{"id":113870,"date":"2023-08-18T02:51:45","date_gmt":"2023-08-18T02:51:45","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113870"},"modified":"2023-08-18T02:51:47","modified_gmt":"2023-08-18T02:51:47","slug":"nclex-pn-test-bank","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/18\/nclex-pn-test-bank\/","title":{"rendered":"NCLEX PN Test Bank"},"content":{"rendered":"\n
    \n
  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.<\/li>\n\n\n\n
  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
    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.<\/li>\n\n\n\n
  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
    2 \/ 4
    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.<\/li>\n\n\n\n
  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 and C incorrect. Answer D,
    obtaining blood gases, is ordered by the doctor.<\/li>\n\n\n\n
  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
    D. Allow at least 1 hour between taking the medicine and taking other
    medications
    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 and C incorrect. Answer D,
    obtaining blood gases, is ordered by the doctor.
    3 \/ 4<\/li>\n\n\n\n
  6. The nurse is making initial rounds on a client with a C5 fracture and
    crutchfield tongs. Which equipment should be kept at the bedside?
    A. A pair of forceps
    B. A torque wrench
    C. A pair of wire cutters
    D. A screwdriver
    Answer B: A torque 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. A pair of forceps, wire cutters, and a screwdriver, in answers A, C,
    and D, would not be used and, thus, are incorrect.<\/li>\n\n\n\n
  7. An infant weighs 7 pounds at birth. The expected weight by 1 year should
    be:
    A. 10 pounds
    B. 12 pounds
    C. 18 pounds
    D. 21 pounds
    Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple
    his birth weight. Answers A, B, and C therefore are incorrect.<\/li>\n\n\n\n
  8. A client is admitted with a Ewing\u2019s sarcoma. Which symptoms would be
    expected due to this tumor\u2019s location?
    A. Hemiplegia
    B. Aphasia
    C. Nausea
    D. Bone pain
    Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would be
    expected. Answers A, B, and C are not specific to this type of cancer and are
    incorrect<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113870","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113870","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113870"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113870\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113870"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113870"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113870"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}