Exam Cram NCLEX-PN PRACTICE QUESTIONS
Study online at https://quizlet.com/_fs1rp6
1. the nurse is caring for a client scheduled A. Nasal congestion
for removal of a pituitary tumor using
the transsphenoidal approach. the nurse why?
should be particularly alert to: removal of the pituitary gland
is usually done by transspher-
A. Nasal congestion noidal approach through the
B. Abdominal Tenderness nose. Nasal congestion further
C. Muscle Tetany interferes with the airway.
D. Oliguria
2. A client with cancer is a, admitted to B. Hypokalemia
the oncology unit. Stat lab values revel
Hgb 12.6, WBC 6500, K+1.9, uric acid 7.0, why?
Na+136, and platelets 178,000. The nurse Hypokalemia is evident from the
evaluates that the client is experiencing lab values listed. The other labo-
which of the following? ratory findings are within normal
limits. making answers A,C and
A. Hypernatremia D incorrect
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
3. A 24 year-old female client is scheduled A. taking the vital signs
for surgery in the morning. Which of the
following is the primary responsibility of why?
the nurse? the primary responisblity of the
nurse is to take the vital signs
A. taking the vital signs before any surgery.
B. obtaining the permit
C. explaining the procedure answers B,C and D are the re-
D. Checking the lab work sponsibility of the doctor.
4. The nurse is working in the emergency B. Applying oxygen
room when a client arrives with severe
burns of the left arm, hands, face, and why?
neck. which action should receive prior- the client with burns to the neck
ity? needs airway assessments and
supplemental oxygen, so apply-
A. starting an IV? ing oxygen is priority. the next
, Exam Cram NCLEX-PN PRACTICE QUESTIONS
Study online at https://quizlet.com/_fs1rp6
B. Applying oxygen action should be to start an IV
C.Obtaining blood gas and medicate for pain.
D. Medicating the client foe pain
5. The nurse is visiting a home health client C. Take medication with water
with osteoporosis. The client has a new only
prescription for alendronate (Fosamax).
Which instructions should be given to why?
the client
Fosmax should be taken with
A. rest in bed after taking the medication water only. The client should also
for at least 30 mins remain upright for at least 30
B. Avoid rapid movements after taking mins after taking the medication.
the medication
C. Take medication with water only
D. Allow at least 1 hour between taking
the medicine and taking other medica-
tions
6. The nurse is making initial rounds on B. A torque wrench
a client with a C5 fracture and crutch-
field thongs. Which equipment should why?
be kept at the bedside?
A tourque wrench is kept at the
A. A pair of forceps bedside to tighten and loosen
B. A torque wrench the screws of crutchfield tongs.
C. A pair or wire cutters This wrench controls the amount
D. A screwdriver of pressure that is placed on the
screws.
7. An infant weighs 7 pounds at birth. The D. 21 pounds
excpectd weight by 1 year should be:
why?
A. 10 pounds
B.12 pounds A birth weight of 7 pounds would
C. 18 pounds indicate 21 pounds in 1 year or
D. 21 pounds triple the his birth weight.
8. A client is admitted with a Ewing's sacro- D. Bone Pain
ma. which symptoms would be expected
, Exam Cram NCLEX-PN PRACTICE QUESTIONS
Study online at https://quizlet.com/_fs1rp6
due to this tumor's location? why?
A. Hemiplegia Sacroma is a type of bone can-
B. Aphasia cer, therefor, bone pain would be
C. Nausea expected
D. Bone Pain
9. The nurse is caring for a client with C. WBC 2,000 per cubic millime-
epilepsy who is being treated with car- ter
bamazepine (Tegretol). Which labatory
value might be a indicate a serious side why?
effect of this drug?
Tegratol can suppress the bone
A. Uric acid of 5mg/dL marrow and decrease the white
B. Hematoccrit of 33% blood cells count; thus, a lab val-
C. WBC 2,000 per cubic millimeter ue of WBC 2,000 per cubic mil-
D. Platelets 150,000 per cubic millimeter limeter indicates side effects of
the drug.
10. A 6-month-old client is admitted with C." Describe his usual diet."
possible intussuception. Which ques-
tion during the nursing history is least why?
helpful in obtaining information regard-
ing this diagnosis? The least-helpful questions are
those describing his usual diet.
A. "tell me about the pain" A, B, and D are useful in de-
B."what does his vomit look like?" termining the extent of disease
C." Describe his usual diet." process and thus, are incorrect
D. " have you noticed changes in his
adominal size?"
11. The nurse is assisting a client with di- C. Cucumber salad
verticulosis to select appropiate foods.
Which food should be avoided? why?
A. Bran the client with diverticulitis
B. Fresh Peaches should avoid foods with seeds.
C. Cucumber salad
D. Yeast Rolls
, Exam Cram NCLEX-PN PRACTICE QUESTIONS
Study online at https://quizlet.com/_fs1rp6
12. A client has rectal cancer and is sched- D. Facilitating perineal wound
uled for an abdominal perineal resec- drainage
tion. What should be the priority nursing
care during the post-op period? why?
A. Teaching how to irrigate the illeosto- the client with a perineal resec-
my tion will have a perineal incision.
B. Stopping electrolytes loss in the inci- Drains will be used to facilitate
sional area wound drainage. This will help
C. Encouraging a high fiber diet prevent infection of the surgical
D. Facilitating perineal wound drainage site. The client will not have an
illestomy. as in answer A he will
have some electrolyte loss, but
treatment is not focused on pre-
venting the loss, so answer B
is incorrect A high fiber diet in
answer C is not ordered at this
time.
13. The nurse is performing discharge C. Cooked Broccoli
teaching on a client with diverticulitis
who has been placed on low-roughage why?
diet. Which food would have to be elimi-
nated from this client's diet? the client with diverticulitis
should avoid eating foods that
A. Roasted Chicken are gas forming and that in-
B. Noodles crease abdominal discomfort,
C. Cooked Broccoli such as cooked broccoli.
D. Custard
14. The nurse is caring for a new mother. D. The baby can lose up to 10%
The mother asks why her baby has lost of weight due to meconium still,
weight since he was born. The best ex- loss of extraceullar fluid, and ini-
planation of the weight loss is: tiation of breast-feeding.
A. The baby is dehydrated due to why?
polyuria.
B. The baby is hypoglycemic due to glu- After birth, meconium stool, loss
cose. of extracellular fluid, and initia-
Study online at https://quizlet.com/_fs1rp6
1. the nurse is caring for a client scheduled A. Nasal congestion
for removal of a pituitary tumor using
the transsphenoidal approach. the nurse why?
should be particularly alert to: removal of the pituitary gland
is usually done by transspher-
A. Nasal congestion noidal approach through the
B. Abdominal Tenderness nose. Nasal congestion further
C. Muscle Tetany interferes with the airway.
D. Oliguria
2. A client with cancer is a, admitted to B. Hypokalemia
the oncology unit. Stat lab values revel
Hgb 12.6, WBC 6500, K+1.9, uric acid 7.0, why?
Na+136, and platelets 178,000. The nurse Hypokalemia is evident from the
evaluates that the client is experiencing lab values listed. The other labo-
which of the following? ratory findings are within normal
limits. making answers A,C and
A. Hypernatremia D incorrect
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
3. A 24 year-old female client is scheduled A. taking the vital signs
for surgery in the morning. Which of the
following is the primary responsibility of why?
the nurse? the primary responisblity of the
nurse is to take the vital signs
A. taking the vital signs before any surgery.
B. obtaining the permit
C. explaining the procedure answers B,C and D are the re-
D. Checking the lab work sponsibility of the doctor.
4. The nurse is working in the emergency B. Applying oxygen
room when a client arrives with severe
burns of the left arm, hands, face, and why?
neck. which action should receive prior- the client with burns to the neck
ity? needs airway assessments and
supplemental oxygen, so apply-
A. starting an IV? ing oxygen is priority. the next
, Exam Cram NCLEX-PN PRACTICE QUESTIONS
Study online at https://quizlet.com/_fs1rp6
B. Applying oxygen action should be to start an IV
C.Obtaining blood gas and medicate for pain.
D. Medicating the client foe pain
5. The nurse is visiting a home health client C. Take medication with water
with osteoporosis. The client has a new only
prescription for alendronate (Fosamax).
Which instructions should be given to why?
the client
Fosmax should be taken with
A. rest in bed after taking the medication water only. The client should also
for at least 30 mins remain upright for at least 30
B. Avoid rapid movements after taking mins after taking the medication.
the medication
C. Take medication with water only
D. Allow at least 1 hour between taking
the medicine and taking other medica-
tions
6. The nurse is making initial rounds on B. A torque wrench
a client with a C5 fracture and crutch-
field thongs. Which equipment should why?
be kept at the bedside?
A tourque wrench is kept at the
A. A pair of forceps bedside to tighten and loosen
B. A torque wrench the screws of crutchfield tongs.
C. A pair or wire cutters This wrench controls the amount
D. A screwdriver of pressure that is placed on the
screws.
7. An infant weighs 7 pounds at birth. The D. 21 pounds
excpectd weight by 1 year should be:
why?
A. 10 pounds
B.12 pounds A birth weight of 7 pounds would
C. 18 pounds indicate 21 pounds in 1 year or
D. 21 pounds triple the his birth weight.
8. A client is admitted with a Ewing's sacro- D. Bone Pain
ma. which symptoms would be expected
, Exam Cram NCLEX-PN PRACTICE QUESTIONS
Study online at https://quizlet.com/_fs1rp6
due to this tumor's location? why?
A. Hemiplegia Sacroma is a type of bone can-
B. Aphasia cer, therefor, bone pain would be
C. Nausea expected
D. Bone Pain
9. The nurse is caring for a client with C. WBC 2,000 per cubic millime-
epilepsy who is being treated with car- ter
bamazepine (Tegretol). Which labatory
value might be a indicate a serious side why?
effect of this drug?
Tegratol can suppress the bone
A. Uric acid of 5mg/dL marrow and decrease the white
B. Hematoccrit of 33% blood cells count; thus, a lab val-
C. WBC 2,000 per cubic millimeter ue of WBC 2,000 per cubic mil-
D. Platelets 150,000 per cubic millimeter limeter indicates side effects of
the drug.
10. A 6-month-old client is admitted with C." Describe his usual diet."
possible intussuception. Which ques-
tion during the nursing history is least why?
helpful in obtaining information regard-
ing this diagnosis? The least-helpful questions are
those describing his usual diet.
A. "tell me about the pain" A, B, and D are useful in de-
B."what does his vomit look like?" termining the extent of disease
C." Describe his usual diet." process and thus, are incorrect
D. " have you noticed changes in his
adominal size?"
11. The nurse is assisting a client with di- C. Cucumber salad
verticulosis to select appropiate foods.
Which food should be avoided? why?
A. Bran the client with diverticulitis
B. Fresh Peaches should avoid foods with seeds.
C. Cucumber salad
D. Yeast Rolls
, Exam Cram NCLEX-PN PRACTICE QUESTIONS
Study online at https://quizlet.com/_fs1rp6
12. A client has rectal cancer and is sched- D. Facilitating perineal wound
uled for an abdominal perineal resec- drainage
tion. What should be the priority nursing
care during the post-op period? why?
A. Teaching how to irrigate the illeosto- the client with a perineal resec-
my tion will have a perineal incision.
B. Stopping electrolytes loss in the inci- Drains will be used to facilitate
sional area wound drainage. This will help
C. Encouraging a high fiber diet prevent infection of the surgical
D. Facilitating perineal wound drainage site. The client will not have an
illestomy. as in answer A he will
have some electrolyte loss, but
treatment is not focused on pre-
venting the loss, so answer B
is incorrect A high fiber diet in
answer C is not ordered at this
time.
13. The nurse is performing discharge C. Cooked Broccoli
teaching on a client with diverticulitis
who has been placed on low-roughage why?
diet. Which food would have to be elimi-
nated from this client's diet? the client with diverticulitis
should avoid eating foods that
A. Roasted Chicken are gas forming and that in-
B. Noodles crease abdominal discomfort,
C. Cooked Broccoli such as cooked broccoli.
D. Custard
14. The nurse is caring for a new mother. D. The baby can lose up to 10%
The mother asks why her baby has lost of weight due to meconium still,
weight since he was born. The best ex- loss of extraceullar fluid, and ini-
planation of the weight loss is: tiation of breast-feeding.
A. The baby is dehydrated due to why?
polyuria.
B. The baby is hypoglycemic due to glu- After birth, meconium stool, loss
cose. of extracellular fluid, and initia-
