Exam Cram NCLEX-PN PRACTICE
QUESTIONS
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. - 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
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
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
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. - 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
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 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
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 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
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. - 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
D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his
birth weight. - 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. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected - 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
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. - 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
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
- 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?"
C. Cucumber salad
why?
the client with diverticulitis should avoid foods with seeds. - The nurse is
assisting a client with diverticulosis to select appropiate foods. Which food
should be avoided?
A. Bran
B. Fresh Peaches
C. Cucumber salad
QUESTIONS
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. - 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
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
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
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. - 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
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 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
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 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
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. - 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
D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his
birth weight. - 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. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected - 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
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. - 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
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
- 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?"
C. Cucumber salad
why?
the client with diverticulitis should avoid foods with seeds. - The nurse is
assisting a client with diverticulosis to select appropiate foods. Which food
should be avoided?
A. Bran
B. Fresh Peaches
C. Cucumber salad
