Exam Cram NCLEX-PN PRACTICE QUESTIONSStudy online at 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 congestionB. Abdominal TendernessC. Muscle

Exam Cram NCLEX-PN PRACTICE QUESTIONSStudy online at https://quizlet.com/_2l6die1.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 congestionB. Abdominal TendernessC. Muscle TetanyD. OliguriaA. Nasal congestionwhy?removal of the pituitary gland is usually done by transspher-noidal approach through the nose. Nasal congestion further interferes with the airway.2.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. HypernatremiaB. HypokalemiaC. MyelosuppressionD. LeukocytosisB. Hypokalemiawhy?Hypokalemia is evident from the lab values listed. The other labo-ratory findings are within normal limits. making answers A,C and D incorrect3.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 signsB. obtaining the permitC. explaining the procedureD. Checking the lab workA. taking the vital signswhy?the primary responisblity of the nurse is to take the vital signs before any surgery.answers B,C and D are the re-sponsibility of the doctor.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 prior-ity?A. starting an IV?B. Applying oxygenwhy?the client with burns to the neck needs airway assessments and supplemental oxygen, so apply-ing oxygen is priority. the next 1 / 33

Exam Cram NCLEX-PN PRACTICE QUESTIONSStudy online at https://quizlet.com/_2l6dieB. Applying oxygenC.Obtaining blood gas D. Medicating the client foe painaction should be to start an IV and medicate for pain.5.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 clientA. rest in bed after taking the medication for at least 30 minsB. Avoid rapid movements after taking the medicationC. Take medication with water onlyD. Allow at least 1 hour between taking the medicine and taking other medica-tionsC. Take medication with water onlywhy?Fosmax should be taken with water only. The client should also remain upright for at least 30 mins after taking the medication.6.The nurse is making initial rounds on a client with a C5 fracture and crutch-field thongs. Which equipment should be kept at the bedside?A. A pair of forcepsB. A torque wrenchC. A pair or wire cuttersD. A screwdriverB. A torque wrenchwhy?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.7.An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:A. 10 poundsB.12 poundsC. 18 poundsD. 21 poundsD. 21 poundswhy?A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth weight.8.A client is admitted with a Ewing's sacro-ma. which symptoms would be expected D. Bone Pain2 / 33

Exam Cram NCLEX-PN PRACTICE QUESTIONSStudy online at https://quizlet.com/_2l6diedue to this tumor's location?A. HemiplegiaB. AphasiaC. NauseaD. Bone Painwhy?Sacroma is a type of bone can-cer, therefor, bone pain would be expected9.The nurse is caring for a client with epilepsy who is being treated with car-bamazepine (Tegretol). Which labatory value might be a indicate a serious side effect of this drug?A. Uric acid of 5mg/dLB. Hematoccrit of 33%C. WBC 2,000 per cubic millimeterD. Platelets 150,000 per cubic millimeterC. WBC 2,000 per cubic millime-terwhy?Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab val-ue of WBC 2,000 per cubic mil-limeter indicates side effects of the drug.10.A 6-month-old client is admitted with possible intussuception. Which ques-tion during the nursing history is least helpful in obtaining information regard-ing this diagnosis?A. "tell me about the pain"B."what does his vomit look like?"C." Describe his usual diet."D. " have you noticed changes in his adominal size?"C." Describe his usual diet."why?The least-helpful questions are those describing his usual diet. A, B, and D are useful in de-termining the extent of disease process and thus, are incorrect11.The nurse is assisting a client with di-verticulosis to select appropiate foods. Which food should be avoided?A. BranB. Fresh PeachesC. Cucumber salad D. Yeast RollsC. Cucumber salad why?the client with diverticulitis should avoid foods with seeds.3 / 33

Exam Cram NCLEX-PN PRACTICE QUESTIONSStudy online at https://quizlet.com/_2l6die12.A client has rectal cancer and is sched-uled for an abdominal perineal resec-tion. What should be the priority nursing care during the post-op period?A. Teaching how to irrigate the illeosto-myB. Stopping electrolytes loss in the inci-sional areaC. Encouraging a high fiber dietD. Facilitating perineal wound drainageD. Facilitating perineal wound drainagewhy?the client with a perineal resec-tion will have a perineal incision. Drains will be used to facilitate wound drainage. This will help prevent infection of the surgical site. The client will not have an illestomy. as in answer A he will have some electrolyte loss, but treatment is not focused on pre-venting the loss, so answer B is incorrect A high fiber diet in answer C is not ordered at this time.13.The nurse is performing discharge teaching on a client with diverticulitis who has been placed on low-roughage diet. Which food would have to be elimi-nated from this client's diet?A. Roasted Chicken B. NoodlesC. Cooked BroccoliD. CustardC. Cooked Broccoliwhy?the client with diverticulitis should avoid eating foods that are gas forming and that in-crease abdominal discomfort, such as cooked broccoli.14.The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best ex-planation of the weight loss is:A. The baby is dehydrated due to polyuria.B. The baby is hypoglycemic due to glu-cose.D. The baby can lose up to 10% of weight due to meconium still, loss of extraceullar fluid, and ini-tiation of breast-feeding.why?After birth, meconium stool, loss of extracellular fluid, and initia-4 / 33