NCLEX-PN Test- b
Bank (200 Questions with Answers a
b b b b b
ndExplanation)
b
1. Thebnursebisbcaringbforbabclientbscheduledbforbremovalbofbabpituitarybtumorbusingbthebtra
nssphenoidalbapproach.bThebnursebshouldbbebparticularlybalertbfor:
A. Nasalbcongestion
B. Abdominalbtenderness
C. Musclebtetany
D. Oliguria
AnswerbA:bRemovalbofbthebpituitarybglandbisbusuallybdonebbybabtranssphenoidalbapproach,bthroug
hbthebnose.bNasalbcongestionbfurtherbinterferesbwithbthebairway.bAnswersbB,bC,bandbDbarebnotbcorr
ectbbecausebtheybarebnotbdirectlybassociatedbwithbthebpituitarybgland.
2. Abclientbwithbcancerbisbadmittedbtobtheboncologybunit.bStatblabbvaluesbrevealbHgbb12.6,b
WBCb6500,bK+b1.9,buricbacidb7.0,bNa+b136,bandbplateletsb178,000.bThebnursebevaluatesbthatbthebc
lientbisbexperiencingbwhichbofbthebfollowing?
A. HypernatremiabB.
Hypokalemia
C. Myelosuppression
D. Leukocytosis
AnswerbB:bHypokalemiabisbevidentbfrombtheblabbvaluesblisted.bThebotherblaboratorybfindingsbarebwi
thinbnormalblimits,bmakingbanswersbA,bC,bandbDbincorrect.
NCLEX-PNbTest-Bankb(200b QuestionsbwithbAnswersbandbExplanation)
,3. Ab24-year-
oldbfemalebclientbisbscheduledbforbsurgerybinbthebmorning.bWhichbofbthebfollowingbisbthebprimary
responsibilitybofbthebnurse?
b
A. Takingbthebvitalbsigns
B. Obtainingbthebpermit
C. Explainingbthebprocedure
D. Checkingbtheblabbwork
AnswerbA:bThebprimarybresponsibilitybofbthebnursebisbtobtakebthebvitalbsignsbbeforebanybsurgery.bT
hebactionsbinbanswersbB,bC,bandbDbarebthebresponsibilitybofbthebdoctorband,btherefore,barebincorrect
forbthisbquestion.
b
4. Thebnursebisbworkingbinbthebemergencybroombwhenbabclientbarrivesbwithbseverebburnsb
ofbthebleftbarm,bhands,bface,bandbneck.bWhichbactionbshouldbreceivebpriority?
A. StartingbanbIV
B. Applyingboxygen
C. Obtainingbbloodbgases
D. Medicatingbthebclientbforbpain
AnswerbB:bThebclientbwithbburnsbtobthebneckbneedsbairwaybassessmentbandbsupplementalboxygen
,bsobapplyingboxygenbisbthebpriority.bThebnextbactionbshouldbbebtobstartbanbIVbandbmedicatebforbpain
,bmakingbanswersbAbandbCbincorrect.bAnswerbD,bobtainingbbloodbgases,bisborderedbbybthebdoctor.
5. Thebnursebisbvisitingbabhomebhealthbclientbwithbosteoporosis.bThebclientbhasbabnewbprescr
iptionbforbalendronateb(Fosamax).bWhichbinstructionbshouldbbebgivenbtobthebclient?
A. Restbinbbedbafterbtakingbthebmedicationbforbatbleastb30bminutesbB.
NCLEX-PNbTest-Bankb(200b QuestionsbwithbAnswersbandbExplanation)
, Avoidbrapidbmovementsbafterbtakingbthebmedication
C. Takebthebmedicationbwithbwaterbonly
D. Allowbatbleastb1bhourbbetweenbtakingbthebmedicinebandbtakingbotherbmedication
s
AnswerbB:bThebclientbwithbburnsbtobthebneckbneedsbairwaybassessmentbandbsupplementalboxygen
,bsobapplyingboxygenbisbthebpriority.bThebnextbactionbshouldbbebtobstartbanbIVbandbmedicatebforbpain
,bmakingbanswersbAbandbCbincorrect.bAnswerbD,bobtainingbbloodbgases,bisborderedbbybthebdoctor.
6. ThebnursebisbmakingbinitialbroundsbonbabclientbwithbabC5bfracturebandbcrutchfieldb
tongs.bWhichbequipmentbshouldbbebkeptbatbthebbedside?
A. AbpairbofbforcepsbB.
Abtorquebwrench
C. Abpairbofbwirebcutters
D. Abscrewdriver
AnswerbB:bAbtorquebwrenchbisbkeptbatbthebbedsidebtobtightenbandbloosenbthebscrewsbofbcrutchfieldb
tongs.bThisbwrenchbcontrolsbthebamountbofbpressurebthatbisbplacedbonbthebscrews.bAbpairbofbforce
ps,bwirebcutters,bandbabscrewdriver,binbanswersbA,bC,bandbD,bwouldbnotbbebusedband,bthus,barebinc
orrect.
7. Anbinfantbweighsb7bpoundsbatbbirth.bThebexpectedbweightbbyb1byearbshouldbbe:
A. 10bpounds
B. 12bpounds
C. 18bpoundsbD
. 21bpounds
AnswerbD:bAbbirthbweightbofb7bpoundsbwouldbindicateb21bpoundsbinb1byear,borbtriplebhisbbirthbweigh
NCLEX-PNbTest-Bankb(200b QuestionsbwithbAnswersbandbExplanation)
, t.bAnswersbA,bB,bandbCbthereforebarebincorrect.
8. AbclientbisbadmittedbwithbabEwing’sbsarcoma.bWhichbsymptomsbwouldbbebexpectedbdu
ebtobthisbtumor’sblocation?
A. Hemiplegia
B. Aphasia
C. NauseabD.
Bonebpain
AnswerbD:bSarcomabisbabtypebofbbonebcancer;btherefore,bbonebpainbwouldbbebexpected.bAn
swersbA,bB,bandbCbarebnotbspecificbtobthisbtypebofbcancerbandbarebincorrect.
NCLEX-PNbTest-Bankb(200b QuestionsbwithbAnswersbandbExplanation)
Bank (200 Questions with Answers a
b b b b b
ndExplanation)
b
1. Thebnursebisbcaringbforbabclientbscheduledbforbremovalbofbabpituitarybtumorbusingbthebtra
nssphenoidalbapproach.bThebnursebshouldbbebparticularlybalertbfor:
A. Nasalbcongestion
B. Abdominalbtenderness
C. Musclebtetany
D. Oliguria
AnswerbA:bRemovalbofbthebpituitarybglandbisbusuallybdonebbybabtranssphenoidalbapproach,bthroug
hbthebnose.bNasalbcongestionbfurtherbinterferesbwithbthebairway.bAnswersbB,bC,bandbDbarebnotbcorr
ectbbecausebtheybarebnotbdirectlybassociatedbwithbthebpituitarybgland.
2. Abclientbwithbcancerbisbadmittedbtobtheboncologybunit.bStatblabbvaluesbrevealbHgbb12.6,b
WBCb6500,bK+b1.9,buricbacidb7.0,bNa+b136,bandbplateletsb178,000.bThebnursebevaluatesbthatbthebc
lientbisbexperiencingbwhichbofbthebfollowing?
A. HypernatremiabB.
Hypokalemia
C. Myelosuppression
D. Leukocytosis
AnswerbB:bHypokalemiabisbevidentbfrombtheblabbvaluesblisted.bThebotherblaboratorybfindingsbarebwi
thinbnormalblimits,bmakingbanswersbA,bC,bandbDbincorrect.
NCLEX-PNbTest-Bankb(200b QuestionsbwithbAnswersbandbExplanation)
,3. Ab24-year-
oldbfemalebclientbisbscheduledbforbsurgerybinbthebmorning.bWhichbofbthebfollowingbisbthebprimary
responsibilitybofbthebnurse?
b
A. Takingbthebvitalbsigns
B. Obtainingbthebpermit
C. Explainingbthebprocedure
D. Checkingbtheblabbwork
AnswerbA:bThebprimarybresponsibilitybofbthebnursebisbtobtakebthebvitalbsignsbbeforebanybsurgery.bT
hebactionsbinbanswersbB,bC,bandbDbarebthebresponsibilitybofbthebdoctorband,btherefore,barebincorrect
forbthisbquestion.
b
4. Thebnursebisbworkingbinbthebemergencybroombwhenbabclientbarrivesbwithbseverebburnsb
ofbthebleftbarm,bhands,bface,bandbneck.bWhichbactionbshouldbreceivebpriority?
A. StartingbanbIV
B. Applyingboxygen
C. Obtainingbbloodbgases
D. Medicatingbthebclientbforbpain
AnswerbB:bThebclientbwithbburnsbtobthebneckbneedsbairwaybassessmentbandbsupplementalboxygen
,bsobapplyingboxygenbisbthebpriority.bThebnextbactionbshouldbbebtobstartbanbIVbandbmedicatebforbpain
,bmakingbanswersbAbandbCbincorrect.bAnswerbD,bobtainingbbloodbgases,bisborderedbbybthebdoctor.
5. Thebnursebisbvisitingbabhomebhealthbclientbwithbosteoporosis.bThebclientbhasbabnewbprescr
iptionbforbalendronateb(Fosamax).bWhichbinstructionbshouldbbebgivenbtobthebclient?
A. Restbinbbedbafterbtakingbthebmedicationbforbatbleastb30bminutesbB.
NCLEX-PNbTest-Bankb(200b QuestionsbwithbAnswersbandbExplanation)
, Avoidbrapidbmovementsbafterbtakingbthebmedication
C. Takebthebmedicationbwithbwaterbonly
D. Allowbatbleastb1bhourbbetweenbtakingbthebmedicinebandbtakingbotherbmedication
s
AnswerbB:bThebclientbwithbburnsbtobthebneckbneedsbairwaybassessmentbandbsupplementalboxygen
,bsobapplyingboxygenbisbthebpriority.bThebnextbactionbshouldbbebtobstartbanbIVbandbmedicatebforbpain
,bmakingbanswersbAbandbCbincorrect.bAnswerbD,bobtainingbbloodbgases,bisborderedbbybthebdoctor.
6. ThebnursebisbmakingbinitialbroundsbonbabclientbwithbabC5bfracturebandbcrutchfieldb
tongs.bWhichbequipmentbshouldbbebkeptbatbthebbedside?
A. AbpairbofbforcepsbB.
Abtorquebwrench
C. Abpairbofbwirebcutters
D. Abscrewdriver
AnswerbB:bAbtorquebwrenchbisbkeptbatbthebbedsidebtobtightenbandbloosenbthebscrewsbofbcrutchfieldb
tongs.bThisbwrenchbcontrolsbthebamountbofbpressurebthatbisbplacedbonbthebscrews.bAbpairbofbforce
ps,bwirebcutters,bandbabscrewdriver,binbanswersbA,bC,bandbD,bwouldbnotbbebusedband,bthus,barebinc
orrect.
7. Anbinfantbweighsb7bpoundsbatbbirth.bThebexpectedbweightbbyb1byearbshouldbbe:
A. 10bpounds
B. 12bpounds
C. 18bpoundsbD
. 21bpounds
AnswerbD:bAbbirthbweightbofb7bpoundsbwouldbindicateb21bpoundsbinb1byear,borbtriplebhisbbirthbweigh
NCLEX-PNbTest-Bankb(200b QuestionsbwithbAnswersbandbExplanation)
, t.bAnswersbA,bB,bandbCbthereforebarebincorrect.
8. AbclientbisbadmittedbwithbabEwing’sbsarcoma.bWhichbsymptomsbwouldbbebexpectedbdu
ebtobthisbtumor’sblocation?
A. Hemiplegia
B. Aphasia
C. NauseabD.
Bonebpain
AnswerbD:bSarcomabisbabtypebofbbonebcancer;btherefore,bbonebpainbwouldbbebexpected.bAn
swersbA,bB,bandbCbarebnotbspecificbtobthisbtypebofbcancerbandbarebincorrect.
NCLEX-PNbTest-Bankb(200b QuestionsbwithbAnswersbandbExplanation)
