2026/2027 FALL EXAM CRAM
NCLEX-PN PRACTICE QUESTIONS
RATIONALES AND VERIFIED
ANSWERS GRADED A+
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
A. Nasal congestion
RATIONALE
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
B. Hypokalemia
RATIONALE
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
A. Taking the vital signs
RATIONALE
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
B. Applying oxygen
RATIONALE
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
C. Take medication with water only
RATIONALE
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
B. A torque wrench
RATIONALE
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
B.12 pounds
C. 18 pounds
D. 21 pounds
D. 21 pounds
RATIONALE
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his
birth weight.
NCLEX-PN PRACTICE QUESTIONS
RATIONALES AND VERIFIED
ANSWERS GRADED A+
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
A. Nasal congestion
RATIONALE
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
B. Hypokalemia
RATIONALE
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
A. Taking the vital signs
RATIONALE
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
B. Applying oxygen
RATIONALE
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
C. Take medication with water only
RATIONALE
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
B. A torque wrench
RATIONALE
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
B.12 pounds
C. 18 pounds
D. 21 pounds
D. 21 pounds
RATIONALE
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his
birth weight.
