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EXAM CRAM NCLEX-PN PRACTICE QUESTIONS WITH THE CORRECT ANSWERS WRITTEN
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EXAM CRAM NCLEX-PN PRACTICE QUESTIONS WITH THE CORRECT ANSWERS WRITTEN
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EXAM CRAM NCLEX-PNPRACTICE QUESTIONS
WITH THE CORRECT
ANSWERS WRITTEN
thebnursebisbcaringbforbabclientbscheduledbforbremovalbofbabpituitarybtumorbusingbthe
btranssphenoidalbapproach.bthebnursebshouldbbebparticularlybalertbto:
A.bNasalbcongestion
B.bAbdominalbTenderness
C.bMusclebTetany
D.bOliguriab-bcorrectbanswer-A.bNasalbcongestion
why?
removalbofbthebpituitarybglandbisbusuallybdonebbybtranssphernoidalbapproachbthroug
hbthebnose.bNasalbcongestionbfurtherbinterferesbwithbthebairway.
Abclientbwithbcancerbisba,badmittedbtobtheboncologybunit.bStatblabbvaluesbrevelbHgbb
12.6,bWBCb6500,bK+1.9,buricbacidb7.0,bNa+136,bandbplateletsb178,000.bThebnurseb
evaluatesbthatbthebclientbisbexperiencingbwhichbofbthebfollowing?
A.bHypernatremia
B.bHypokalemia
C.bMyelosuppression
D.bLeukocytosisb-bcorrectbanswer-B.bHypokalemia
,why?
Hypokalemiabisbevidentbfrombtheblabbvaluesblisted.bThebotherblaboratorybfindingsbar
ebwithinbnormalblimits.bmakingbanswersbA,CbandbDbincorrect
Ab24byear-
oldbfemalebclientbisbscheduledbforbsurgerybinbthebmorning.bWhichbofbthebfollowingbis
bthebprimarybresponsibilitybofbthebnurse?
A.btakingbthebvitalbsigns
B.bobtainingbthebpermit
C.bexplainingbthebprocedure
D.bCheckingbtheblabbworkb-bcorrectbanswer-A.btakingbthebvitalbsigns
why?
thebprimarybresponisblitybofbthebnursebisbtobtakebthebvitalbsignsbbeforebanybsurgery.
answersbB,CbandbDbarebthebresponsibilitybofbthebdoctor.
Thebnursebisbworkingbinbthebemergencybroombwhenbabclientbarrivesbwithbseverebbur
nsbofbthebleftbarm,bhands,bface,bandbneck.bwhichbactionbshouldbreceivebpriority?
A.bstartingbanbIV?
B.bApplyingboxygen
C.Obtainingbbloodbgasb
D.bMedicatingbthebclientbfoebpainb-bcorrectbanswer-B.bApplyingboxygen
why?
thebclientbwithbburnsbtobthebneckbneedsbairwaybassessmentsbandbsupplementalboxy
gen,bsobapplyingboxygenbisbpriority.bthebnextbactionbshouldbbebtobstartbanbIVbandbm
edicatebforbpain.
Thebnursebisbvisitingbabhomebhealthbclientbwithbosteoporosis.bThebclientbhasbabnewb
prescriptionbforbalendronateb(Fosamax).bWhichbinstructionsbshouldbbebgivenbtobtheb
client
A.brestbinbbedbafterbtakingbthebmedicationbforbatbleastb30bmins
B.bAvoidbrapidbmovementsbafterbtakingbthebmedication
C.bTakebmedicationbwithbwaterbonly
D.bAllowbatbleastb1bhourbbetweenbtakingbthebmedicinebandbtakingbotherbmedications
b-bcorrectbanswer-C.bTakebmedicationbwithbwaterbonly
why?
Fosmaxbshouldbbebtakenbwithbwaterbonly.bThebclientbshouldbalsobremainbuprightbfor
batbleastb30bminsbafterbtakingbthebmedication.
ThebnursebisbmakingbinitialbroundsbonbabclientbwithbabC5bfracturebandbcrutchfieldbth
ongs.bWhichbequipmentbshouldbbebkeptbatbthebbedside?
, A.bAbpairbofbforceps
B.bAbtorquebwrench
C.bAbpairborbwirebcutters
D.bAbscrewdriverb-bcorrectbanswer-B.bAbtorquebwrench
why?
Abtourquebwrenchbisbkeptbatbthebbedsidebtobtightenbandbloosenbthebscrewsbofbcrutc
hfieldbtongs.bThisbwrenchbcontrolsbthebamountbofbpressurebthatbisbplacedbonbthebscr
ews.
Anbinfantbweighsb7bpoundsbatbbirth.bThebexcpectdbweightbbyb1byearbshouldbbe:
A.b10bpounds
B.12bpounds
C.b18bpounds
D.b21bpoundsb-bcorrectbanswer-D.b21bpounds
why?
Abbirthbweightbofb7bpoundsbwouldbindicateb21bpoundsbinb1byearborbtriplebthebhisbbirt
hbweight.
AbclientbisbadmittedbwithbabEwing'sbsacroma.bwhichbsymptomsbwouldbbebexpectedb
duebtobthisbtumor'sblocation?
A.bHemiplegia
B.bAphasia
C.bNausea
D.bBonebPainb-bcorrectbanswer-D.bBonebPain
why?
Sacromabisbabtypebofbbonebcancer,btherefor,bbonebpainbwouldbbebexpected
Thebnursebisbcaringbforbabclientbwithbepilepsybwhobisbbeingbtreatedbwithbcarbamaze
pineb(Tegretol).bWhichblabatorybvaluebmightbbebabindicatebabseriousbsidebeffectbofbt
hisbdrug?
A.bUricbacidbofb5mg/dL
B.bHematoccritbofb33%
C.bWBCb2,000bperbcubicbmillimeter
D.bPlateletsb150,000bperbcubicbmillimeterb-bcorrectbanswer-
C.bWBCb2,000bperbcubicbmillimeter
why?
Tegratolbcanbsuppressbthebbonebmarrowbandbdecreasebthebwhitebbloodbcellsbcount;
bthus,bablabbvaluebofbWBCb2,000bperbcubicbmillimeterbindicatesbsidebeffectsbofbtheb
drug.
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