EXAM CRAM NCLEX-PN PRACTICE
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT RATED A+
Question: A patient is prepared for the surgical removal of a pituitary
tumor via a transsphenoidal approach. Which postoperative finding
should the nurse monitor for most closely?
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria
Answer: A. Nasal congestion
Rationale: This surgical route accesses the pituitary gland through the
sphenoid sinus via the nasal cavity. Postoperative nasal packing is typically
present, so any additional nasal congestion or edema can significantly
compromise the patient's airway and ability to breathe comfortably.
✔✔
Question: An oncology patient’s laboratory results are as follows:
Hemoglobin 12.6 g/dL, WBC 6,500/mm³, Potassium ($K^+$) 1.9 mEq/L,
Uric Acid 7.0 mg/dL, Sodium ($Na^+$) 136 mEq/L, and Platelets
178,000/mm³. Based on these findings, which condition is the patient
experiencing?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
Answer: B. Hypokalemia
Rationale: The patient’s potassium level of 1.9 mEq/L is critically low (the
standard range is typically $3.5$ to $5.0$ mEq/L). The other values provided—
including the WBC count, sodium, and platelets—fall within normal or near-
normal clinical limits, ruling out hypernatremia, myelosuppression, or
leukocytosis.
✔✔
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.
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 -ANSWER ✔✔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
C. Take medication with water only
,D. Allow at least 1 hour between taking the medicine and taking other
medications -ANSWER ✔✔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 -ANSWER ✔✔B. A torque wrench
why?
A tourque 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.
An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds -ANSWER ✔✔D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his
birth weight.
A client is admitted with a Ewing's sacroma. which symptoms would be
expected due to this tumor's location?
A. Hemiplegia
B. Aphasia
, C. Nausea
D. Bone Pain -ANSWER ✔✔D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which labatory value might be a indicate a serious
side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter -ANSWER ✔✔C. WBC 2,000 per
cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells
count; thus, a lab value of WBC 2,000 per cubic millimeter indicates side
effects of the drug.
A 6-month-old client is admitted with possible intussuception. Which question
during the nursing history is least helpful in obtaining information regarding
this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?" -ANSWER ✔✔C."
Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are
useful in determining the extent of disease process and thus, are incorrect
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT RATED A+
Question: A patient is prepared for the surgical removal of a pituitary
tumor via a transsphenoidal approach. Which postoperative finding
should the nurse monitor for most closely?
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria
Answer: A. Nasal congestion
Rationale: This surgical route accesses the pituitary gland through the
sphenoid sinus via the nasal cavity. Postoperative nasal packing is typically
present, so any additional nasal congestion or edema can significantly
compromise the patient's airway and ability to breathe comfortably.
✔✔
Question: An oncology patient’s laboratory results are as follows:
Hemoglobin 12.6 g/dL, WBC 6,500/mm³, Potassium ($K^+$) 1.9 mEq/L,
Uric Acid 7.0 mg/dL, Sodium ($Na^+$) 136 mEq/L, and Platelets
178,000/mm³. Based on these findings, which condition is the patient
experiencing?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
Answer: B. Hypokalemia
Rationale: The patient’s potassium level of 1.9 mEq/L is critically low (the
standard range is typically $3.5$ to $5.0$ mEq/L). The other values provided—
including the WBC count, sodium, and platelets—fall within normal or near-
normal clinical limits, ruling out hypernatremia, myelosuppression, or
leukocytosis.
✔✔
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.
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 -ANSWER ✔✔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
C. Take medication with water only
,D. Allow at least 1 hour between taking the medicine and taking other
medications -ANSWER ✔✔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 -ANSWER ✔✔B. A torque wrench
why?
A tourque 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.
An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds -ANSWER ✔✔D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his
birth weight.
A client is admitted with a Ewing's sacroma. which symptoms would be
expected due to this tumor's location?
A. Hemiplegia
B. Aphasia
, C. Nausea
D. Bone Pain -ANSWER ✔✔D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which labatory value might be a indicate a serious
side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter -ANSWER ✔✔C. WBC 2,000 per
cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells
count; thus, a lab value of WBC 2,000 per cubic millimeter indicates side
effects of the drug.
A 6-month-old client is admitted with possible intussuception. Which question
during the nursing history is least helpful in obtaining information regarding
this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?" -ANSWER ✔✔C."
Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are
useful in determining the extent of disease process and thus, are incorrect
