EXAM CRAM NCLEX-PN PRACTICE QUESTIONS
AND ANSWERS GRADED A+
A. Nasal congestion
why?
removal of the pituitary gland is usually done by transsphenoidal approach through the nose.
Nasal congestion further interferes with the airway. answer - the nurse is caring for a client
scheduled for removal of a pituitary tumor using the transsphenoidal approach. the nurse
should be particularly alert to:
A. Nasal congestion
B. Abdominal Tenderness
C. Muscle Tetany
D. Oliguria
B. Hypokalemia
why?
Hypokalemia is evident from the lab values listed. The other laboratory findings are within
normal limits. making answers A,C and D incorrect answer - A client with cancer is a, admitted
to the oncology unit. Stat lab values revel 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
A. taking the vital signs
why?
the primary responisblity of the nurse is to take the vital signs before any surgery.
answers B,C and D are the responsibility of the doctor. answer - A 24 year-old female client is
scheduled for surgery in the morning. Which of 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
B. Applying oxygen
why?
the client with burns to the neck needs airway assessments and supplemental oxygen, so
applying oxygen is priority. the next action should be to start an IV and medicate for pain.
answer - 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 receive priority?
A. starting an IV?
B. Applying oxygen
C.Obtaining blood gas
,D. Medicating the client foe pain
C. Take medication with water only
why?
Fosmax should be taken with water only. The client should also remain upright for at least 30
mins after taking the medication. answer - The nurse is visiting a home health client with
osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instructions
should be given to the client
A. rest in bed after taking the medication for at least 30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine and taking other medications
B. A torque wrench
why?
A tourque 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. answer - The nurse
is making initial rounds on a client with a C5 fracture and crutchfield thongs. Which equipment
should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
, D. A screwdriver
D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth weight.
answer - An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds
D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected answer - A client is
admitted with a Ewing's sacroma. which symptoms would be expected due to this tumor's
location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain
AND ANSWERS GRADED A+
A. Nasal congestion
why?
removal of the pituitary gland is usually done by transsphenoidal approach through the nose.
Nasal congestion further interferes with the airway. answer - the nurse is caring for a client
scheduled for removal of a pituitary tumor using the transsphenoidal approach. the nurse
should be particularly alert to:
A. Nasal congestion
B. Abdominal Tenderness
C. Muscle Tetany
D. Oliguria
B. Hypokalemia
why?
Hypokalemia is evident from the lab values listed. The other laboratory findings are within
normal limits. making answers A,C and D incorrect answer - A client with cancer is a, admitted
to the oncology unit. Stat lab values revel 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
A. taking the vital signs
why?
the primary responisblity of the nurse is to take the vital signs before any surgery.
answers B,C and D are the responsibility of the doctor. answer - A 24 year-old female client is
scheduled for surgery in the morning. Which of 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
B. Applying oxygen
why?
the client with burns to the neck needs airway assessments and supplemental oxygen, so
applying oxygen is priority. the next action should be to start an IV and medicate for pain.
answer - 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 receive priority?
A. starting an IV?
B. Applying oxygen
C.Obtaining blood gas
,D. Medicating the client foe pain
C. Take medication with water only
why?
Fosmax should be taken with water only. The client should also remain upright for at least 30
mins after taking the medication. answer - The nurse is visiting a home health client with
osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instructions
should be given to the client
A. rest in bed after taking the medication for at least 30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine and taking other medications
B. A torque wrench
why?
A tourque 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. answer - The nurse
is making initial rounds on a client with a C5 fracture and crutchfield thongs. Which equipment
should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
, D. A screwdriver
D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth weight.
answer - An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds
D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected answer - A client is
admitted with a Ewing's sacroma. which symptoms would be expected due to this tumor's
location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain
