NCLEX-PN Test Bank (200 Questions with Answers and
Explanation)
1. The nurse is caring for a client scheduled for removal of a pituitary tumorusing the transsphenoidal
approach. The nurse should be particularly alert for:
NCLEX-PN Test Bank (200 Questions with Answers and Explanation)
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 withthe pituitary gland.
1. 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
E.
Answer B: Hypokalemia is evident from the lab values listed. The other laboratoryfindings are within
normal limits, making answers A, C, and D incorrect.
2. A 24-year-old female client is scheduled for surgery in the morning. Whichof 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 doctorand, therefore, are incorrect for this
question.
3. 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 receivepriority?
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 beto start an IV and medicate for pain, making
answers A and C incorrect. Answer D,obtaining blood gases, is ordered by the doctor.
4. The nurse is visiting a home health client with osteoporosis. The client hasa new prescription
for alendronate (Fosamax). Which instruction should be given to the client?
A. Rest in bed after taking the medication for at least 30 minutes
B. Avoid rapid movements after taking the medication.
C. Take the medication with water only
D. Allow at least 1 hour between taking the medicine and taking othermedications
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 beto start an IV and medicate for pain, making
answers A and C incorrect. Answer D,obtaining blood gases, is ordered by the doctor.
, 5. The nurse is making initial rounds on a client with a C5 fracture andcrutchfield tongs.
Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D . A screwdriver
Answer B: A torque wrench is kept at the bedside to tighten and loosen the screwsof crutch field 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, are incorrect.
6. An infant weighs 7 pounds at birth. The expected weight by 1 year shouldbe:
A.10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds
Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triplehis birth weight.
Answers A, B, and C therefore are incorrect.
7. A client is admitted with a Ewing’s sarcoma. Which symptoms would beexpected due to this
tumor’s location?
A .Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain
Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would beexpected. Answers A,
B, and C are not specific to this type of cancer and areincorrect.
Explanation)
1. The nurse is caring for a client scheduled for removal of a pituitary tumorusing the transsphenoidal
approach. The nurse should be particularly alert for:
NCLEX-PN Test Bank (200 Questions with Answers and Explanation)
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 withthe pituitary gland.
1. 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
E.
Answer B: Hypokalemia is evident from the lab values listed. The other laboratoryfindings are within
normal limits, making answers A, C, and D incorrect.
2. A 24-year-old female client is scheduled for surgery in the morning. Whichof 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 doctorand, therefore, are incorrect for this
question.
3. 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 receivepriority?
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 beto start an IV and medicate for pain, making
answers A and C incorrect. Answer D,obtaining blood gases, is ordered by the doctor.
4. The nurse is visiting a home health client with osteoporosis. The client hasa new prescription
for alendronate (Fosamax). Which instruction should be given to the client?
A. Rest in bed after taking the medication for at least 30 minutes
B. Avoid rapid movements after taking the medication.
C. Take the medication with water only
D. Allow at least 1 hour between taking the medicine and taking othermedications
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 beto start an IV and medicate for pain, making
answers A and C incorrect. Answer D,obtaining blood gases, is ordered by the doctor.
, 5. The nurse is making initial rounds on a client with a C5 fracture andcrutchfield tongs.
Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D . A screwdriver
Answer B: A torque wrench is kept at the bedside to tighten and loosen the screwsof crutch field 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, are incorrect.
6. An infant weighs 7 pounds at birth. The expected weight by 1 year shouldbe:
A.10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds
Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triplehis birth weight.
Answers A, B, and C therefore are incorrect.
7. A client is admitted with a Ewing’s sarcoma. Which symptoms would beexpected due to this
tumor’s location?
A .Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain
Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would beexpected. Answers A,
B, and C are not specific to this type of cancer and areincorrect.
