Nclex-Pn 2024 Test Bank 100+ Real Exam Practice Questions And Correct Detailed Answers With Rationales (Verified Answers) ||Complete A+ Guide

Nclex-Pn 2024 Test Bank 100+ Real Exam Practice Questions

And Correct Detailed Answers With Rationales (Verified

Answers) ||Complete A+ Guide




1. The nurse is caring for a client scheduled for removal of a pituitary tumor
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m using the transsphenoidal approach. the nurse should be particularly alert to:
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A. Nasal congestion m




B. Abdominal Tenderness m




C. Muscle Tetany m




D. Oliguria
…ANS>> A. Nasal congestionm m m




why?
removal of the pituitary gland is usually done by transsphernoidal approach through
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the nose. Nasal congestion further interferes with the airway.
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2. A client with cancer is a, admitted to the oncology unit. Stat lab values revel
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1 m/ m70

,m Hgb 12.6, WBC 6500, K+1.9, uric acid 7.0, Na+136, and platelets 178,000. The
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m nurse evaluates that the client is experiencing which of the following?
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A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
…ANS>> B. Hypokalemia mm m




why?
Hypokalemia is evident from the lab values listed. The other laboratory findings are
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within normal limits. making answers A,C and D incorrect
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3. A 24 year-old female client is scheduled for surgery in the morning. Which
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m of the following is the primary responsibility of the nurse?
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A. taking the vital signs m m m




B. obtaining the permit m m




C. explaining the procedure m m




D. Checking the lab work m m m




…ANS>> A. taking the vital signs mm m m m m




why?
the primary responisblity of the nurse is to take the vital signs before any surgery.
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answers B,C and D are the responsibility of the doctor.
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2 m/ m70

,4. The nurse is working in the emergency room when a client arrives with
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severe burns of the left arm, hands, face, and neck. which action should
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receive priority?
m m




3 m/ m70

, A. starting an IV? m m




B. Applying oxygen m




m C.Obtaining blood gas m m




D. Medicating the client foe pain
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…ANS>> B. Applying oxygen mm m m




why?
the client with burns to the neck needs airway assessments and supplemental
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m oxygen, so applying oxygen is priority. the next action should be to start an IV and
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m medicate for pain. m m




5. The nurse is visiting a home health client with osteoporosis. The client has
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m a new prescription for alendronate (Fosamax). Which instructions should be
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m given to the client
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A. rest in bed after taking the medication for at least 30 mins
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B. Avoid rapid movements after taking the medication
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C. Take medication with water only
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D. Allow at least 1 hour between taking the medicine and taking other medica-
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m tions
…ANS>> C. Take medication with water only mm m m m m m




why?

Fosmax should be taken with water only. The client should also remain upright for at
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m least 30 mins after taking the medication.
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4 m/ m70