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EXAM CRAM NCLEX -PN PRACTICE DETAILED QUESTIONS WITH VERIFIED ANSWERS
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EXAM CRAM NCLEX -PN PRACTICE DETAILEDQUESTIONS WITH VERIFIED ANSWERS 2024-2025
The nurse is caring for a client who is set to have a pituitary tumour removed
utilizing the transsphenoidal technique. The nurse should be particularly aware of:
A. Nasal congestion.
B. Abdominal tenderness
C. Muscle Tetany.
D. Oliguria: ANSWER A. Nasal congestion
why?
The pituitary gland is normally removed by a transsphenoidal route through the
nose. Nasal congestion obstructs the airway.
A client with cancer is admitted to the oncology unit. Stat lab results show Hgb
12.6, WBC 6500, K+1.9, uric acid 7.0, Na+136, and platelets 178,000. The nurse
determines that the client is experiencing which of the following?
A. Hypernatremia
B. Hypokalemia.
C: Myelosuppression
D. Leukocytosis: ANSWER B. Hypokalemia
,why?
The lab values mentioned clearly indicate hypokalemia. The remaining laboratory
findings are within normal ranges. Making ANSWERs A, C, and D incorrect.
A 24-year-old female customer is set to have surgery in the morning. Which one of
the following is the nurse's major responsibility?
A. Taking Vital Signs
B. Obtaining the permit
C. Explaining the Procedure
D. Checking lab work - ANSWER A. Taking Vital Signs
why?
The major responsibility of the nurse is to obtain vital signs before to any
procedure.
Answers B, C, and D are the doctor's obligation.
The nurse is working in the emergency room when a client arrives with severe
burns on his left arm, hands, face, and neck. Which action should have priority?
A. Starting an IV?
B. Applying oxygen
,C. Obtaining blood gas
D. Medicating the client for discomfort - ANSWER B: Applying oxygen
why?
The client with neck burns need airway evaluations and supplemental oxygen, thus
oxygen is the first priority. The next step should be to start an IV and treat the pain.
The nurse is visiting a home health client who has osteoporosis. The customer has
received a new prescription for alendronate (Fosamax). What directions should you
provide the client?
A. Rest in bed for at least 30 minutes after taking your prescription.
B. Avoid making fast movements after taking the medicine.
C. Take your medication with water only.
D. Allow at least one hour between taking the drug and taking other prescriptions -
ANSWER C. Take medication with only water.
why?
Fosmax should be consumed with water only. The client should also stay upright
for at least 30 minutes after taking the prescription.
, The nurse is performing initial rounds on a patient with a C5 fracture and
crutchfield thongs. Which devices should be maintained at the bedside?
A. A pair of forceps
B. A torque wrench.
C. A pair of wire cutters.
D. A screwdriver - B. A torque wrench
why?
A tourque wrench is placed by the bedside to tighten and loosen the screws on
crutchfield tongs. This wrench determines how much pressure is applied to the
screws.
An newborn weighs 7 pounds at birth. The expected weight after one year should
be:
A. Ten pounds.
B.12 pounds.
C. 18 pounds.
D. 21 pounds, ANSWER D. 21 pounds.
why?
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