Exam Cram NCLEX-PN PRACTICE QUESTIONS &
ANSWERS ALREADY GRADED A+
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
, C. WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab
value of WBC 2,000 per cubic millimeter indicates side effects of the drug. answer - The nurse is
caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which
labatory value might be a indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
C." Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are useful in
determining the extent of disease process and thus, are incorrect answer - A 6-month-old client
is admitted with possible intussuception. Which question during the nursing history is least
helpful in obtaining information regarding this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?"
ANSWERS ALREADY GRADED A+
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
, C. WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab
value of WBC 2,000 per cubic millimeter indicates side effects of the drug. answer - The nurse is
caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which
labatory value might be a indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
C." Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are useful in
determining the extent of disease process and thus, are incorrect answer - A 6-month-old client
is admitted with possible intussuception. Which question during the nursing history is least
helpful in obtaining information regarding this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?"
