V1 PRACTICE EXAM 1 STUDY MODE

2020/2021 NCLEX-PN Test Prep Questions and Answers with Explanations

V1 PRACTICE EXAM 1 (STUDY MODE)

• 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:

• Nasal congestion
• Abdominal tenderness
• Muscle tetanic
• 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.

• 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?

• Hypernatremia
• Hypokalemia
• Myelosuppression
• 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.

• A 24-year-old female client is scheduled for surgery in the morning.

Which of the following is the primary responsibility of the nurse?

• Taking the vital signs
• Obtaining the permit
• Explaining the procedure
• 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.

• 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?

• Starting an IV
• Applying oxygen
• Obtaining blood gases
• 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.

• 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?

• Rest in bed after taking the medication for at least 30 minutes
• Avoid rapid movements after taking the medication
• Take the medication with water only
• 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.

• 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 pair of forceps
• A torque wrench
• A pair of wire cutters
• 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.

• An infant weighs 7 pounds at birth. The expected weight by 1 year should

be:

• 10 pounds
• 12 pounds
• 18 pounds
• 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.

• A client is admitted with a Ewing’s sarcoma. Which symptoms would be

expected due to this tumor’s location?

• Hemiplegia
• Aphasia
• Nausea
• 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.

• The nurse is caring for a client with epilepsy who is being treated with

carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?

• Uric acid of 5mg/dL
• Hematocrit of 33%
• WBC 2,000 per cubic millimeter
• Platelets 150,000 per cubic millimeter

Answer C: Tegretol can suppress the bone marrow and decrease the white

blood cell count; thus, a lab value of WBC 2,000 per cubic millimeter indicates side effects of the drug. Answers A and D are within normal limits, and answer B is a lower limit of normal; therefore, answers A, B, and D are incorrect.

• A 6-month-old client is admitted with possible intussuception. Which

question during the nursing history is least helpful in obtaining information regarding this diagnosis?

• “Tell me about his pain.”
• “What does his vomit look like?”
• “Describe his usual diet.”
• “Have you noticed changes in his abdominal size?”

Answer C: The least-helpful questions are those describing his usual diet. A,

B, and D are useful in determining the extent of disease process and, thus, are incorrect.

• The nurse is assisting a client with diverticulosis to select appropriate

foods. Which food should be avoided?

• Bran