NCLEX-PN TEST BANK (200
QUESTIONS WITH ANSWERS
AND EXPLANATIONS)CORRECT
VERIFIED AND GRADED A+
2024
• The nurse is caring for a patient scheduled for removal of a pituitary tumor using
thetranssphenoidal 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 thepatient 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
thefollowing 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 ofthe 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
newprescription for alendronate (Fosamax). Which instruction should be given to the
patient?
• Rest in bed after taking the medication for at least 30 minutes
• Avoid rapid movements after taking the medication
• Take the medication with water only
• Allow at least 1 hour between taking the medicine and taking other medications
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 making initial rounds on a patient with a C5 fracture and crutchfield
tongs. Which equipment should be kept at the bedside?
• A pair of forceps
• A torque wrench
• A pair of wire cutters
• 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, areincorrect.
• An infant weighs 7 pounds at birth. The expected weight by 1 year should
, be:
• 10 pounds
• 12 pounds
• 18 pounds
• 21 pounds
Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his
birthweight. Answers A, B, and C therefore are incorrect.
• A patient is admitted with a Ewing’s sarcoma. Which symptoms would be expected
due tothis tumor’s location?
• Hemiplegia
• Aphasia
• Nausea
• Bone pain
Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would be expected.
Answers A, B, and C are not specific to this type of cancer and are incorrect.
• The nurse is caring for a patient with epilepsy who is being treated with
carbamazepine(Tegretol). Which laboratory value might indicate a serious side effect of
this drug?
• Uric acid of 5mg/dL
• Hematocrit of 33%
• WBC 2,000 per cubic millimeter
QUESTIONS WITH ANSWERS
AND EXPLANATIONS)CORRECT
VERIFIED AND GRADED A+
2024
• The nurse is caring for a patient scheduled for removal of a pituitary tumor using
thetranssphenoidal 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 thepatient 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
thefollowing 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 ofthe 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
newprescription for alendronate (Fosamax). Which instruction should be given to the
patient?
• Rest in bed after taking the medication for at least 30 minutes
• Avoid rapid movements after taking the medication
• Take the medication with water only
• Allow at least 1 hour between taking the medicine and taking other medications
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 making initial rounds on a patient with a C5 fracture and crutchfield
tongs. Which equipment should be kept at the bedside?
• A pair of forceps
• A torque wrench
• A pair of wire cutters
• 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, areincorrect.
• An infant weighs 7 pounds at birth. The expected weight by 1 year should
, be:
• 10 pounds
• 12 pounds
• 18 pounds
• 21 pounds
Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his
birthweight. Answers A, B, and C therefore are incorrect.
• A patient is admitted with a Ewing’s sarcoma. Which symptoms would be expected
due tothis tumor’s location?
• Hemiplegia
• Aphasia
• Nausea
• Bone pain
Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would be expected.
Answers A, B, and C are not specific to this type of cancer and are incorrect.
• The nurse is caring for a patient with epilepsy who is being treated with
carbamazepine(Tegretol). Which laboratory value might indicate a serious side effect of
this drug?
• Uric acid of 5mg/dL
• Hematocrit of 33%
• WBC 2,000 per cubic millimeter
