of WBC 2.
NCLEX-PN Exam Cram Practice Questions & Answers 2026-2027 | High-Yield Review (Rationales) - Practice Questions Page 0
, QUESTION 4 OF 100
The nurse if caring for a client with laryngeal cancer. Which finding ascertained in the
health history would not be common for this diagnosis?
A. Foul breath
B. Dysphagia
C. Diarrhea
D. Chronic hiccups
Correct Answer: C. Diarrhea
why?
Diarrhea is not common in clients with mouth and throat cancer
Rationale: Malignancies of the larynx and surrounding structures commonly present with symptoms directly
affecting the oral cavity and pharynx due to local invasion and inflammation. Findings like foul breath (halitosis),
difficulty swallowing (dysphagia), and chronic hiccups (which can indicate pharyngeal irritation or nerve
involvement) are consistent with laryngeal cancer. Diarrhea, however, is a gastrointestinal symptom not typically
associated with primary laryngeal pathology. This aligns with Diarrhea is not common in clients with mouth and
throat cancer and why?.
QUESTION 5 OF 100
The physician has order that the client's medication be administered intrathecally. The
nurse is aware that the medications will be administered by which method?
A. Intravenously
B. Rectally
C. Intramuscularly
D. Into the cerebrospinal fluid
Correct Answer: D. Into the cerebrospinal fluid
why?
Intrathecal medications are administered into the cerebrospinal fluid. This method of administering
medications is reserved for the client with metastases, the client with chronic pain, or the client with
cerebrospinal infections.
Rationale: The term "intrathecal" specifically denotes administration into the theca, which is the dural sac containing
the cerebrospinal fluid (CSF). Therefore, administering medication intrathecally means injecting it directly into the
CSF. This route is typically used for medications targeting the central nervous system, such as chemotherapy for brain
metastases, analgesics for severe pain, or antibiotics for meningitis. This aligns with Intrathecal medications are
administered into the cerebrospinal fluid. This method of administering medications is reserved for the client with
metastases, or the client with cerebrospinal infections. and Into the cerebrospinal fluid.
NCLEX-PN Exam Cram Practice Questions & Answers 2026-2027 | High-Yield Review (Rationales) - Practice Questions Page 0
NCLEX-PN Exam Cram Practice
Questions & Answers 2026-2027 |
High-Yield Review (Rationales)
Document Overview
This document contains 100 NCLEX-PN practice questions, each paired with its correct
answer and a detailed rationale. It provides high-yield review for nursing assessment and
care. This resource is suitable for comprehensive study, targeted review, and certification
preparation.
100% Accurate Questions and Answers 100% Guarantee Pass - Verified by Experts
Expert-Verified
Verified Answers · Detailed Rationales · 100 Questions · September 2026
NCLEX-PN Exam Cram Practice Questions & Answers 2026-2027 | High-Yield Review (Rationales) - Practice Questions Page 0
, Topics Covered
Section 1: Neurology and Sensory Organs Q 1-11
Questions covering neurology and Sensory Organs concepts.
Section 2: Oncology and Hematology Q 12-21
Questions covering oncology and Hematology concepts.
Section 3: Perioperative and Surgical Care Q 22-40
Questions covering perioperative and Surgical Care concepts.
Section 4: Endocrine, Renal, and Musculoskeletal Q 41-59
Questions covering endocrine, Renal, and Musculoskeletal concepts.
Section 5: Pediatrics and Maternity Q 60-72
Questions covering pediatrics and Maternity concepts.
Section 6: Gastrointestinal System Q 73-84
Questions covering gastrointestinal System concepts.
Section 7: Cardiovascular System Q 85-100
Questions covering cardiovascular System concepts.
Questions
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: The transsphenoidal approach for pituitary tumor removal involves accessing the pituitary gland through
the nasal cavity and sphenoid sinus. Postoperatively, nasal congestion can significantly impede the client's airway,
making it a primary concern for the nurse. Therefore, monitoring for nasal congestion is critical to ensure adequate
respiration following this surgical procedure. This aligns with removal of the pituitary gland is usually done by
transsphernoidal approach through the nose. Nasal congestion further interferes with the airway., Nasal congestion
and why?.
NCLEX-PN Exam Cram Practice Questions & Answers 2026-2027 | High-Yield Review (Rationales) - Practice Questions Page 0
, 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.
Rationale: Crutchfield tongs are a type of skeletal traction used for cervical spine immobilization, and their screws
require periodic adjustment to maintain proper tension. A torque wrench is specifically designed to apply a precise
amount of rotational force, making it the appropriate tool to tighten or loosen the tongs' screws without overtightening
or loosening them excessively. Keeping this specialized wrench at the bedside ensures immediate access for necessary
adjustments to maintain the integrity of the skeletal traction. This aligns with 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. and why?.
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 (Tegretol) is known to cause bone marrow suppression, leading to a decrease in
circulating white blood cells (WBCs). A WBC count of 2,000 per cubic millimeter is significantly below the normal
range, indicating potential neutropenia and a serious adverse effect of carbamazepine therapy. This finding requires
prompt medical attention due to the increased risk of infection. This aligns with Tegratol can suppress the bone
marrow and decrease the white blood cells count, 000 per cubic millimeter indicates side effects of the drug. and a lab
value of WBC 2.
NCLEX-PN Exam Cram Practice Questions & Answers 2026-2027 | High-Yield Review (Rationales) - Practice Questions Page 0
, QUESTION 4 OF 100
The nurse if caring for a client with laryngeal cancer. Which finding ascertained in the
health history would not be common for this diagnosis?
A. Foul breath
B. Dysphagia
C. Diarrhea
D. Chronic hiccups
Correct Answer: C. Diarrhea
why?
Diarrhea is not common in clients with mouth and throat cancer
Rationale: Malignancies of the larynx and surrounding structures commonly present with symptoms directly
affecting the oral cavity and pharynx due to local invasion and inflammation. Findings like foul breath (halitosis),
difficulty swallowing (dysphagia), and chronic hiccups (which can indicate pharyngeal irritation or nerve
involvement) are consistent with laryngeal cancer. Diarrhea, however, is a gastrointestinal symptom not typically
associated with primary laryngeal pathology. This aligns with Diarrhea is not common in clients with mouth and
throat cancer and why?.
QUESTION 5 OF 100
The physician has order that the client's medication be administered intrathecally. The
nurse is aware that the medications will be administered by which method?
A. Intravenously
B. Rectally
C. Intramuscularly
D. Into the cerebrospinal fluid
Correct Answer: D. Into the cerebrospinal fluid
why?
Intrathecal medications are administered into the cerebrospinal fluid. This method of administering
medications is reserved for the client with metastases, the client with chronic pain, or the client with
cerebrospinal infections.
Rationale: The term "intrathecal" specifically denotes administration into the theca, which is the dural sac containing
the cerebrospinal fluid (CSF). Therefore, administering medication intrathecally means injecting it directly into the
CSF. This route is typically used for medications targeting the central nervous system, such as chemotherapy for brain
metastases, analgesics for severe pain, or antibiotics for meningitis. This aligns with Intrathecal medications are
administered into the cerebrospinal fluid. This method of administering medications is reserved for the client with
metastases, or the client with cerebrospinal infections. and Into the cerebrospinal fluid.
NCLEX-PN Exam Cram Practice Questions & Answers 2026-2027 | High-Yield Review (Rationales) - Practice Questions Page 0
