EXAM CRAM NCLEX-PN PRACTICE Question and answers 100% correct 2025

EXAM CRAM NCLEX-PN PRACTICE
Question and answers 100% correct 2025
the nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoi
O O O O O O O O O O O O O O O O



dal approach. the nurse should be particularly alert to:
O O O O O O O O




A. Nasal congestion
O O




B. Abdominal Tenderness
O O




C. Muscle Tetany
O O




D. Oliguria - ANSWER A. Nasal congestion
O O O O O O




why?

removal of the pituitary gland is usually done by transsphernoidal approach through the nose. N
O O O O O O O O O O O O O O



asal congestion further interferes with the airway.
O O O O O O




A client with cancer is a, admitted to the oncology unit. Stat lab values revel Hgb 12.6, WBC 650
O O O O O O O O O O O O O O O O O O



0, K+1.9, uric acid 7.0, Na+136, and platelets 178,000. The nurse evaluates that the client is expe
O O O O O O O O O O O O O O O O



riencing which of the following?
O O O O




A. Hypernatremia
O




B. Hypokalemia
O




C. Myelosuppression
O




D. Leukocytosis - ANSWER B. Hypokalemia
O O O O O




why?

Hypokalemia is evident from the lab values listed. The other laboratory findings are within norm
O O O O O O O O O O O O O O



al limits. making answers A,C and D incorrect
O O O O O O O

,A 24 year-
O O



old female client is scheduled for surgery in the morning. Which of the following is the primary r
O O O O O O O O O O O O O O O O O



esponsibility of the nurse? O O O




A. taking the vital signs
O O O O




B. obtaining the permit
O O O




C. explaining the procedure
O O O




D. Checking the lab work - ANSWER A. taking the vital signs
O O O O O O O O O O O




why?

the primary responisblity of the nurse is to take the vital signs before any surgery.
O O O O O O O O O O O O O O




answers B,C and D are the responsibility of the doctor.
O O O O O O O O O




The nurse is working in the emergency room when a client arrives with severe burns of the left a
O O O O O O O O O O O O O O O O O O



rm, hands, face, and neck. which action should receive priority?
O O O O O O O O O




A. starting an IV?
O O O




B. Applying oxygen
O O




C.Obtaining blood gas O O O




D. Medicating the client foe pain - ANSWER B. Applying oxygen
O O O O O O O O O O




why?

the client with burns to the neck needs airway assessments and supplemental oxygen, so applyi
O O O O O O O O O O O O O O



ng oxygen is priority. the next action should be to start an IV and medicate for pain.
O O O O O O O O O O O O O O O O

,The nurse is visiting a home health client with osteoporosis. The client has a new prescription fo
O O O O O O O O O O O O O O O O



r alendronate (Fosamax). Which instructions should be given to the client
O O O O O O O O O O




A. rest in bed after taking the medication for at least 30 mins
O O O O O O O O O O O O




B. Avoid rapid movements after taking the medication
O O O O O O O




C. Take medication with water only
O O O O O




D. Allow at least 1 hour between taking the medicine and taking other medications -
O O O O O O O O O O O O O O



ANSWER C. Take medication with water only
O O O O O O O




why?



Fosmax should be taken with water only. The client should also remain upright for at least 30 mi
O O O O O O O O O O O O O O O O O



ns after taking the medication.
O O O O




The nurse is making initial rounds on a client with a C5 fracture and crutchfield thongs. Which e
O O O O O O O O O O O O O O O O O



quipment should be kept at the bedside? O O O O O O




A. A pair of forceps
O O O O




B. A torque wrench
O O O




C. A pair or wire cutters
O O O O O




D. A screwdriver - ANSWER B. A torque wrench
O O O O O O O O




why?



A tourque wrench is kept at the bedside to tighten and loosen the screws of crutchfield tongs. T
O O O O O O O O O O O O O O O O O



his wrench controls the amount of pressure that is placed on the screws.
O O O O O O O O O O O O

, An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:
O O O O O O O O O O O O O O




A. 10 pounds
O O




B.12 pounds O




C. 18 pounds
O O




D. 21 pounds - ANSWER D. 21 pounds
O O O O O O O




why?



A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth weight.
O O O O O O O O O O O O O O O O O O




A client is admitted with a Ewing's sacroma. which symptoms would be expected due to this tu
O O O O O O O O O O O O O O O O



mor's location? O




A. Hemiplegia
O




B. Aphasia
O




C. Nausea
O




D. Bone Pain - ANSWER D. Bone Pain
O O O O O O O




why?



Sacroma is a type of bone cancer, therefor, bone pain would be expected
O O O O O O O O O O O O




The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol).
O O O O O O O O O O O O O O O



Which labatory value might be a indicate a serious side effect of this drug?
O O O O O O O O O O O O O O




A. Uric acid of 5mg/dL
O O O O