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CRAM NCLEX-PN NURSING QUESTIONS
AND ANSWERS 2025
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 - correct answer- A. Nasal congestion
why?
removal of the pituitary gland is usually done by
transsphernoidal approach through the nose. Nasal congestion
further interferes with the airway.
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
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D. Leukocytosis - correct answer- 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
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 - correct answer- 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.
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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 - correct answer- 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.
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 - correct answer- C. Take medication with
water only
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why?
Fosmax should be taken with water only. The client should also
remain upright for at least 30 mins after taking the medication.
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 - correct answer- 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.
An infant weighs 7 pounds at birth. The excpectd weight by 1
year should be:
A. 10 pounds
B.12 pounds
CRAM NCLEX-PN NURSING QUESTIONS
AND ANSWERS 2025
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 - correct answer- A. Nasal congestion
why?
removal of the pituitary gland is usually done by
transsphernoidal approach through the nose. Nasal congestion
further interferes with the airway.
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
,2 | Page
D. Leukocytosis - correct answer- 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
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 - correct answer- 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.
,3 | Page
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 - correct answer- 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.
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 - correct answer- C. Take medication with
water only
, 4 | Page
why?
Fosmax should be taken with water only. The client should also
remain upright for at least 30 mins after taking the medication.
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 - correct answer- 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.
An infant weighs 7 pounds at birth. The excpectd weight by 1
year should be:
A. 10 pounds
B.12 pounds
