NCLEX-PN FINAL | NCLEX-PN 2024 EXAM
QUESTIONS AND ANSWERS
• 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
• 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
• 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
,• 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
• An infant weighs 7 pounds at birth. The expected weight by 1 year should be:
• 10 pounds
• 12 pounds
• 18 pounds
• 21 pounds
• A patient is admitted with a Ewing’s sarcoma. Which symptoms would be expected
due tothis tumor’s location?
• Hemiplegia
• Aphasia
• Nausea
• Bone pain
• 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
• Platelets 150,000 per cubic millimeter
• A 6-month-old patient is admitted with possible intussuception. Which question
during thenursing history is least helpful in obtaining information regarding this diagnosis?
• “Tell me about his pain.”
• “What does his vomit look like?”
• “Describe his usual diet.”
• “Have you noticed changes in his abdominal size?”
• The nurse is assisting a patient with diverticulosis to select appropriate foods. Which
foodshould be avoided?
• Bran
• Fresh peaches
• Cucumber salad
• Yeast rolls
• A patient has rectal cancer and is scheduled for an abdominal perineal resection.
What should be the priority nursing care during the post-op period?
• Teaching how to irrigate the illeostomy
• Stopping electrolyte loss in the incisional area
• Encouraging a high-fiber diet
• Facilitating perineal wound drainage
, • The nurse is performing discharge teaching on a patient with diverticulitis who has
been placed on a low-roughage diet. Which food would have to be eliminated from this
patient’s diet?
• Roasted chicken
• Noodles
• Cooked broccoli
• Custard
• A patient arrives in the emergency room with a possible fractured femur. The nurse
shouldanticipate an order for:
• Trendelenburg position
• Ice to the entire extremity
• Buck’s traction
• An abduction pillow
• A patient with cancer is to undergo an intravenous pyelogram. The nurse should:
• Force fluids 24 hours before the procedure
• Ask the patient to void immediately before the study
• Hold medication that affects the central nervous system for 12 hours pre- and post-test
• Cover the patient’s reproductive organs with an x-ray shield
• The nurse is caring for a patient with a malignancy. The classification of the
primarytumor is Tis. The nurse should plan care for a tumor:
• That cannot be assessed
• That is in situ
QUESTIONS AND ANSWERS
• 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
• 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
• 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
,• 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
• An infant weighs 7 pounds at birth. The expected weight by 1 year should be:
• 10 pounds
• 12 pounds
• 18 pounds
• 21 pounds
• A patient is admitted with a Ewing’s sarcoma. Which symptoms would be expected
due tothis tumor’s location?
• Hemiplegia
• Aphasia
• Nausea
• Bone pain
• 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
• Platelets 150,000 per cubic millimeter
• A 6-month-old patient is admitted with possible intussuception. Which question
during thenursing history is least helpful in obtaining information regarding this diagnosis?
• “Tell me about his pain.”
• “What does his vomit look like?”
• “Describe his usual diet.”
• “Have you noticed changes in his abdominal size?”
• The nurse is assisting a patient with diverticulosis to select appropriate foods. Which
foodshould be avoided?
• Bran
• Fresh peaches
• Cucumber salad
• Yeast rolls
• A patient has rectal cancer and is scheduled for an abdominal perineal resection.
What should be the priority nursing care during the post-op period?
• Teaching how to irrigate the illeostomy
• Stopping electrolyte loss in the incisional area
• Encouraging a high-fiber diet
• Facilitating perineal wound drainage
, • The nurse is performing discharge teaching on a patient with diverticulitis who has
been placed on a low-roughage diet. Which food would have to be eliminated from this
patient’s diet?
• Roasted chicken
• Noodles
• Cooked broccoli
• Custard
• A patient arrives in the emergency room with a possible fractured femur. The nurse
shouldanticipate an order for:
• Trendelenburg position
• Ice to the entire extremity
• Buck’s traction
• An abduction pillow
• A patient with cancer is to undergo an intravenous pyelogram. The nurse should:
• Force fluids 24 hours before the procedure
• Ask the patient to void immediately before the study
• Hold medication that affects the central nervous system for 12 hours pre- and post-test
• Cover the patient’s reproductive organs with an x-ray shield
• The nurse is caring for a patient with a malignancy. The classification of the
primarytumor is Tis. The nurse should plan care for a tumor:
• That cannot be assessed
• That is in situ
