NCLEX-PNTest-Bank200Questions

NCLEX-PN (200Questions withAnswersandExplanation) Exam 1 / 4

NCLEX-PN (200QuestionswithAnswersandExplanation)

• Thenurseiscaringforaclientscheduledforremovalofapituitarytumorusingthe

transsphenoidalapproach.Thenurseshouldbeparticularlyalertfor:

A.Nasalcongestion B.Abdominaltenderness C.Muscletetany D.Oliguria

AnswerA:Removalofthepituitaryglandisusuallydonebyatranssphenoidalapproach,

throughthenose.Nasalcongestionfurtherinterfereswiththeairway.AnswersB,C,andDare notcorrectbecausetheyarenotdirectlyassociatedwiththepituitarygland.

• Aclientwithcancerisadmittedtotheoncologyunit.StatlabvaluesrevealHgb12.6,

WBC6500,K+1.9,uricacid7.0,N 136,andplatelets178,000.Thenurseevaluatesthatthe clientisexperiencingwhichofthefollowing?A.Hypernatremia B.Hypokalemia C.Myelosuppression D.Leukocytosis AnswerB:Hypokalemiaisevidentfromthelabvalueslisted.Theotherlaboratoryfindingsare withinnormallimits,makinganswersA,C,andD incorrect. 2 / 4

• A24-year-oldfemaleclientisscheduledforsurgeryinthemorning.Whichofthe

followingistheprimaryresponsibilityofthenurse?A.Takingthevitalsigns B.Obtainingthepermit C.Explainingtheprocedure D.Checkingthelabwork AnswerA:Theprimaryresponsibilityofthenurseistotakethevitalsignsbeforeanysurgery.TheactionsinanswersB,C,andDaretheresponsibilityofthedoctorand,therefore,are incorrectforthisquestion.

• Thenurseisworkingintheemergencyroomwhenaclientarriveswithsevereburnsof

theleftarm,hands,face,andneck.Whichactionshouldreceivepriority?A.StartinganIV B.Applyingoxygen C.Obtainingbloodgases D.Medicatingtheclientforpain

AnswerB:Theclientwithburnstotheneckneedsairwayassessmentandsupplementaloxygen,

soapplyingoxygenisthepriority.ThenextactionshouldbetostartanIVandmedicateforpain, makinganswersAandCincorrect.AnswerD,obtainingbloodgases,isorderedbythedoctor.

• Thenurseisvisitingahomehealthclientwithosteoporosis.Theclienthasanew

prescriptionforalendronate(Fosamax).Whichinstructionshouldbegiventotheclient?A.Restinbedaftertakingthemedicationforatleast30minutes B.Avoidrapidmovementsaftertakingthemedication C.Takethemedicationwithwateronly 3 / 4

D.Allowatleast1hourbetweentakingthemedicineandtakingothermedications

AnswerB:Theclientwithburnstotheneckneedsairwayassessmentandsupplementaloxygen,

soapplyingoxygenisthepriority.ThenextactionshouldbetostartanIVandmedicateforpain, makinganswersAandCincorrect.AnswerD,obtainingbloodgases,isorderedbythedoctor.

• ThenurseismakinginitialroundsonaclientwithaC5fractureandcrutchfieldtongs.

Whichequipmentshouldbekeptatthebedside?A.Apairofforceps B.Atorquewrench C.Apairofwirecutters D.Ascrewdriver

AnswerB:Atorquewrenchiskeptatthebedsidetotightenandloosenthescrewsofcrutchfield

tongs.Thiswrenchcontrolstheamountofpressurethatisplacedonthescrews.Apairof forceps,wirecutters,andascrewdriver,inanswersA,C,andD,wouldnotbeusedand,thus,are incorrect.

• Aninfantweighs7poundsatbirth.Theexpectedweightby1yearshould

be:

A.10pounds B.12pounds C.18pounds D.21pounds

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