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Exam Cram NCLEX-PN PRACTICE Questions and Answers 100% Pass

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Exam Cram NCLEX-PN PRACTICE Questions and Answers 100% Pass 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...

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  • October 11, 2024
  • 72
  • 2024/2025
  • Exam (elaborations)
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©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
Exam Cram NCLEX-PN PRACTICE

Questions and Answers 100% Pass


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.

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?

,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
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

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.

,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
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 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.

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

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
C. Take medication with water only

D. Allow at least 1 hour between taking the medicine and taking other

medications - ✔✔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.

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?

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