NCLEX-PN TEST-BANK
QUESTIONS AND ANSWERS
LATEST UPDATE 2023/2024 WITH
ANSWERS AND EXPLANATION
CORRECT VERIFIED AND
GRADED A+
• The patient is prescribed metronidazole (Flagyl) for adjunct treatment
for a duodenal ulcer. When teaching about this medication, the nurse
would say:
• “This medication should be taken only until you begin to feel better.”
• “This medication should be taken on an empty stomach to increase
absorption.”
• “While taking this medication, you do not have to be concerned
about being in the sun.”
• “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 patient should avoid direct sunlight because he will most
likely be photosensitive; therefore, answers A, B, and C are incorrect.
,• The patient with AIDS tells the nurse that he has been using
acupuncture to help with his pain. The nurse should question the patient
regarding this treatment because acupuncture:
• Uses pressure from the fingers and hands to stimulate the energy
points in the body
• Uses oils extracted from plants and herbs
• Uses needles to stimulate certain points on the body to treat pain
• 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.
• The nurse is caring for a patient scheduled for removal of a
pituitary tumor using the transsphenoidal approach. The nurse
should be particularly alert for:
• Nasal congestion
• Abdominal tenderness
• Muscle tetany
• 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.
• A patient 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 patient is experiencing
which of the following?
• Hypernatremia
• Hypokalemia
• Myelosuppression
• 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.
• A 24-year-old female patient is scheduled for surgery in the
morning. Which of the following is the primary responsibility of the
nurse?
• Taking the vital signs
• Obtaining the permit
, • Explaining the procedure
• 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.
• The nurse is working in the emergency room when a patient
arrives with severe burns of the left arm, hands, face, and neck. Which
action should receive priority?
• Starting an IV
• Applying oxygen
• Obtaining blood gases
• Medicating the patient for pain
Answer B: The patient 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.
• The nurse is visiting a home health patient with osteoporosis.
The patient has a new prescription for alendronate (Fosamax).
Which instruction should be given to the patient?
QUESTIONS AND ANSWERS
LATEST UPDATE 2023/2024 WITH
ANSWERS AND EXPLANATION
CORRECT VERIFIED AND
GRADED A+
• The patient is prescribed metronidazole (Flagyl) for adjunct treatment
for a duodenal ulcer. When teaching about this medication, the nurse
would say:
• “This medication should be taken only until you begin to feel better.”
• “This medication should be taken on an empty stomach to increase
absorption.”
• “While taking this medication, you do not have to be concerned
about being in the sun.”
• “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 patient should avoid direct sunlight because he will most
likely be photosensitive; therefore, answers A, B, and C are incorrect.
,• The patient with AIDS tells the nurse that he has been using
acupuncture to help with his pain. The nurse should question the patient
regarding this treatment because acupuncture:
• Uses pressure from the fingers and hands to stimulate the energy
points in the body
• Uses oils extracted from plants and herbs
• Uses needles to stimulate certain points on the body to treat pain
• 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.
• The nurse is caring for a patient scheduled for removal of a
pituitary tumor using the transsphenoidal approach. The nurse
should be particularly alert for:
• Nasal congestion
• Abdominal tenderness
• Muscle tetany
• 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.
• A patient 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 patient is experiencing
which of the following?
• Hypernatremia
• Hypokalemia
• Myelosuppression
• 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.
• A 24-year-old female patient is scheduled for surgery in the
morning. Which of the following is the primary responsibility of the
nurse?
• Taking the vital signs
• Obtaining the permit
, • Explaining the procedure
• 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.
• The nurse is working in the emergency room when a patient
arrives with severe burns of the left arm, hands, face, and neck. Which
action should receive priority?
• Starting an IV
• Applying oxygen
• Obtaining blood gases
• Medicating the patient for pain
Answer B: The patient 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.
• The nurse is visiting a home health patient with osteoporosis.
The patient has a new prescription for alendronate (Fosamax).
Which instruction should be given to the patient?
