2025 CRAM NCLEX-PN ACTUAL
PRACTICE QUESTIONS AND
CORRECT ANSWERS &
EXPLANATIONS
A client with acute leukemia develops a low white blood cell count. In addition to the
institute of isolation the nurse should:
A. Request that food be served with disposable utensils
B. Ask the client to wear a mask when visitors are present
C. Prep IV with mild soap, water, and alcohol
D. Provide foods in seal single serving packages
D. Provide foods in seal single serving packages
Explanations
Because the client is immune-suppressed, foods should be served in sealed
containers, to avoid food contaminants.
.
A 70 year old man who is recovering from a stroke exhibits signs of unilateral neglect.
Which behavior is suggested of unilateral neglect?
A. The client is observed by shaving only one side of his face
B. The client is unable to distinguish between two tactile stimuli presented
simultaneously
C. The client is unable to complete a range a vision without turning his head side to
side
D. The client is unable to carry out cognitive and motor activity at the same time
,A. The client is observed by shaving only one side of his face
Explanations
The client with unilateral neglect will neglect one side of the body
.
The nurse is providing discharge teaching for a client who is taking dissulfiram
(Antabuse). The nurse should instruct the client to avoid eating:
A. Peanuts, dates, raisins
B. Figs, chocolate, eggplant
C. Pickles, salad with vinaigrette dressing, and beef
D. Milk, cottage cheese, ice cream
C. Pickles, salad with vinaigrette dressing, beef
Explanations
The client taking antabuse should not eat or drink anything containing alcohol or
vinegar
.
A client has been receiving cyanocobalamine (B12) injections for the past 6 weeks.
Which lab finding indicates that the medication is having the desired effect?
A. Neutrophil count of 60%
B. Basophil count of 0.5%
C. Monocyte count of 2%
D. Reticlocyte count of 1%
,D. Reticlocyte count of 1 %
Explanations
Cyanocolamine is a B12 medication that is used for pernicious anemia, and a
reticulocyte count of 1% indicates that it is having the desired effect.
.
The nurse has just received a change of shift report. Which client should the nurse
assess first?
A. A client 2 hours post-lobectomy with 150 cc drainage
B. A client 2 days post-gastrectomy with scant drainage
C. A client with pnuemonia with a oral temp of 102 F
D. A client with a fractured hip in Bucks traction
A. A client 2 hours post-lobectomy with 150 cc drainage
Explanations
The first client to be seen is the one who recently returned from surgery.
Several clients are admitted to the ER following a three- car vehicle accident. Which
clients can be assigned to share a room in the emergency department during the
disaster?
A. The schizophrenic client having visual and auditory hallucinations and the client
with ulcerative collitis
B. The client who is 6 months pregnant with abdominal pain and the client with facial
lacerations and a broken arm
, C. A child whose pupils are fixed and dilated and his parents, and the client with a
frontal head injury
D. The client who arrives with a large puncture wound to the abdomen and the client
with chest pain
B. The client who is 6 months pregnant with abdominal pain and the client with facial
lacerations and a broken arm
Explanations
Out of all these clients, it is best to hold the pregnant client and the client with a
broken arm and facial lacerations in the same room.
.
The home health nurse is planning for the day's visits. Which client should be seen
first?
A. The 78 year old who had a gastrectomy 3 weeks ago with a PEG tube
B. The 5 month old discharged 1 week ago with pneumonia who is being treated with
amoxicillin liquid suspension
C. The 50 year old with MRSA being treated with Vancomycin via a PICC line
D. The 30 year old with an exacerbation of multiple sclerosis being treated with
cortisone via a centrally placed venous catheter
D. The 30 year old with an exacerbation of multiple sclerosis being treated with
cortisone via a centrally placed venous catheter
Explanations
The priority client is the one with multiple sclerosis who is being treated with cortisone
via the central line. This client is at highest risk for complications.
.
PRACTICE QUESTIONS AND
CORRECT ANSWERS &
EXPLANATIONS
A client with acute leukemia develops a low white blood cell count. In addition to the
institute of isolation the nurse should:
A. Request that food be served with disposable utensils
B. Ask the client to wear a mask when visitors are present
C. Prep IV with mild soap, water, and alcohol
D. Provide foods in seal single serving packages
D. Provide foods in seal single serving packages
Explanations
Because the client is immune-suppressed, foods should be served in sealed
containers, to avoid food contaminants.
.
A 70 year old man who is recovering from a stroke exhibits signs of unilateral neglect.
Which behavior is suggested of unilateral neglect?
A. The client is observed by shaving only one side of his face
B. The client is unable to distinguish between two tactile stimuli presented
simultaneously
C. The client is unable to complete a range a vision without turning his head side to
side
D. The client is unable to carry out cognitive and motor activity at the same time
,A. The client is observed by shaving only one side of his face
Explanations
The client with unilateral neglect will neglect one side of the body
.
The nurse is providing discharge teaching for a client who is taking dissulfiram
(Antabuse). The nurse should instruct the client to avoid eating:
A. Peanuts, dates, raisins
B. Figs, chocolate, eggplant
C. Pickles, salad with vinaigrette dressing, and beef
D. Milk, cottage cheese, ice cream
C. Pickles, salad with vinaigrette dressing, beef
Explanations
The client taking antabuse should not eat or drink anything containing alcohol or
vinegar
.
A client has been receiving cyanocobalamine (B12) injections for the past 6 weeks.
Which lab finding indicates that the medication is having the desired effect?
A. Neutrophil count of 60%
B. Basophil count of 0.5%
C. Monocyte count of 2%
D. Reticlocyte count of 1%
,D. Reticlocyte count of 1 %
Explanations
Cyanocolamine is a B12 medication that is used for pernicious anemia, and a
reticulocyte count of 1% indicates that it is having the desired effect.
.
The nurse has just received a change of shift report. Which client should the nurse
assess first?
A. A client 2 hours post-lobectomy with 150 cc drainage
B. A client 2 days post-gastrectomy with scant drainage
C. A client with pnuemonia with a oral temp of 102 F
D. A client with a fractured hip in Bucks traction
A. A client 2 hours post-lobectomy with 150 cc drainage
Explanations
The first client to be seen is the one who recently returned from surgery.
Several clients are admitted to the ER following a three- car vehicle accident. Which
clients can be assigned to share a room in the emergency department during the
disaster?
A. The schizophrenic client having visual and auditory hallucinations and the client
with ulcerative collitis
B. The client who is 6 months pregnant with abdominal pain and the client with facial
lacerations and a broken arm
, C. A child whose pupils are fixed and dilated and his parents, and the client with a
frontal head injury
D. The client who arrives with a large puncture wound to the abdomen and the client
with chest pain
B. The client who is 6 months pregnant with abdominal pain and the client with facial
lacerations and a broken arm
Explanations
Out of all these clients, it is best to hold the pregnant client and the client with a
broken arm and facial lacerations in the same room.
.
The home health nurse is planning for the day's visits. Which client should be seen
first?
A. The 78 year old who had a gastrectomy 3 weeks ago with a PEG tube
B. The 5 month old discharged 1 week ago with pneumonia who is being treated with
amoxicillin liquid suspension
C. The 50 year old with MRSA being treated with Vancomycin via a PICC line
D. The 30 year old with an exacerbation of multiple sclerosis being treated with
cortisone via a centrally placed venous catheter
D. The 30 year old with an exacerbation of multiple sclerosis being treated with
cortisone via a centrally placed venous catheter
Explanations
The priority client is the one with multiple sclerosis who is being treated with cortisone
via the central line. This client is at highest risk for complications.
.
