Exam Cram NCLEX-PN PRACTICE (Latest 2025/2026)
QUESTIONS and Verified Solutions with Rationales
1. the nurse is caring for a client scheduled for removal of a pituitary tumor using the trans
a a a a a a a a a a a a a a a a
sphenoidal approach. the nurse should be particularly alert to:
a a a a a a a a
A. Nasal congestion a
B. Abdominal Tenderness a
C. Muscle Tetany a
D. Oliguria: A. Nasal congestion a a a
why?
removal of the pituitary gland is usually done by transsphernoidal approach through the nose. N
a a a a a a a a a a a a a a
sal congestion further interferes with the airway.
a a a a a a
2. A client with cancer is a, admitted to the oncology unit. Stat lab values revel Hgb 12.6, WB
a a a a a a a a a a a a a a a a a
C 6500, K+1.9, uric acid 7.0, Na+136, and platelets 178,000. The nurse evaluates that the c
a a a a a a a a a a a a a a a
lient is experiencing which of the following?
a a a a a a
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis: B. Hypokalemia a a
why?
Hypokalemia is evident from the lab values listed. The other laboratory findings are within norm
a a a a a a a a a a a a a a
l limits. making answers A,C and D incorrect
a a a a a a a
3. A 24 year-
a a
old female client is scheduled for surgery in the morning. Which of the following is the pri
a a a a a a a a a a a a a a a a
mary responsibility of the nurse?
a a a a
1a/a48
,A. taking the vital signs
a a a
B. obtaining the permit a a
C. explaining the procedure a a
D. Checking the lab work: A. taking the vital signs
a a a a a a a a
why?
the primary responisblity of the nurse is to take the vital signs before any surgery.
a a a a a a a a a a a a a a
answers B,C and D are the responsibility of the doctor.
a a a a a a a a a
4. The nurse is working in the emergency room when a client arrives with severe burns
a a a a a a a a a a a a a a
of the left arm, hands, face, and neck. which action should receive priority?
a a a a a a a a a a a a a
2a/a48
,A. starting an IV? a a
B. Applying oxygen C.Obt a a
aining blood gas a a
D. Medicating the client foe pain: B. Applying oxygen
a a a a a a a a
why?
the client with burns to the neck needs airway assessments and supplemental oxygen, so app
a a a a a a a a a a a a a a
ng oxygen is priority. the next action should be to start an IV and medicate for pain.
a a a a a a a a a a a a a a a a
5. The nurse is visiting a home health client with osteoporosis.The client has a new prescri
a a a a a a a a a a a a a a a
ption for alendronate (Fosamax). Which instructions should be given to the client
a a a a a a a a a a a
A. rest in bed after taking the medication for at least 30 mins
a a a a a a a a a a a
B. Avoid rapid movements after taking the medication
a a a a a a
C. Take medication with water only
a a a a
D. Allow at least 1 hour between taking the medicine and taking other medica-
a a a a a a a a a a a a
tions: C. Take medication with water only
a a a a a a a
why?
Fosmax should be taken with water only. The client should also remain upright for at least 30 m
a a a a a a a a a a a a a a a a a
ins after taking the medication.
a a a a
6. The nurse is making initial rounds on a client with a C5 fracture and crutch-
a a a a a a a a a a a a a a
afield thongs. Which equipment should be kept at the bedside?
a a a a a a a a a
A. A pair of forceps
a a a a
B. A torque wrench
a a a
C. A pair or wire cutters
a a a a a
D. A screwdriver: B. A torque wrench why?
a a a a a a a
A tourque wrench is kept at the bedside to tighten and loosen the screws of crutchfield tongs.T
a a a a a a a a a a a a a a a a a
s wrench controls the amount of pressure that is placed on the screws.
a a a a a a a a a a a a
7. An infant weighs 7 pounds at birth.The excpectd weight by 1 year should be:
a a a a a a a a a a a a a a
3a/a48
, A. 10 pounds a
B.12 pounds a
C. 18 pounds a
D. 21 pounds: D. 21 pounds why a a a a a
?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth weight.
a a a a a a a a a a a a a a a a a a
8. A client is admitted with a Ewing's sacroma. which symptoms would be expected du
a a a a a a a a a a a a a
e to this tumor's location?
a a a a
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain: D. Bone Pain why a a a a a
?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
a a a a a a a a a a a a
9. The nurse is caring for a client with epilepsy who is being treated with carbamazepine (T
a a a a a a a a a a a a a a a
egretol). Which labatory value might be a indicate a serious side effect of this drug?
a a a a a a a a a a a a a a
A. Uric acid of 5mg/dL a a a
B. Hematoccrit of 33% a a
C. WBC 2,000 per cubic millimeter a a a a
D. Platelets 150,000 per cubic millimeter: C. WBC 2,000 per cubic millimeter why?
a a a a a a a a a a a
Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab v
a a a a a a a a a a a a a a a a
ue of WBC 2,000 per cubic millimeter indicates side effects of the drug.
a a a a a a a a a a a a
10. A 6-month-old client is admitted with possible intussuception. Which ques-
a a a a a a a a a
tion during the nursing history is least helpful in obtaining information regard-
a a a a a a a a a a a a
ing this diagnosis?
a a a
A. "tell me about the pain" a a a a
B. "what does his vomit look like?" a a a a a
4a/a48
QUESTIONS and Verified Solutions with Rationales
1. the nurse is caring for a client scheduled for removal of a pituitary tumor using the trans
a a a a a a a a a a a a a a a a
sphenoidal approach. the nurse should be particularly alert to:
a a a a a a a a
A. Nasal congestion a
B. Abdominal Tenderness a
C. Muscle Tetany a
D. Oliguria: A. Nasal congestion a a a
why?
removal of the pituitary gland is usually done by transsphernoidal approach through the nose. N
a a a a a a a a a a a a a a
sal congestion further interferes with the airway.
a a a a a a
2. A client with cancer is a, admitted to the oncology unit. Stat lab values revel Hgb 12.6, WB
a a a a a a a a a a a a a a a a a
C 6500, K+1.9, uric acid 7.0, Na+136, and platelets 178,000. The nurse evaluates that the c
a a a a a a a a a a a a a a a
lient is experiencing which of the following?
a a a a a a
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis: B. Hypokalemia a a
why?
Hypokalemia is evident from the lab values listed. The other laboratory findings are within norm
a a a a a a a a a a a a a a
l limits. making answers A,C and D incorrect
a a a a a a a
3. A 24 year-
a a
old female client is scheduled for surgery in the morning. Which of the following is the pri
a a a a a a a a a a a a a a a a
mary responsibility of the nurse?
a a a a
1a/a48
,A. taking the vital signs
a a a
B. obtaining the permit a a
C. explaining the procedure a a
D. Checking the lab work: A. taking the vital signs
a a a a a a a a
why?
the primary responisblity of the nurse is to take the vital signs before any surgery.
a a a a a a a a a a a a a a
answers B,C and D are the responsibility of the doctor.
a a a a a a a a a
4. The nurse is working in the emergency room when a client arrives with severe burns
a a a a a a a a a a a a a a
of the left arm, hands, face, and neck. which action should receive priority?
a a a a a a a a a a a a a
2a/a48
,A. starting an IV? a a
B. Applying oxygen C.Obt a a
aining blood gas a a
D. Medicating the client foe pain: B. Applying oxygen
a a a a a a a a
why?
the client with burns to the neck needs airway assessments and supplemental oxygen, so app
a a a a a a a a a a a a a a
ng oxygen is priority. the next action should be to start an IV and medicate for pain.
a a a a a a a a a a a a a a a a
5. The nurse is visiting a home health client with osteoporosis.The client has a new prescri
a a a a a a a a a a a a a a a
ption for alendronate (Fosamax). Which instructions should be given to the client
a a a a a a a a a a a
A. rest in bed after taking the medication for at least 30 mins
a a a a a a a a a a a
B. Avoid rapid movements after taking the medication
a a a a a a
C. Take medication with water only
a a a a
D. Allow at least 1 hour between taking the medicine and taking other medica-
a a a a a a a a a a a a
tions: C. Take medication with water only
a a a a a a a
why?
Fosmax should be taken with water only. The client should also remain upright for at least 30 m
a a a a a a a a a a a a a a a a a
ins after taking the medication.
a a a a
6. The nurse is making initial rounds on a client with a C5 fracture and crutch-
a a a a a a a a a a a a a a
afield thongs. Which equipment should be kept at the bedside?
a a a a a a a a a
A. A pair of forceps
a a a a
B. A torque wrench
a a a
C. A pair or wire cutters
a a a a a
D. A screwdriver: B. A torque wrench why?
a a a a a a a
A tourque wrench is kept at the bedside to tighten and loosen the screws of crutchfield tongs.T
a a a a a a a a a a a a a a a a a
s wrench controls the amount of pressure that is placed on the screws.
a a a a a a a a a a a a
7. An infant weighs 7 pounds at birth.The excpectd weight by 1 year should be:
a a a a a a a a a a a a a a
3a/a48
, A. 10 pounds a
B.12 pounds a
C. 18 pounds a
D. 21 pounds: D. 21 pounds why a a a a a
?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth weight.
a a a a a a a a a a a a a a a a a a
8. A client is admitted with a Ewing's sacroma. which symptoms would be expected du
a a a a a a a a a a a a a
e to this tumor's location?
a a a a
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain: D. Bone Pain why a a a a a
?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
a a a a a a a a a a a a
9. The nurse is caring for a client with epilepsy who is being treated with carbamazepine (T
a a a a a a a a a a a a a a a
egretol). Which labatory value might be a indicate a serious side effect of this drug?
a a a a a a a a a a a a a a
A. Uric acid of 5mg/dL a a a
B. Hematoccrit of 33% a a
C. WBC 2,000 per cubic millimeter a a a a
D. Platelets 150,000 per cubic millimeter: C. WBC 2,000 per cubic millimeter why?
a a a a a a a a a a a
Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab v
a a a a a a a a a a a a a a a a
ue of WBC 2,000 per cubic millimeter indicates side effects of the drug.
a a a a a a a a a a a a
10. A 6-month-old client is admitted with possible intussuception. Which ques-
a a a a a a a a a
tion during the nursing history is least helpful in obtaining information regard-
a a a a a a a a a a a a
ing this diagnosis?
a a a
A. "tell me about the pain" a a a a
B. "what does his vomit look like?" a a a a a
4a/a48
