NCLEX-PN 2024 TEST BANK 200+ REAL EXAM PRACTICE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY 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 - 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.
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - 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.
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 - CORRECT ANSWER✔✔D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his
birth weight.
A client is admitted with a Ewing's sacroma. which symptoms would be expected
due to this tumor's location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain - CORRECT ANSWER✔✔D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
, 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.
A 6-month-old client is admitted with possible intussuception. Which question
during the nursing history is least helpful in obtaining information regarding this
diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?" - CORRECT ANSWER✔✔C."
Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are
useful in determining the extent of disease process and thus, are incorrect
The nurse is assisting a client with diverticulosis to select appropiate foods. Which
food should be avoided?
A. Bran
B. Fresh Peaches
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY 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 - 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.
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - 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.
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 - CORRECT ANSWER✔✔D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his
birth weight.
A client is admitted with a Ewing's sacroma. which symptoms would be expected
due to this tumor's location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain - CORRECT ANSWER✔✔D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
, 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.
A 6-month-old client is admitted with possible intussuception. Which question
during the nursing history is least helpful in obtaining information regarding this
diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?" - CORRECT ANSWER✔✔C."
Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are
useful in determining the extent of disease process and thus, are incorrect
The nurse is assisting a client with diverticulosis to select appropiate foods. Which
food should be avoided?
A. Bran
B. Fresh Peaches
