Exam Cram NCLEX-PN PRACTICE QUESTIONS
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 transsphernoidal approach through the
A. Nasal congestion nose. Nasal congestion further interferes with
B. Abdominal Tenderness the airway.
C. Muscle Tetany
D. Oliguria
2. A client with cancer is a, admitted to B. Hypokalemia
the oncology unit. Stat lab values rev-
el Hgb 12.6, WBC 6500, K+1.9, uric acid why?
7.0, Na+136, and platelets 178,000. The Hypokalemia is evident from the lab values
nurse evaluates that the client is experi- listed. The other laboratory findings are within
encing which of the following? normal limits. making answers A,C and D in-
correct
A. Hypernatremia
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 before any surgery.
A. taking the vital signs
B. obtaining the permit answers B,C and D are the responsibility of the
C. explaining the procedure doctor.
D. Checking the lab work
4.
, Exam Cram NCLEX-PN PRACTICE QUESTIONS
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 needs air-
ity? way assessments and supplemental oxygen,
so applying oxygen is priority. the next action
A. starting an IV? should be to start an IV and medicate for pain.
B. Applying oxygen
C.Obtaining blood gas
D. Medicating the client foe pain
5. The nurse is visiting a home health client C. Take medication with water only
with osteoporosis. The client has a new
prescription for alendronate (Fosamax). why?
Which instructions should be given to
Fosmax should be taken with water only. The
the client
client should also remain upright for at least
A. rest in bed after taking the medication 30 mins 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
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 bedside to
A. A pair of forceps tighten and loosen the screws of crutchfield
B. A torque wrench
, Exam Cram NCLEX-PN PRACTICE QUESTIONS
C. A pair or wire cutters tongs. This wrench controls the amount of
D. A screwdriver 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 indicate 21
C. 18 pounds pounds in 1 year or triple the his birth weight.
D. 21 pounds
8. A client is admitted with a Ewing's sacro- D. Bone Pain
ma. which symptoms would be expected
due to this tumor's location? why?
A. Hemiplegia Sacroma is a type of bone cancer, therefor,
B. Aphasia bone pain would be expected
C. Nausea
D. Bone Pain
9. The nurse is caring for a client with C. WBC 2,000 per cubic millimeter
epilepsy who is being treated with carba-
mazepine (Tegretol). Which labatory val- why?
ue might be a indicate a serious side ef-
Tegratol can suppress the bone marrow and
fect of this drug?
decrease the white blood cells count; thus, a
A. Uric acid of 5mg/dL lab value of WBC 2,000 per cubic millimeter
B. Hematoccrit of 33% indicates side ettects of the drug.
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
10. A 6-month-old client is admitted with C." Describe his usual diet."
possible intussuception. Which question
, Exam Cram NCLEX-PN PRACTICE QUESTIONS
during the nursing history is least helpful why?
in obtaining information regarding this
diagnosis? The least-helpful questions are those describ-
ing his usual diet. A, B, and D are useful in
A. "tell me about the pain" determining the extent of disease process and
B. "what does his vomit look like?" thus, are incorrect
C. " Describe his usual diet."
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 should avoid foods
B. Fresh Peaches with seeds.
C. Cucumber salad
D. Yeast Rolls
12. A client has rectal cancer and is sched- D. Facilitating perineal wound drainage
uled for an abdominal perineal resec-
tion. What should be the priority nursing why?
care during the post-op period?
the client with a perineal resection will have a
A. Teaching how to irrigate the illeosto- perineal incision. Drains will be used to facil-
my itate wound drainage. This will help prevent
B. Stopping electrolytes loss in the inci- infection of the surgical site. The client will
sional area not have an illestomy. as in answer A he will
C. Encouraging a high fiber diet have some electrolyte loss, but treatment is not
D. Facilitating perineal wound drainage focused on preventing the loss, so answer B is
incorrect A high fiber diet in answer C is not
ordered at this time.
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 transsphernoidal approach through the
A. Nasal congestion nose. Nasal congestion further interferes with
B. Abdominal Tenderness the airway.
C. Muscle Tetany
D. Oliguria
2. A client with cancer is a, admitted to B. Hypokalemia
the oncology unit. Stat lab values rev-
el Hgb 12.6, WBC 6500, K+1.9, uric acid why?
7.0, Na+136, and platelets 178,000. The Hypokalemia is evident from the lab values
nurse evaluates that the client is experi- listed. The other laboratory findings are within
encing which of the following? normal limits. making answers A,C and D in-
correct
A. Hypernatremia
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 before any surgery.
A. taking the vital signs
B. obtaining the permit answers B,C and D are the responsibility of the
C. explaining the procedure doctor.
D. Checking the lab work
4.
, Exam Cram NCLEX-PN PRACTICE QUESTIONS
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 needs air-
ity? way assessments and supplemental oxygen,
so applying oxygen is priority. the next action
A. starting an IV? should be to start an IV and medicate for pain.
B. Applying oxygen
C.Obtaining blood gas
D. Medicating the client foe pain
5. The nurse is visiting a home health client C. Take medication with water only
with osteoporosis. The client has a new
prescription for alendronate (Fosamax). why?
Which instructions should be given to
Fosmax should be taken with water only. The
the client
client should also remain upright for at least
A. rest in bed after taking the medication 30 mins 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
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 bedside to
A. A pair of forceps tighten and loosen the screws of crutchfield
B. A torque wrench
, Exam Cram NCLEX-PN PRACTICE QUESTIONS
C. A pair or wire cutters tongs. This wrench controls the amount of
D. A screwdriver 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 indicate 21
C. 18 pounds pounds in 1 year or triple the his birth weight.
D. 21 pounds
8. A client is admitted with a Ewing's sacro- D. Bone Pain
ma. which symptoms would be expected
due to this tumor's location? why?
A. Hemiplegia Sacroma is a type of bone cancer, therefor,
B. Aphasia bone pain would be expected
C. Nausea
D. Bone Pain
9. The nurse is caring for a client with C. WBC 2,000 per cubic millimeter
epilepsy who is being treated with carba-
mazepine (Tegretol). Which labatory val- why?
ue might be a indicate a serious side ef-
Tegratol can suppress the bone marrow and
fect of this drug?
decrease the white blood cells count; thus, a
A. Uric acid of 5mg/dL lab value of WBC 2,000 per cubic millimeter
B. Hematoccrit of 33% indicates side ettects of the drug.
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
10. A 6-month-old client is admitted with C." Describe his usual diet."
possible intussuception. Which question
, Exam Cram NCLEX-PN PRACTICE QUESTIONS
during the nursing history is least helpful why?
in obtaining information regarding this
diagnosis? The least-helpful questions are those describ-
ing his usual diet. A, B, and D are useful in
A. "tell me about the pain" determining the extent of disease process and
B. "what does his vomit look like?" thus, are incorrect
C. " Describe his usual diet."
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 should avoid foods
B. Fresh Peaches with seeds.
C. Cucumber salad
D. Yeast Rolls
12. A client has rectal cancer and is sched- D. Facilitating perineal wound drainage
uled for an abdominal perineal resec-
tion. What should be the priority nursing why?
care during the post-op period?
the client with a perineal resection will have a
A. Teaching how to irrigate the illeosto- perineal incision. Drains will be used to facil-
my itate wound drainage. This will help prevent
B. Stopping electrolytes loss in the inci- infection of the surgical site. The client will
sional area not have an illestomy. as in answer A he will
C. Encouraging a high fiber diet have some electrolyte loss, but treatment is not
D. Facilitating perineal wound drainage focused on preventing the loss, so answer B is
incorrect A high fiber diet in answer C is not
ordered at this time.
