18
NCLEX-PN Test-Bank (200 Questions with
Answers and Explanation)
1. The nurse is caring for a client scheduled for removal of a
pituitary tumor using the transsphenoidal approach. The nurse
should be particularly alert for:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria
Answer A: Removal of the pituitary gland is usually done by a
transsphenoidal approach, through the nose. Nasal congestion further
interferes with the airway. Answers B, C, and D are not correct because
they are not directly associated with the pituitary gland.
2. A client with cancer is admitted to the oncology unit. Stat lab
values reveal 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
[Date]
1
, 18
C. Myelosuppression
D. Leukocytosis
Answer B: Hypokalemia is evident from the lab values listed. The other
laboratory findings are within normal limits, making answers A, C, and D
incorrect.
[Date]
2
, 18
3. 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: The primary responsibility of the nurse is to take the vital
signs before any surgery. The actions in answers B, C, and D are the
responsibility of the doctor and, therefore, are incorrect for this
question.
4. 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 gases
D. Medicating the client for pain
Answer B: The client with burns to the neck needs airway assessment
and supplemental oxygen, so applying oxygen is the priority. The next
action should be to start an IV and medicate for pain, making answers A
[Date]
3
, 18
and C incorrect. Answer D, obtaining blood gases, is ordered by the
doctor.
5. The nurse is visiting a home health client with osteoporosis.
The client has a new prescription for alendronate (Fosamax).
Which instruction should be given to the client?
A. Rest in bed after taking the medication for at least 30 minutes
B. Avoid rapid movements after taking the medication
C. Take the medication with water only
[Date]
4
NCLEX-PN Test-Bank (200 Questions with
Answers and Explanation)
1. The nurse is caring for a client scheduled for removal of a
pituitary tumor using the transsphenoidal approach. The nurse
should be particularly alert for:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria
Answer A: Removal of the pituitary gland is usually done by a
transsphenoidal approach, through the nose. Nasal congestion further
interferes with the airway. Answers B, C, and D are not correct because
they are not directly associated with the pituitary gland.
2. A client with cancer is admitted to the oncology unit. Stat lab
values reveal 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
[Date]
1
, 18
C. Myelosuppression
D. Leukocytosis
Answer B: Hypokalemia is evident from the lab values listed. The other
laboratory findings are within normal limits, making answers A, C, and D
incorrect.
[Date]
2
, 18
3. 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: The primary responsibility of the nurse is to take the vital
signs before any surgery. The actions in answers B, C, and D are the
responsibility of the doctor and, therefore, are incorrect for this
question.
4. 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 gases
D. Medicating the client for pain
Answer B: The client with burns to the neck needs airway assessment
and supplemental oxygen, so applying oxygen is the priority. The next
action should be to start an IV and medicate for pain, making answers A
[Date]
3
, 18
and C incorrect. Answer D, obtaining blood gases, is ordered by the
doctor.
5. The nurse is visiting a home health client with osteoporosis.
The client has a new prescription for alendronate (Fosamax).
Which instruction should be given to the client?
A. Rest in bed after taking the medication for at least 30 minutes
B. Avoid rapid movements after taking the medication
C. Take the medication with water only
[Date]
4
