Exam Cram NCLEX-PN PRACTICE QUESTIONS
1. 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.
2. 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
3. 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.
4. 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
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.
5. 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
medica-tions: 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.
6. 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: 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.
7. 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. 21 pounds why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth
weight.
8. 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: D. Bone Pain why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
9. 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. 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. 10. 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." 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
11. 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: C. Cucumber salad why?
the client with diverticulitis should avoid foods with seeds.
12. A client has rectal cancer and is scheduled for an abdominal perineal
resection. What should be the priority nursing care during the post-op
period?
1. 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.
2. 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
3. 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.
4. 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
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.
5. 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
medica-tions: 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.
6. 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: 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.
7. 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. 21 pounds why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth
weight.
8. 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: D. Bone Pain why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
9. 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. 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. 10. 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." 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
11. 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: C. Cucumber salad why?
the client with diverticulitis should avoid foods with seeds.
12. A client has rectal cancer and is scheduled for an abdominal perineal
resection. What should be the priority nursing care during the post-op
period?
