NCLEX-PN EXAM CRAM 2026 PRACTICE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+
The doctor orders 2% nitroglycerin ointment on a 1-inch dose over 12 hours. Proper application
of nitroglycerin ointment includes:
A. Rotating application sites
B. Limiting applications to the chest
C. Rubbing it into the skin
D. Covering it with a gauze dressing
A. Rotating application sites
why?
Sites for the application of nitroglycerin should be rotated, to prevent skin irritation. It can be
applied to the back and upper arms, not to the lower extremities.
Lidocaine is a medication frequently ordered for the client experiencing:
A. Atrial tachycardia
B. Ventricular tachycardia
C. Heart block
D. Ventricular brachycardia
B. Ventricular tachycardia
why?
,Lidocaine is used to treat ventricular tachycardia. This medication slowly exerts an
antiarrhythmic effect by increasing the electric stimulation threshold of the ventricle without
depressing the force of ventricular contractions.
The client is admitted to the ER with shortness of breath, anxiety, and tachycardia. His ECG
reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. Te doctor
orders quinidne sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
A. Peaked P waves
B. Elevated ST segment
C. Inverted T wave
D. Prolonged QT interval
D. Prolonged QT interval
why?
Quinidine can cause widened Q-T intervals and heart block. Other signs of myocardial toxicity
are notched P waves and widened QRS complexes. The most common side effects are diarrhea,
nausea, and vomiting. The client might experience tinnitus, veritgo, headache, visual
disturbances, and confusion.
The physician has prescibed tranylcypromine sulfate (Parnate) 10 mg bid. The nurse should
teach the client to refrain from eating foods containing tyramine because it may cause:
A. Hypertension
B. Hyperthermia
C. Melanoma
D. Urinary retention
A. Hypertension
,why?
If the client eats foods high in tyramine, he might experience malignant hypertension. Tyramine
is found in cheese, sour cream, Chianti wine, sherry, beer, pickled herring, liver, canned figs,
raisins, bananas, avocados, chocolate, soy sauce, fava beans, and yeast. These episodes are
treated with Regitine, and alpha-adrenergic blocking agent.
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
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.
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
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 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
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.
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
B. Applying oxygen
QUESTIONS AND VERIFIED ANSWERS
GRADED A+
The doctor orders 2% nitroglycerin ointment on a 1-inch dose over 12 hours. Proper application
of nitroglycerin ointment includes:
A. Rotating application sites
B. Limiting applications to the chest
C. Rubbing it into the skin
D. Covering it with a gauze dressing
A. Rotating application sites
why?
Sites for the application of nitroglycerin should be rotated, to prevent skin irritation. It can be
applied to the back and upper arms, not to the lower extremities.
Lidocaine is a medication frequently ordered for the client experiencing:
A. Atrial tachycardia
B. Ventricular tachycardia
C. Heart block
D. Ventricular brachycardia
B. Ventricular tachycardia
why?
,Lidocaine is used to treat ventricular tachycardia. This medication slowly exerts an
antiarrhythmic effect by increasing the electric stimulation threshold of the ventricle without
depressing the force of ventricular contractions.
The client is admitted to the ER with shortness of breath, anxiety, and tachycardia. His ECG
reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. Te doctor
orders quinidne sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
A. Peaked P waves
B. Elevated ST segment
C. Inverted T wave
D. Prolonged QT interval
D. Prolonged QT interval
why?
Quinidine can cause widened Q-T intervals and heart block. Other signs of myocardial toxicity
are notched P waves and widened QRS complexes. The most common side effects are diarrhea,
nausea, and vomiting. The client might experience tinnitus, veritgo, headache, visual
disturbances, and confusion.
The physician has prescibed tranylcypromine sulfate (Parnate) 10 mg bid. The nurse should
teach the client to refrain from eating foods containing tyramine because it may cause:
A. Hypertension
B. Hyperthermia
C. Melanoma
D. Urinary retention
A. Hypertension
,why?
If the client eats foods high in tyramine, he might experience malignant hypertension. Tyramine
is found in cheese, sour cream, Chianti wine, sherry, beer, pickled herring, liver, canned figs,
raisins, bananas, avocados, chocolate, soy sauce, fava beans, and yeast. These episodes are
treated with Regitine, and alpha-adrenergic blocking agent.
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
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.
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
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 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
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.
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
B. Applying oxygen
