NCLEX-PN Test-Bank (200 Questions with Answers and Rationales)

NCLEX-PN Test-Bank with 200 Questions

with Answers and rationale-2022

1. The nurse is caring for a client scheduled for removal of a pituitary tumor using 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 with the 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. Hypernatremia

B. Hypokalemia

C. Myelosuppression

D. Leukocytosis

Answer B: Hypokalemia is evident from the lab values listed. The other laboratory findings 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. 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

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 doctor and, 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 receive priority?

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 be to 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 has a 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 minutes

B. 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 other medications

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 be to 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 and crutchfield tongs.

Which equipment should be kept at the bedside?

A. A pair of forceps

B. 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 screws of 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 should

be:

A. 10 pounds

B. 12 pounds

C. 18 pounds

D. 21 pounds

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Version 2022
Category NCLEX(both rn and pn)
Included files pdf
Authors qwivy.com
Pages 92
Language English
Tags NCLEX-PN Test-Bank (200 Questions with Answers and Rationales)
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