NCLEX PN TEST-BANK WITH 200 QUESTIONS
WELL REVISED & EXPLAINED ANSWERS
UPDATED
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, NCLEX PN TEST-BANK WITH 200 QUESTIONS WELL REVISED & EXPLAINED ANSWERS UPDATED
1. The nurse is caring for a client scheduled for removal of a pituitary tumorusing the transsphenoidal
approach. The nurse should be particularly alert for:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria
Answer A: Removal of the pituitary gland is usually done by a transsphenoidal approach, through the nose. Nasal
congestion further interferes with the airway. Answers B, C, and D are not correct because they are not directly associated
withthe pituitary gland.
2. A client with cancer is admitted to the oncology unit. Stat lab values reveal 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. HypernatremiaB.
Hypokalemia
C. Myelosuppression
D. Leukocytosis
Answer B: Hypokalemia is evident from the lab values listed. The other laboratoryfindings are within normal limits,
making answers A, C, and D incorrect.
3. A 24-year-old female client is scheduled for surgery in the morning. Whichof 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
Answer A: The primary responsibility of the nurse is to take the vital signs before any surgery. The actions in answers B, C,
and D are the responsibility of the doctorand, therefore, are incorrect for this question.
4. 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 receivepriority?
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NCLEX PN TEST-BANK WITH 200 QUESTIONS WELL REVISED & EXPLAINED ANSWERS UPDATED
,A. Starting an IV
B. Applying oxygen
C. Obtaining blood gases
D. Medicating the client for pain
Answer B: The client with burns to the neck needs airway assessment and supplemental oxygen, so applying oxygen is the
priority. The next action should beto start an IV and medicate for pain, making answers A and C incorrect. Answer D,
obtaining blood gases, is ordered by the doctor.
5. The nurse is visiting a home health client with osteoporosis. The client hasa new prescription for
alendronate (Fosamax). Which instruction should be given to the client?
A. Rest in bed after taking the medication for at least 30 minutesB. Avoid rapid movements
after taking the medication
C. Take the medication with water only
D. Allow at least 1 hour between taking the medicine and taking othermedications
Answer B: The client with burns to the neck needs airway assessment and supplemental oxygen, so applying oxygen is the
priority. The next action should beto start an IV and medicate for pain, making answers A and C incorrect. Answer D,
obtaining blood gases, is ordered by the doctor.
6. The nurse is making initial rounds on a client with a C5 fracture andcrutchfield tongs. Which
equipment should be kept at the bedside?
A. A pair of forcepsB.
A torque wrench
C. A pair of wire cutters
D. A screwdriver
Answer B: A torque wrench is kept at the bedside to tighten and loosen the screwsof crutchfield tongs. This wrench
controls the amount of pressure that is placed on the screws. A pair of forceps, wire cutters, and a screwdriver, in
answers A, C, and D, would not be used and, thus, are incorrect.
7. An infant weighs 7 pounds at birth. The expected weight by 1 year shouldbe:
A. 10 pounds
B. 12 pounds
C. 18 poundsD.
21 pounds
Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triplehis birth weight. Answers A, B, and C
NCLEX PN TEST-BANK WITH 200 QUESTIONS WELL REVISED & EXPLAINED ANSWERS UPDATED
, therefore are incorrect.
8. A client is admitted with a Ewing’s sarcoma. Which symptoms would beexpected due to this tumor’s
location?
A. Hemiplegia
B. Aphasia
C. Nausea D.
Bone pain
Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would beexpected. Answers A, B, and C are not
specific to this type of cancer and areincorrect.
NCLEX PN TEST-BANK WITH 200 QUESTIONS WELL REVISED & EXPLAINED ANSWERS UPDATED
