NCLEX-LPN TEST-BANK QUESTIONS AND ANSWERS
1. The patient is prescribed metronidazole (Flagyl) for adjunct treatment for a
duodenal ulcer. When teaching about this medication, the nurse would say:
A. “This medication should be taken only until you begin to feel better.”
B. “This medication should be taken on an empty stomach to increase
absorption.”
C. “While taking this medication, you do not have to be concerned about being
in the sun.”
D. “While taking this medication, alcoholic beverages and products
containing alcohol should be avoided.”
Answer D: Alcohol will cause extreme nausea if consumed with Flagyl. Answer
A is incorrect because the full course of treatment should be taken. The
medication should be taken with a full 8oz. of water, with meals, and the client
should avoid direct sunlight because he will most likely be photosensitive;
therefore, answers A, B, and C are incorrect.
2. The client with AIDS tells the nurse that he has been using acupuncture to help
with his pain. The nurse should question the client regarding this treatment
because acupuncture:
A. Uses pressure from the fingers and hands to stimulate the energy points in the
body
B. Uses oils extracted from plants and herbs
C. Uses needles to stimulate certain points on the body to treat pain
D. Uses manipulation of the skeletal muscles to relieve stress and pain
,Answer C: Acupuncture uses needles, and because HIV is transmitted by blood
and body fluids, the nurse should question this treatment. Answer A describes
acupressure, and answers B and D describe massage therapy with the use of oils.
3. 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.
4. 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.
, 5. 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.
6. 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.
1. The patient is prescribed metronidazole (Flagyl) for adjunct treatment for a
duodenal ulcer. When teaching about this medication, the nurse would say:
A. “This medication should be taken only until you begin to feel better.”
B. “This medication should be taken on an empty stomach to increase
absorption.”
C. “While taking this medication, you do not have to be concerned about being
in the sun.”
D. “While taking this medication, alcoholic beverages and products
containing alcohol should be avoided.”
Answer D: Alcohol will cause extreme nausea if consumed with Flagyl. Answer
A is incorrect because the full course of treatment should be taken. The
medication should be taken with a full 8oz. of water, with meals, and the client
should avoid direct sunlight because he will most likely be photosensitive;
therefore, answers A, B, and C are incorrect.
2. The client with AIDS tells the nurse that he has been using acupuncture to help
with his pain. The nurse should question the client regarding this treatment
because acupuncture:
A. Uses pressure from the fingers and hands to stimulate the energy points in the
body
B. Uses oils extracted from plants and herbs
C. Uses needles to stimulate certain points on the body to treat pain
D. Uses manipulation of the skeletal muscles to relieve stress and pain
,Answer C: Acupuncture uses needles, and because HIV is transmitted by blood
and body fluids, the nurse should question this treatment. Answer A describes
acupressure, and answers B and D describe massage therapy with the use of oils.
3. 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.
4. 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.
, 5. 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.
6. 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.
