1|Page
EXAM CRAM NCLEX-PN PRACTICE QUESTIONS
AND 100% CORRECT VERIFIED ANSWERS AND
SOLUTIONS ALL GRADED A+ |LATEST 2026
UPDATE!!!|
The nurse on the 3-11 shift is assessing the chart of a client with an abdominal
aneurysm scheduled for surgery in the morning and finds that the consent form has
been signed, but the client is unclear about the surgery and possible complications.
Which is the most appropriate action?
A. Call the surgeon and ask him or her to see the client to clarify the information
B. Explain the procedure and complications to the client
C. Check in the physician's progress notes to see if understanding has been
documented.
D. Check with the client's family to see if they understand the procedure fully -
............ANSWER.............. A. Call the surgeon and ask him or her to see the client
to clarify the information
why?
It is the responsibility of the physician to explain and clarify the procedure to the
client.
When assessing a client for risk of hyperphosphatemia, which piece of information
is most important for the nurse to obtain?
A. A history of radiation treatment in the neck region
B. A history of recent orthopedic surgery
C. A history of minimal physical activity
,2|Page
D. A history of the client's food intake - ............ANSWER.............. A. A history of
radiation treatment in the neck region
why?
Previous radiation to the neck might have damaged parathyroid glands, which are
located on the thyroid gland and interfered with calcium and phosphorus
regulation.
A client is admitted to the acute care unit. Initial laboratory values reveal serum
sodium of 170 meq/L. What behavioral changes would be common for this client?
A. Anger
B. Mania
C. Depression
D. Pyschosis - ............ANSWER.............. B. Mania
why?
The client with serum sodium of 170 meq/L has hypernatrimia and might exhibit
manic behvior.
The nurse is obtaining a history of an 80 year old client. Which statement made by
the client might indicate a possible fluid and electrolyte imbalance?
A. "My skin is always so dry."
B. "I often use laxatives for constipation."
C. "I have always liked to drink ice tea."
D. "I sometimes have a problem with dribbling urine." - ............ANSWER..............
B. "I often use laxatives for constipation."
,3|Page
why?
Frequent use of laxatives can lead to diarrhea and electrolyte loss.
A client visits the clinic after the death of a parent. Which statement made by the
client's sister signifies abnormal grieving?
A. "My sister still has episodes of crying and it's been 3 months since daddy died."
B. "Sally seems to have forgotten the bad things that daddy did in his lifetime."
C. "She really had a hard time after daddy's funeral. She said that she had a sense
of longing."
D. "Sally has not been sad at all by daddy's death. She acts like nothing has
happened." - ............ANSWER.............. D. "Sally has not been sad at all by
daddy's death. She acts like nothing has happened at all."
why?
Abnormal grieving is exhibited by a lack of feeling sad; if the client's sister appears
not to grieve, it might be abnormal grieving. This family member might be
suppressing feelings of grief
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 - ............ANSWER.............. A. Nasal congestion
why?
, 4|Page
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 - ............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 - ............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.
EXAM CRAM NCLEX-PN PRACTICE QUESTIONS
AND 100% CORRECT VERIFIED ANSWERS AND
SOLUTIONS ALL GRADED A+ |LATEST 2026
UPDATE!!!|
The nurse on the 3-11 shift is assessing the chart of a client with an abdominal
aneurysm scheduled for surgery in the morning and finds that the consent form has
been signed, but the client is unclear about the surgery and possible complications.
Which is the most appropriate action?
A. Call the surgeon and ask him or her to see the client to clarify the information
B. Explain the procedure and complications to the client
C. Check in the physician's progress notes to see if understanding has been
documented.
D. Check with the client's family to see if they understand the procedure fully -
............ANSWER.............. A. Call the surgeon and ask him or her to see the client
to clarify the information
why?
It is the responsibility of the physician to explain and clarify the procedure to the
client.
When assessing a client for risk of hyperphosphatemia, which piece of information
is most important for the nurse to obtain?
A. A history of radiation treatment in the neck region
B. A history of recent orthopedic surgery
C. A history of minimal physical activity
,2|Page
D. A history of the client's food intake - ............ANSWER.............. A. A history of
radiation treatment in the neck region
why?
Previous radiation to the neck might have damaged parathyroid glands, which are
located on the thyroid gland and interfered with calcium and phosphorus
regulation.
A client is admitted to the acute care unit. Initial laboratory values reveal serum
sodium of 170 meq/L. What behavioral changes would be common for this client?
A. Anger
B. Mania
C. Depression
D. Pyschosis - ............ANSWER.............. B. Mania
why?
The client with serum sodium of 170 meq/L has hypernatrimia and might exhibit
manic behvior.
The nurse is obtaining a history of an 80 year old client. Which statement made by
the client might indicate a possible fluid and electrolyte imbalance?
A. "My skin is always so dry."
B. "I often use laxatives for constipation."
C. "I have always liked to drink ice tea."
D. "I sometimes have a problem with dribbling urine." - ............ANSWER..............
B. "I often use laxatives for constipation."
,3|Page
why?
Frequent use of laxatives can lead to diarrhea and electrolyte loss.
A client visits the clinic after the death of a parent. Which statement made by the
client's sister signifies abnormal grieving?
A. "My sister still has episodes of crying and it's been 3 months since daddy died."
B. "Sally seems to have forgotten the bad things that daddy did in his lifetime."
C. "She really had a hard time after daddy's funeral. She said that she had a sense
of longing."
D. "Sally has not been sad at all by daddy's death. She acts like nothing has
happened." - ............ANSWER.............. D. "Sally has not been sad at all by
daddy's death. She acts like nothing has happened at all."
why?
Abnormal grieving is exhibited by a lack of feeling sad; if the client's sister appears
not to grieve, it might be abnormal grieving. This family member might be
suppressing feelings of grief
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 - ............ANSWER.............. A. Nasal congestion
why?
, 4|Page
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 - ............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 - ............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.
