ESTUDYR
COMPREHENSION REVIEW FOR THE NCLEX - PN EXAM,
8E UPDATED EXAM WITH MOST TESTED QUESTIONS
AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
The nurse caring for a client after a thyroidectomy notes calcium gluconate is prescribed.
Why was this prescribed?
A. Treat hypothyroidism
B. Reduce bleeding
C. Treat hypocalcemic tetany ✔
D. Prevent infection
Rationale: Post-thyroidectomy patients may have hypocalcemia from parathyroid injury;
calcium gluconate treats tetany.
After thyroidectomy the client develops a hoarse, weak voice. The nurse should:
A. Call for immediate surgery
B. Reassure the client this is usually temporary ✔
C. Start steroids immediately
D. Restrict all fluids
Rationale: Transient hoarseness commonly results from laryngeal nerve edema and often
resolves; monitor for airway compromise.
Which foot-care instruction should be included for a client with diabetes mellitus?
A. Soak feet daily in hot water
B. Apply lotion between toes
C. Apply moisturizing lotion to dry feet but NOT between the toes ✔
D. Walk barefoot to toughen skin
Rationale: Moisturize dry skin but avoid between toes to prevent fungal overgrowth and
maceration.
A diabetic client says, “I need to buy special dietetic foods.” This indicates:
A. Correct understanding
B. Need for further teaching ✔
C. They should avoid all carbs
D. They must stop insulin
Rationale: Diabetics usually follow balanced diets; "special diabetic foods" are unnecessary and
often misleading.
,ESTUDYR
Which symptom indicates diabetes insipidus?
A. Weight gain and edema
B. Polyphagia only
C. Excessive thirst and urine output ✔
D. Jaundice
Rationale: DI causes large volumes of dilute urine and intense thirst due to ADH deficiency or
resistance.
After transsphenoidal hypophysectomy a client has clear nasal drainage. The essential nurse
action is to:
A. Apply nasal decongestant
B. Test the drainage for glucose ✔
C. Advise the patient to blow their nose hard
D. Document and ignore
Rationale: Cerebrospinal fluid (CSF) contains glucose; testing helps detect CSF leak, which risks
meningitis.
A sign indicative of thyroid storm is:
A. Low temperature
B. Bradycardia
C. Blood pressure 80/60 mm Hg (with shock signs) ✔
D. Low respirations
Rationale: Thyroid storm causes hypermetabolism, fever, tachycardia, and potentially
hypotension/shock.
A client with pheochromocytoma may develop which complication indicated by lung
congestion?
A. Pneumonia only
B. Asthma attack
C. Cardiac failure leading to pulmonary congestion ✔
D. Simple bronchitis
Rationale: Catecholamine surges can precipitate cardiomyopathy/heart failure and pulmonary
congestion.
Appropriate snack for a client with pheochromocytoma (pre-op) is:
A. Chocolate bar and cola
B. Fresh fruit only
C. Graham crackers and warm milk ✔
D. Spicy soup and tea
, ESTUDYR
Rationale: Light, bland carbohydrate and warm milk are gentle and unlikely to trigger
hypertensive episodes.
During preop for adrenalectomy the priority nursing action is monitoring:
A. Pain score
B. Vital signs (especially BP) ✔
C. Urine color only
D. Dietary intake
Rationale: Pheochromocytoma patients have volatile blood pressure; close VS monitoring is
crucial.
For a client with pheochromocytoma the nurse should:
A. Encourage heavy exercise
B. Restrict all fluids
C. Monitor the client’s blood pressure closely ✔
D. Promote caffeine intake
Rationale: BP instability is the hallmark risk; monitoring prevents hypertensive crisis.
Which client complaint suggests hypoglycemia?
A. Increased thirst
B. Polyuria
C. Tremors and double vision ✔
D. Weight gain
Rationale: Neuroadrenergic (tremor, diaphoresis) and neuroglycopenic (vision changes)
symptoms indicate low glucose.
Nursing interventions for hypothyroidism include:
A. Restrict fluids
B. Teach thyroid replacement, encourage fluids & fiber, report chest pain ✔
C. Avoid all carbohydrates
D. Immediate hypothermia treatment
Rationale: Levothyroxine replacement is mainstay; constipation and fluid balance are concerns.
Exercise teaching for a client with type 1 DM:
A. Avoid glucose testing
B. Exercise only on empty stomach
C. Take a blood glucose test before exercising ✔
D. Always exercise at midnight
Rationale: Check glucose before activity to prevent hypoglycemia and adjust carbs/insulin as
needed.
COMPREHENSION REVIEW FOR THE NCLEX - PN EXAM,
8E UPDATED EXAM WITH MOST TESTED QUESTIONS
AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
The nurse caring for a client after a thyroidectomy notes calcium gluconate is prescribed.
Why was this prescribed?
A. Treat hypothyroidism
B. Reduce bleeding
C. Treat hypocalcemic tetany ✔
D. Prevent infection
Rationale: Post-thyroidectomy patients may have hypocalcemia from parathyroid injury;
calcium gluconate treats tetany.
After thyroidectomy the client develops a hoarse, weak voice. The nurse should:
A. Call for immediate surgery
B. Reassure the client this is usually temporary ✔
C. Start steroids immediately
D. Restrict all fluids
Rationale: Transient hoarseness commonly results from laryngeal nerve edema and often
resolves; monitor for airway compromise.
Which foot-care instruction should be included for a client with diabetes mellitus?
A. Soak feet daily in hot water
B. Apply lotion between toes
C. Apply moisturizing lotion to dry feet but NOT between the toes ✔
D. Walk barefoot to toughen skin
Rationale: Moisturize dry skin but avoid between toes to prevent fungal overgrowth and
maceration.
A diabetic client says, “I need to buy special dietetic foods.” This indicates:
A. Correct understanding
B. Need for further teaching ✔
C. They should avoid all carbs
D. They must stop insulin
Rationale: Diabetics usually follow balanced diets; "special diabetic foods" are unnecessary and
often misleading.
,ESTUDYR
Which symptom indicates diabetes insipidus?
A. Weight gain and edema
B. Polyphagia only
C. Excessive thirst and urine output ✔
D. Jaundice
Rationale: DI causes large volumes of dilute urine and intense thirst due to ADH deficiency or
resistance.
After transsphenoidal hypophysectomy a client has clear nasal drainage. The essential nurse
action is to:
A. Apply nasal decongestant
B. Test the drainage for glucose ✔
C. Advise the patient to blow their nose hard
D. Document and ignore
Rationale: Cerebrospinal fluid (CSF) contains glucose; testing helps detect CSF leak, which risks
meningitis.
A sign indicative of thyroid storm is:
A. Low temperature
B. Bradycardia
C. Blood pressure 80/60 mm Hg (with shock signs) ✔
D. Low respirations
Rationale: Thyroid storm causes hypermetabolism, fever, tachycardia, and potentially
hypotension/shock.
A client with pheochromocytoma may develop which complication indicated by lung
congestion?
A. Pneumonia only
B. Asthma attack
C. Cardiac failure leading to pulmonary congestion ✔
D. Simple bronchitis
Rationale: Catecholamine surges can precipitate cardiomyopathy/heart failure and pulmonary
congestion.
Appropriate snack for a client with pheochromocytoma (pre-op) is:
A. Chocolate bar and cola
B. Fresh fruit only
C. Graham crackers and warm milk ✔
D. Spicy soup and tea
, ESTUDYR
Rationale: Light, bland carbohydrate and warm milk are gentle and unlikely to trigger
hypertensive episodes.
During preop for adrenalectomy the priority nursing action is monitoring:
A. Pain score
B. Vital signs (especially BP) ✔
C. Urine color only
D. Dietary intake
Rationale: Pheochromocytoma patients have volatile blood pressure; close VS monitoring is
crucial.
For a client with pheochromocytoma the nurse should:
A. Encourage heavy exercise
B. Restrict all fluids
C. Monitor the client’s blood pressure closely ✔
D. Promote caffeine intake
Rationale: BP instability is the hallmark risk; monitoring prevents hypertensive crisis.
Which client complaint suggests hypoglycemia?
A. Increased thirst
B. Polyuria
C. Tremors and double vision ✔
D. Weight gain
Rationale: Neuroadrenergic (tremor, diaphoresis) and neuroglycopenic (vision changes)
symptoms indicate low glucose.
Nursing interventions for hypothyroidism include:
A. Restrict fluids
B. Teach thyroid replacement, encourage fluids & fiber, report chest pain ✔
C. Avoid all carbohydrates
D. Immediate hypothermia treatment
Rationale: Levothyroxine replacement is mainstay; constipation and fluid balance are concerns.
Exercise teaching for a client with type 1 DM:
A. Avoid glucose testing
B. Exercise only on empty stomach
C. Take a blood glucose test before exercising ✔
D. Always exercise at midnight
Rationale: Check glucose before activity to prevent hypoglycemia and adjust carbs/insulin as
needed.
