NCLEX PN PRACTICE QUESTIONS AND
ANSWERS
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 - CORRECT ANSWER-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.
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 - CORRECT ANSWER-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
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 - CORRECT ANSWER-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 iburns
iofithe ileft iarm, ihands, iface, iand ineck. iwhich iaction ishould ireceive ipriority?
A. istarting ian iIV?
iB. iApplying
ioxygen
C.Obtaining iblood igas
D. iMedicating ithe iclient ifoe ipain i- iCORRECT iANSWER-B. iApplying ioxygen
why?
the iclient iwith iburns ito ithe ineck ineeds iairway iassessments iand isupplemental
ioxygen, iso iapplying ioxygen iis ipriority. ithe inext iaction ishould ibe ito istart ian iIV iand
imedicate iforipain.
The inurse iis ivisiting ia ihome ihealth iclient iwith iosteoporosis. iThe iclient ihas ia inew
iprescription ifor ialendronate i(Fosamax). iWhich iinstructions ishould ibe igiven ito ithe iclient
A. irest iin ibed iafter itaking ithe imedication ifor iat ileast i30
iminsiB. iAvoid irapid imovements iafter itaking ithe imedication
C. iTake imedication iwith iwater ionly
D. iAllow iat ileast i1 ihour ibetween itaking ithe imedicine iand itaking iother
imedications i-iCORRECT iANSWER-C. iTake imedication iwith iwater ionly
why?
Fosmax ishould ibe itaken iwith iwater ionly. iThe iclient ishould ialso iremain iupright ifor
iatileast i30 imins iafter itaking ithe imedication.
The inurse iis imaking iinitial irounds ion ia iclient iwith ia iC5 ifracture iand icrutchfield
ithongs.iW hich iequipment ishould ibe ikept iat ithe ibedside?
A. iA ipair iof
iforcepsiB. iA itorque
iwrench
C. iA ipair ior iwire icutters
D. iA iscrewdriver i- iCORRECT iANSWER-B. iA itorque iwrench
why?
A itourque iwrench iis ikept iat ithe ibedside ito itighten iand iloosen ithe iscrews iof
icrutchfielditongs. iThis iwrench icontrols ithe iamount iof ipressure ithat iis iplaced ion ithe
iscrews.
An iinfant iweighs i7 ipounds iat ibirth. iThe iexcpectd iweight iby i1 iyear ishould ibe:
,A. i10
ipounds iB.12
ipounds iC.
i18 ipounds
D. i21 ipounds i- iCORRECT iANSWER-D. i21 ipounds
why?
A ibirth iweight iof i7 ipounds iwould iindicate i21 ipounds iin i1 iyear ior itriple ithe ihis
ibirthiweight.
A iclient iis iadmitted iwith ia iEwing's isacroma. iwhich isymptoms iwould ibe iexpected idue
itoithis itumor's ilocation?
A.
iHemiplegiaiB.
i i iAphasia iC.
iNausea
D. iBone iPain i- iCORRECT iANSWER-D. iBone iPain
why?
Sacroma iis ia itype iof ibone icancer, itherefor, ibone ipain iwould ibe iexpected
The inurse iis icaring ifor ia iclient iwith iepilepsy iwho iis ibeing itreated iwith
icarbamazepinei(Tegretol). iWhich ilabatory ivalue imight ibe ia iindicate ia iserious iside
ieffect iof ithis idrug?
A. iUric iacid iof
i5mg/dLiB.
iHematoccrit iof i33%
C. iWBC i2,000 iper icubic imillimeter
D. iPlatelets i150,000 iper icubic imillimeter i- iCORRECT iANSWER-C. iWBC i2,000
ipericubic imillimeter
why?
Tegratol ican isuppress ithe ibone imarrow iand idecrease ithe iwhite iblood icells icount;
ithus,ia ilab ivalue iof iWBC i2,000 iper icubic imillimeter iindicates iside ieffects iof ithe idrug.
A i6-month-old iclient iis iadmitted iwith ipossible iintussuception. iWhich iquestion iduring
itheinursing ihistory iis ileast ihelpful iin iobtaining iinformation iregarding ithis idiagnosis?
A. i"tell ime iabout ithe ipain"
iB."what idoes ihis ivomit ilook
ilike?"iC." iDescribe ihis iusual
idiet."
D. i" ihave iyou inoticed ichanges iin ihis iadominal isize?" i- iCORRECT iANSWER-
C."iDescribe ihis iusual idiet."
, why?
The ileast-helpful iquestions iare ithose idescribing ihis iusual idiet. iA, iB, iand iD iare iuseful
iinidetermining ithe iextent iof idisease iprocess iand ithus, iare iincorrect
The inurse iis iassisting ia iclient iwith idiverticulosis ito iselect iappropiate ifoods. iWhich
ifoodishould ibe iavoided?
A. Bran
B. Fresh iPeaches
iC. iCucumber
isalad
D. iYeast iRolls i- iCORRECT iANSWER-C. iCucumber isalad
why?
the iclient iwith idiverticulitis ishould iavoid ifoods iwith iseeds.
A iclient ihas irectal icancer iand iis ischeduled ifor ian iabdominal iperineal iresection.
iWhatishould ibe ithe ipriority inursing icare iduring ithe ipost-op iperiod?
A. Teaching ihow ito iirrigate ithe iilleostomy
B. Stopping ielectrolytes iloss iin ithe iincisional
iareaiC. iEncouraging ia ihigh ifiber idiet
D. iFacilitating iperineal iwound idrainage i- iCORRECT iANSWER-D. iFacilitating
iperinealiwound idrainage
why?
the iclient iwith ia iperineal iresection iwill ihave ia iperineal iincision. iDrains iwill ibe iused ito
ifacilitate iwound idrainage. iThis iwill ihelp iprevent iinfection iof ithe isurgical isite. iThe
iclientiwill inot ihave ian iillestomy. ias iin ianswer iA ihe iwill ihave isome ielectrolyte iloss,
ibut itreatment iis inot ifocused ion ipreventing ithe iloss, iso ianswer iB iis iincorrect iA ihigh
ifiber idiet iin ianswer iC iis inot iordered iat ithis itime.
The inurse iis iperforming idischarge iteaching ion ia iclient iwith idiverticulitis iwho ihas
ibeen iplaced ion ilow-roughage idiet. iWhich ifood iwould ihave ito ibe ieliminated ifrom ithis
iclient'sidiet?
A. iRoasted
iChickeniB. iNoodles
C. iCooked iBroccoli
D. iCustard i- iCORRECT iANSWER-C. iCooked iBroccoli
why?
ANSWERS
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 - CORRECT ANSWER-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.
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 - CORRECT ANSWER-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
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 - CORRECT ANSWER-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 iburns
iofithe ileft iarm, ihands, iface, iand ineck. iwhich iaction ishould ireceive ipriority?
A. istarting ian iIV?
iB. iApplying
ioxygen
C.Obtaining iblood igas
D. iMedicating ithe iclient ifoe ipain i- iCORRECT iANSWER-B. iApplying ioxygen
why?
the iclient iwith iburns ito ithe ineck ineeds iairway iassessments iand isupplemental
ioxygen, iso iapplying ioxygen iis ipriority. ithe inext iaction ishould ibe ito istart ian iIV iand
imedicate iforipain.
The inurse iis ivisiting ia ihome ihealth iclient iwith iosteoporosis. iThe iclient ihas ia inew
iprescription ifor ialendronate i(Fosamax). iWhich iinstructions ishould ibe igiven ito ithe iclient
A. irest iin ibed iafter itaking ithe imedication ifor iat ileast i30
iminsiB. iAvoid irapid imovements iafter itaking ithe imedication
C. iTake imedication iwith iwater ionly
D. iAllow iat ileast i1 ihour ibetween itaking ithe imedicine iand itaking iother
imedications i-iCORRECT iANSWER-C. iTake imedication iwith iwater ionly
why?
Fosmax ishould ibe itaken iwith iwater ionly. iThe iclient ishould ialso iremain iupright ifor
iatileast i30 imins iafter itaking ithe imedication.
The inurse iis imaking iinitial irounds ion ia iclient iwith ia iC5 ifracture iand icrutchfield
ithongs.iW hich iequipment ishould ibe ikept iat ithe ibedside?
A. iA ipair iof
iforcepsiB. iA itorque
iwrench
C. iA ipair ior iwire icutters
D. iA iscrewdriver i- iCORRECT iANSWER-B. iA itorque iwrench
why?
A itourque iwrench iis ikept iat ithe ibedside ito itighten iand iloosen ithe iscrews iof
icrutchfielditongs. iThis iwrench icontrols ithe iamount iof ipressure ithat iis iplaced ion ithe
iscrews.
An iinfant iweighs i7 ipounds iat ibirth. iThe iexcpectd iweight iby i1 iyear ishould ibe:
,A. i10
ipounds iB.12
ipounds iC.
i18 ipounds
D. i21 ipounds i- iCORRECT iANSWER-D. i21 ipounds
why?
A ibirth iweight iof i7 ipounds iwould iindicate i21 ipounds iin i1 iyear ior itriple ithe ihis
ibirthiweight.
A iclient iis iadmitted iwith ia iEwing's isacroma. iwhich isymptoms iwould ibe iexpected idue
itoithis itumor's ilocation?
A.
iHemiplegiaiB.
i i iAphasia iC.
iNausea
D. iBone iPain i- iCORRECT iANSWER-D. iBone iPain
why?
Sacroma iis ia itype iof ibone icancer, itherefor, ibone ipain iwould ibe iexpected
The inurse iis icaring ifor ia iclient iwith iepilepsy iwho iis ibeing itreated iwith
icarbamazepinei(Tegretol). iWhich ilabatory ivalue imight ibe ia iindicate ia iserious iside
ieffect iof ithis idrug?
A. iUric iacid iof
i5mg/dLiB.
iHematoccrit iof i33%
C. iWBC i2,000 iper icubic imillimeter
D. iPlatelets i150,000 iper icubic imillimeter i- iCORRECT iANSWER-C. iWBC i2,000
ipericubic imillimeter
why?
Tegratol ican isuppress ithe ibone imarrow iand idecrease ithe iwhite iblood icells icount;
ithus,ia ilab ivalue iof iWBC i2,000 iper icubic imillimeter iindicates iside ieffects iof ithe idrug.
A i6-month-old iclient iis iadmitted iwith ipossible iintussuception. iWhich iquestion iduring
itheinursing ihistory iis ileast ihelpful iin iobtaining iinformation iregarding ithis idiagnosis?
A. i"tell ime iabout ithe ipain"
iB."what idoes ihis ivomit ilook
ilike?"iC." iDescribe ihis iusual
idiet."
D. i" ihave iyou inoticed ichanges iin ihis iadominal isize?" i- iCORRECT iANSWER-
C."iDescribe ihis iusual idiet."
, why?
The ileast-helpful iquestions iare ithose idescribing ihis iusual idiet. iA, iB, iand iD iare iuseful
iinidetermining ithe iextent iof idisease iprocess iand ithus, iare iincorrect
The inurse iis iassisting ia iclient iwith idiverticulosis ito iselect iappropiate ifoods. iWhich
ifoodishould ibe iavoided?
A. Bran
B. Fresh iPeaches
iC. iCucumber
isalad
D. iYeast iRolls i- iCORRECT iANSWER-C. iCucumber isalad
why?
the iclient iwith idiverticulitis ishould iavoid ifoods iwith iseeds.
A iclient ihas irectal icancer iand iis ischeduled ifor ian iabdominal iperineal iresection.
iWhatishould ibe ithe ipriority inursing icare iduring ithe ipost-op iperiod?
A. Teaching ihow ito iirrigate ithe iilleostomy
B. Stopping ielectrolytes iloss iin ithe iincisional
iareaiC. iEncouraging ia ihigh ifiber idiet
D. iFacilitating iperineal iwound idrainage i- iCORRECT iANSWER-D. iFacilitating
iperinealiwound idrainage
why?
the iclient iwith ia iperineal iresection iwill ihave ia iperineal iincision. iDrains iwill ibe iused ito
ifacilitate iwound idrainage. iThis iwill ihelp iprevent iinfection iof ithe isurgical isite. iThe
iclientiwill inot ihave ian iillestomy. ias iin ianswer iA ihe iwill ihave isome ielectrolyte iloss,
ibut itreatment iis inot ifocused ion ipreventing ithe iloss, iso ianswer iB iis iincorrect iA ihigh
ifiber idiet iin ianswer iC iis inot iordered iat ithis itime.
The inurse iis iperforming idischarge iteaching ion ia iclient iwith idiverticulitis iwho ihas
ibeen iplaced ion ilow-roughage idiet. iWhich ifood iwould ihave ito ibe ieliminated ifrom ithis
iclient'sidiet?
A. iRoasted
iChickeniB. iNoodles
C. iCooked iBroccoli
D. iCustard i- iCORRECT iANSWER-C. iCooked iBroccoli
why?
