NCLEX-PN 2026 STUDY GUIDE CORE
CONCEPTS AND VERIFIED SOLUTIONS
◉ 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
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?
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.
◉ 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?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
D. A screwdriver
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
C. 18 pounds
D. 21 pounds
CONCEPTS AND VERIFIED SOLUTIONS
◉ 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
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?
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.
◉ 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?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
D. A screwdriver
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
C. 18 pounds
D. 21 pounds
