Exam Cram NCLEX-PN PRACTICE
the nurse is caring for a client scheduled for removal of a pituitary
tumor using the approach. the nurse should be particularly
transsphenoidal
alert to:
A. Nasal
congestion
B. Abdominal
Tenderness
C. Muscle
Tetany
D. Oliguria Correct answers A. Nasal
congestion
why
?
removal of the pituitary gland is usually done by transsphernoidal approach
through
nose. Nasalthe congestion further interferes with the
airway.
A client with cancer is a, admitted to the oncology unit. Stat lab values
revel 6500,
WBC Hgb 12.6,
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 Correct answers B.
Hypokalemia
why
?
Hypokalemia is evident from the lab values listed. The other laboratory
findings
within are limits. making answers A,C and D
normal
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
C. explaining the
permit
procedure
D. Checking the lab work Correct answers 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
the left burns of
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 Correct answers B. Applying
oxygen
why
?
the client with burns to the neck needs airway assessments and
supplemental
so oxygen,
applying oxygen is priority. the next action should be to start an IV and
medicate for
pain
.
The nurse is visiting a home health client with osteoporosis. The client
has a new for alendronate (Fosamax). Which instructions should be given
prescription
to the client
A. rest in bed after taking the medication for at least
30 Avoid
B. mins 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
Correct answers C. Take medication with
water only
why
?
Fosmax should be taken with water only. The client should also remain
upright
least 30for at after taking the
mins
medication.
The nurse is making initial rounds on a client with a C5 fracture and
crutchfield
Which thongs.should be kept at the
equipment
bedside?
A. A pair of
forceps
B. A torque
wrench
C. A pair or wire
cutters
D. A screwdriver Correct answers B. A torque
wrench
why
?
A tourque wrench is kept at the bedside to tighten and loosen the screws of
tongs. This wrench controls the amount of pressure that is placed on
crutchfield
the screws.
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 Correct answers D. 21
pounds
why
?
,A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple
the his birth
weigh
t.
A client is admitted with a Ewing's sacroma. which symptoms would be
expected
this due to
tumor's
location?
A.
Hemiplegia
B.
Aphasia
C.
Nausea
D. Bone Pain Correct answers D. Bone
Pain
why
?
Sacroma is a type of bone cancer, therefor, bone pain would be
expected
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 Correct answers C. WBC 2,000
per cubic
millimet
er
why
?
Tegratol can suppress the bone marrow and decrease the white blood cells
count;
a thus,of WBC 2,000 per cubic millimeter indicates side effects of
lab value
the drug.
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
D. " have you noticed changes in his adominal size?" Correct answers C."
diet."
usual
Describe his
diet."
why
?
The least-helpful questions are those describing his usual diet. A, B, and D
are useful in the extent of disease process and thus, are
determining
incorrect
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
D. Yeast Rolls Correct answers C. Cucumber
salad
why
?
the client with diverticulitis should avoid foods
with seeds.
A client has rectal cancer and is scheduled for an abdominal perineal
resection.
should What
be the priority nursing care during the post-op
period?
A. Teaching how to irrigate the
illeostomy
B. Stopping electrolytes loss in the
incisional
C. area a high fiber
Encouraging
diet
D. Facilitating perineal wound drainage Correct answers D. Facilitating
perineal wound
drainag
e
why
?
the client with a perineal resection will have a perineal incision. Drains will
be used to
facilitate wound drainage. This will help prevent infection of the surgical
site.not
will Thehave
client
an illestomy. as in answer A he will have some
electrolyteisloss,
treatment not but
focused on preventing the loss, so answer B is incorrect A
high in
diet fiber
answer C is not ordered at this
time.
The nurse is performing discharge teaching on a client with diverticulitis
who has
placed onbeen
low-roughage diet. Which food would have to be eliminated from
this client's
diet
?
A. Roasted
Chicken
B.
Noodles
C. Cooked
Broccoli
D. Custard Correct answers C. Cooked
Broccoli
why
?
the client with diverticulitis should avoid eating foods that are gas
forming and
increase that
abdominal discomfort, such as cooked
broccoli.
The nurse is caring for a new mother. The mother asks why her baby has
lost weight
since he was born. The best explanation of the weight
loss is:
A. The baby is dehydrated due to
polyuria.
B. The baby is hypoglycemic due to
glucose.
the nurse is caring for a client scheduled for removal of a pituitary
tumor using the approach. the nurse should be particularly
transsphenoidal
alert to:
A. Nasal
congestion
B. Abdominal
Tenderness
C. Muscle
Tetany
D. Oliguria Correct answers A. Nasal
congestion
why
?
removal of the pituitary gland is usually done by transsphernoidal approach
through
nose. Nasalthe congestion further interferes with the
airway.
A client with cancer is a, admitted to the oncology unit. Stat lab values
revel 6500,
WBC Hgb 12.6,
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 Correct answers B.
Hypokalemia
why
?
Hypokalemia is evident from the lab values listed. The other laboratory
findings
within are limits. making answers A,C and D
normal
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
C. explaining the
permit
procedure
D. Checking the lab work Correct answers 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
the left burns of
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 Correct answers B. Applying
oxygen
why
?
the client with burns to the neck needs airway assessments and
supplemental
so oxygen,
applying oxygen is priority. the next action should be to start an IV and
medicate for
pain
.
The nurse is visiting a home health client with osteoporosis. The client
has a new for alendronate (Fosamax). Which instructions should be given
prescription
to the client
A. rest in bed after taking the medication for at least
30 Avoid
B. mins 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
Correct answers C. Take medication with
water only
why
?
Fosmax should be taken with water only. The client should also remain
upright
least 30for at after taking the
mins
medication.
The nurse is making initial rounds on a client with a C5 fracture and
crutchfield
Which thongs.should be kept at the
equipment
bedside?
A. A pair of
forceps
B. A torque
wrench
C. A pair or wire
cutters
D. A screwdriver Correct answers B. A torque
wrench
why
?
A tourque wrench is kept at the bedside to tighten and loosen the screws of
tongs. This wrench controls the amount of pressure that is placed on
crutchfield
the screws.
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 Correct answers D. 21
pounds
why
?
,A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple
the his birth
weigh
t.
A client is admitted with a Ewing's sacroma. which symptoms would be
expected
this due to
tumor's
location?
A.
Hemiplegia
B.
Aphasia
C.
Nausea
D. Bone Pain Correct answers D. Bone
Pain
why
?
Sacroma is a type of bone cancer, therefor, bone pain would be
expected
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 Correct answers C. WBC 2,000
per cubic
millimet
er
why
?
Tegratol can suppress the bone marrow and decrease the white blood cells
count;
a thus,of WBC 2,000 per cubic millimeter indicates side effects of
lab value
the drug.
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
D. " have you noticed changes in his adominal size?" Correct answers C."
diet."
usual
Describe his
diet."
why
?
The least-helpful questions are those describing his usual diet. A, B, and D
are useful in the extent of disease process and thus, are
determining
incorrect
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
D. Yeast Rolls Correct answers C. Cucumber
salad
why
?
the client with diverticulitis should avoid foods
with seeds.
A client has rectal cancer and is scheduled for an abdominal perineal
resection.
should What
be the priority nursing care during the post-op
period?
A. Teaching how to irrigate the
illeostomy
B. Stopping electrolytes loss in the
incisional
C. area a high fiber
Encouraging
diet
D. Facilitating perineal wound drainage Correct answers D. Facilitating
perineal wound
drainag
e
why
?
the client with a perineal resection will have a perineal incision. Drains will
be used to
facilitate wound drainage. This will help prevent infection of the surgical
site.not
will Thehave
client
an illestomy. as in answer A he will have some
electrolyteisloss,
treatment not but
focused on preventing the loss, so answer B is incorrect A
high in
diet fiber
answer C is not ordered at this
time.
The nurse is performing discharge teaching on a client with diverticulitis
who has
placed onbeen
low-roughage diet. Which food would have to be eliminated from
this client's
diet
?
A. Roasted
Chicken
B.
Noodles
C. Cooked
Broccoli
D. Custard Correct answers C. Cooked
Broccoli
why
?
the client with diverticulitis should avoid eating foods that are gas
forming and
increase that
abdominal discomfort, such as cooked
broccoli.
The nurse is caring for a new mother. The mother asks why her baby has
lost weight
since he was born. The best explanation of the weight
loss is:
A. The baby is dehydrated due to
polyuria.
B. The baby is hypoglycemic due to
glucose.
