Exam Cram NCLEX-PN PRACTICE
QUESTIONS
Theinurseiisicaringiforiaiclientischedulediforiremovaliofiaipituitaryitumoriusingitheitranssphenoidali
approach.itheinurseishouldibeiparticularlyialertito:
A.iNasalicongestion
B.iAbdominaliTenderness
C.iMuscleiTetany
D.iOliguriai
〰ANSWER:iA.iNasalicongestion
➰why?i
removaliofitheipituitaryiglandiisiusuallyidoneibyitranssphernoidaliapproachithroughitheinose.iNasa
licongestionifurtheriinterferesiwithitheiairway.
Aiclientiwithicanceriisia,iadmitteditoitheioncologyiunit.iStatilabivaluesireveliHgbi12.6,iWBCi6500,iK
+1.9,iuriciacidi7.0,iNa+136,iandiplateletsi178,000.iTheinurseievaluatesithatitheiclientiisiexperienci
ngiwhichiofitheifollowing?
A.iHypernatremia
B.iHypokalemia
C.iMyelosuppression
D.iLeukocytosisi
〰ANSWER:iB.iHypokalemia
➰why?i
Hypokalemiaiisievidentifromitheilabivaluesilisted.iTheiotherilaboratoryifindingsiareiwithininormalili
mits.imakingianswersiA,CiandiDiincorrect
Ai24iyear-
oldifemaleiclientiisischedulediforisurgeryiinitheimorning.iWhichiofitheifollowingiisitheiprimaryiresp
onsibilityiofitheinurse?
A.itakingitheivitalisigns
B.iobtainingitheipermit
C.iexplainingitheiprocedure
D.iCheckingitheilabiworki
〰ANSWER:iA.itakingitheivitalisigns
➰why?i
,theiprimaryiresponisblityiofitheinurseiisitoitakeitheivitalisignsibeforeianyisurgery.
answersiB,CiandiDiareitheiresponsibilityiofitheidoctor.
Theinurseiisiworkingiinitheiemergencyiroomiwheniaiclientiarrivesiwithisevereiburnsiofitheileftiarm,
ihands,iface,iandineck.iwhichiactionishouldireceiveipriority?
A.istartingianiIV?
B.iApplyingioxygen
C.Obtainingibloodigasi
D.iMedicatingitheiclientifoeipaini
〰ANSWER:iB.iApplyingioxygen
➰why?i
theiclientiwithiburnsitoitheineckineedsiairwayiassessmentsiandisupplementalioxygen,isoiapplyingio
xygeniisipriority.itheinextiactionishouldibeitoistartianiIViandimedicateiforipain.
Theinurseiisivisitingiaihomeihealthiclientiwithiosteoporosis.iTheiclientihasiainewiprescriptioniforial
endronatei(Fosamax).iWhichiinstructionsishouldibeigivenitoitheiclient
A.irestiinibediafteritakingitheimedicationiforiatileasti30imins
B.iAvoidirapidimovementsiafteritakingitheimedication
C.iTakeimedicationiwithiwaterionly
D.iAllowiatileasti1ihouribetweenitakingitheimedicineianditakingiotherimedicationsi
〰ANSWER:iC.iTakeimedicationiwithiwaterionly
➰why?i
Fosmaxishouldibeitakeniwithiwaterionly.iTheiclientishouldialsoiremainiuprightiforiatileasti30iminsia
fteritakingitheimedication.
TheinurseiisimakingiinitialiroundsioniaiclientiwithiaiC5ifractureiandicrutchfieldithongs.iWhichiequi
pmentishouldibeikeptiatitheibedside?
A.iAipairiofiforceps
B.iAitorqueiwrench
C.iAipairioriwireicutters
D.iAiscrewdriveri
〰ANSWER:iB.iAitorqueiwrench
➰why?i
,Aitourqueiwrenchiisikeptiatitheibedsideitoitighteniandiloosenitheiscrewsioficrutchfielditongs.iThisi
wrenchicontrolsitheiamountiofipressureithatiisiplacedionitheiscrews.
Aniinfantiweighsi7ipoundsiatibirth.iTheiexcpectdiweightibyi1iyearishouldibe:
A.i10ipounds
B.12ipounds
C.i18ipounds
D.i21ipoundsi
〰ANSWER:iD.i21ipounds
➰why?i
Aibirthiweightiofi7ipoundsiwouldiindicatei21ipoundsiini1iyearioritripleitheihisibirthiweight.
AiclientiisiadmittediwithiaiEwing'sisacroma.iwhichisymptomsiwouldibeiexpectedidueitoithisitumor'
silocation?
A.iHemiplegia
B.iAphasia
C.iNausea
D.iBoneiPaini
〰ANSWER:iD.iBoneiPain
➰why?i
Sacromaiisiaitypeiofiboneicancer,itherefor,iboneipainiwouldibeiexpected
Theinurseiisicaringiforiaiclientiwithiepilepsyiwhoiisibeingitreatediwithicarbamazepinei(Tegretol).i
Whichilabatoryivalueimightibeiaiindicateiaiseriousisideieffectiofithisidrug?
A.iUriciacidiofi5mg/dL
B.iHematoccritiofi33%
C.iWBCi2,000ipericubicimillimeter
D.iPlateletsi150,000ipericubicimillimeteri
〰ANSWER:iC.iWBCi2,000ipericubicimillimeter
➰why?i
Tegratolicanisuppressitheiboneimarrowiandidecreaseitheiwhiteibloodicellsicount;ithus,iailabivaluei
ofiWBCi2,000ipericubicimillimeteriindicatesisideieffectsiofitheidrug.
, Ai6-month-
oldiclientiisiadmittediwithipossibleiintussuception.iWhichiquestioniduringitheinursingihistoryiisilea
stihelpfuliiniobtainingiinformationiregardingithisidiagnosis?
A.i"tellimeiaboutitheipain"
B."whatidoesihisivomitilookilike?"
C."iDescribeihisiusualidiet."
D.i"ihaveiyouinoticedichangesiinihisiadominalisize?"i
〰ANSWER:iC."iDescribeihisiusualidiet."
➰why?i
Theileast-
helpfuliquestionsiareithoseidescribingihisiusualidiet.iA,iB,iandiDiareiusefuliinideterminingitheiextent
iofidiseaseiprocessiandithus,iareiincorrect
Theinurseiisiassistingiaiclientiwithidiverticulosisitoiselectiappropiateifoods.iWhichifoodishouldibeia
voided?
A.iBran
B.iFreshiPeaches
C.iCucumberisaladi
D.iYeastiRollsi
〰ANSWER:iC.iCucumberisaladi
➰why?i
theiclientiwithidiverticulitisishouldiavoidifoodsiwithiseeds.
Aiclientihasirectalicanceriandiisischedulediforianiabdominaliperinealiresection.iWhatishouldibeithei
priorityinursingicareiduringitheipost-opiperiod?
A.iTeachingihowitoiirrigateitheiilleostomy
B.iStoppingielectrolytesilossiinitheiincisionaliarea
C.iEncouragingiaihighifiberidiet
D.iFacilitatingiperinealiwoundidrainagei
〰ANSWER:iD.iFacilitatingiperinealiwoundidrainage
➰why?i
theiclientiwithiaiperinealiresectioniwillihaveiaiperinealiincision.iDrainsiwillibeiuseditoifacilitateiwou
ndidrainage.iThisiwillihelpipreventiinfectioniofitheisurgicalisite.iTheiclientiwillinotihaveianiillestomy.i
QUESTIONS
Theinurseiisicaringiforiaiclientischedulediforiremovaliofiaipituitaryitumoriusingitheitranssphenoidali
approach.itheinurseishouldibeiparticularlyialertito:
A.iNasalicongestion
B.iAbdominaliTenderness
C.iMuscleiTetany
D.iOliguriai
〰ANSWER:iA.iNasalicongestion
➰why?i
removaliofitheipituitaryiglandiisiusuallyidoneibyitranssphernoidaliapproachithroughitheinose.iNasa
licongestionifurtheriinterferesiwithitheiairway.
Aiclientiwithicanceriisia,iadmitteditoitheioncologyiunit.iStatilabivaluesireveliHgbi12.6,iWBCi6500,iK
+1.9,iuriciacidi7.0,iNa+136,iandiplateletsi178,000.iTheinurseievaluatesithatitheiclientiisiexperienci
ngiwhichiofitheifollowing?
A.iHypernatremia
B.iHypokalemia
C.iMyelosuppression
D.iLeukocytosisi
〰ANSWER:iB.iHypokalemia
➰why?i
Hypokalemiaiisievidentifromitheilabivaluesilisted.iTheiotherilaboratoryifindingsiareiwithininormalili
mits.imakingianswersiA,CiandiDiincorrect
Ai24iyear-
oldifemaleiclientiisischedulediforisurgeryiinitheimorning.iWhichiofitheifollowingiisitheiprimaryiresp
onsibilityiofitheinurse?
A.itakingitheivitalisigns
B.iobtainingitheipermit
C.iexplainingitheiprocedure
D.iCheckingitheilabiworki
〰ANSWER:iA.itakingitheivitalisigns
➰why?i
,theiprimaryiresponisblityiofitheinurseiisitoitakeitheivitalisignsibeforeianyisurgery.
answersiB,CiandiDiareitheiresponsibilityiofitheidoctor.
Theinurseiisiworkingiinitheiemergencyiroomiwheniaiclientiarrivesiwithisevereiburnsiofitheileftiarm,
ihands,iface,iandineck.iwhichiactionishouldireceiveipriority?
A.istartingianiIV?
B.iApplyingioxygen
C.Obtainingibloodigasi
D.iMedicatingitheiclientifoeipaini
〰ANSWER:iB.iApplyingioxygen
➰why?i
theiclientiwithiburnsitoitheineckineedsiairwayiassessmentsiandisupplementalioxygen,isoiapplyingio
xygeniisipriority.itheinextiactionishouldibeitoistartianiIViandimedicateiforipain.
Theinurseiisivisitingiaihomeihealthiclientiwithiosteoporosis.iTheiclientihasiainewiprescriptioniforial
endronatei(Fosamax).iWhichiinstructionsishouldibeigivenitoitheiclient
A.irestiinibediafteritakingitheimedicationiforiatileasti30imins
B.iAvoidirapidimovementsiafteritakingitheimedication
C.iTakeimedicationiwithiwaterionly
D.iAllowiatileasti1ihouribetweenitakingitheimedicineianditakingiotherimedicationsi
〰ANSWER:iC.iTakeimedicationiwithiwaterionly
➰why?i
Fosmaxishouldibeitakeniwithiwaterionly.iTheiclientishouldialsoiremainiuprightiforiatileasti30iminsia
fteritakingitheimedication.
TheinurseiisimakingiinitialiroundsioniaiclientiwithiaiC5ifractureiandicrutchfieldithongs.iWhichiequi
pmentishouldibeikeptiatitheibedside?
A.iAipairiofiforceps
B.iAitorqueiwrench
C.iAipairioriwireicutters
D.iAiscrewdriveri
〰ANSWER:iB.iAitorqueiwrench
➰why?i
,Aitourqueiwrenchiisikeptiatitheibedsideitoitighteniandiloosenitheiscrewsioficrutchfielditongs.iThisi
wrenchicontrolsitheiamountiofipressureithatiisiplacedionitheiscrews.
Aniinfantiweighsi7ipoundsiatibirth.iTheiexcpectdiweightibyi1iyearishouldibe:
A.i10ipounds
B.12ipounds
C.i18ipounds
D.i21ipoundsi
〰ANSWER:iD.i21ipounds
➰why?i
Aibirthiweightiofi7ipoundsiwouldiindicatei21ipoundsiini1iyearioritripleitheihisibirthiweight.
AiclientiisiadmittediwithiaiEwing'sisacroma.iwhichisymptomsiwouldibeiexpectedidueitoithisitumor'
silocation?
A.iHemiplegia
B.iAphasia
C.iNausea
D.iBoneiPaini
〰ANSWER:iD.iBoneiPain
➰why?i
Sacromaiisiaitypeiofiboneicancer,itherefor,iboneipainiwouldibeiexpected
Theinurseiisicaringiforiaiclientiwithiepilepsyiwhoiisibeingitreatediwithicarbamazepinei(Tegretol).i
Whichilabatoryivalueimightibeiaiindicateiaiseriousisideieffectiofithisidrug?
A.iUriciacidiofi5mg/dL
B.iHematoccritiofi33%
C.iWBCi2,000ipericubicimillimeter
D.iPlateletsi150,000ipericubicimillimeteri
〰ANSWER:iC.iWBCi2,000ipericubicimillimeter
➰why?i
Tegratolicanisuppressitheiboneimarrowiandidecreaseitheiwhiteibloodicellsicount;ithus,iailabivaluei
ofiWBCi2,000ipericubicimillimeteriindicatesisideieffectsiofitheidrug.
, Ai6-month-
oldiclientiisiadmittediwithipossibleiintussuception.iWhichiquestioniduringitheinursingihistoryiisilea
stihelpfuliiniobtainingiinformationiregardingithisidiagnosis?
A.i"tellimeiaboutitheipain"
B."whatidoesihisivomitilookilike?"
C."iDescribeihisiusualidiet."
D.i"ihaveiyouinoticedichangesiinihisiadominalisize?"i
〰ANSWER:iC."iDescribeihisiusualidiet."
➰why?i
Theileast-
helpfuliquestionsiareithoseidescribingihisiusualidiet.iA,iB,iandiDiareiusefuliinideterminingitheiextent
iofidiseaseiprocessiandithus,iareiincorrect
Theinurseiisiassistingiaiclientiwithidiverticulosisitoiselectiappropiateifoods.iWhichifoodishouldibeia
voided?
A.iBran
B.iFreshiPeaches
C.iCucumberisaladi
D.iYeastiRollsi
〰ANSWER:iC.iCucumberisaladi
➰why?i
theiclientiwithidiverticulitisishouldiavoidifoodsiwithiseeds.
Aiclientihasirectalicanceriandiisischedulediforianiabdominaliperinealiresection.iWhatishouldibeithei
priorityinursingicareiduringitheipost-opiperiod?
A.iTeachingihowitoiirrigateitheiilleostomy
B.iStoppingielectrolytesilossiinitheiincisionaliarea
C.iEncouragingiaihighifiberidiet
D.iFacilitatingiperinealiwoundidrainagei
〰ANSWER:iD.iFacilitatingiperinealiwoundidrainage
➰why?i
theiclientiwithiaiperinealiresectioniwillihaveiaiperinealiincision.iDrainsiwillibeiuseditoifacilitateiwou
ndidrainage.iThisiwillihelpipreventiinfectioniofitheisurgicalisite.iTheiclientiwillinotihaveianiillestomy.i
