NCLEX PN Actual Exam Test Bank Newest 2026 With
Complete 500+ Questions And Correct Answers
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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 - 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?
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A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis - 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 - Answer-A. taking the vital signs
why?
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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.
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 - 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.
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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 - Answer-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.
The nurse is making initial rounds on a client with a C5
fracture and crutchfield thongs. Which equipment should
be kept at the bedside?