Exam (elaborations)
Exam Cram NCLEX-PN PRACTICE QUESTIONS and answers correct and verified 100%
Exam Cram NCLEX-PN PRACTICE QUESTIONS and answers correct and verified 100%Exam Cram NCLEX-PN PRACTICE QUESTIONS and answers correct and verified 100%
the nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. the nurse should be particularly ...
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Exam Cram NCLEX-ld ld
PN PRACTICE QUESTIONS and answers
ld ld ld ld ld
correct and verified 100%
ld ld ld
theldnurseldisldcaringldforldaldclientldscheduledldforldremovalldofldaldpituitaryldtumorldusingldtheldtranssphenoidalld
approach.ldtheldnurseldshouldldbeldparticularlyldalertldto:
A.ldNasalldcongestion
B.ldAbdominalldTenderness
C.ldMuscleldTetany
D.ldOliguriald-ldcorrectldanswers-A.ldNasalldcongestion
why?
removalldofldtheldpituitaryldglandldisldusuallylddoneldbyldtranssphernoidalldapproachldthroughldtheldnose.ldNasalld
congestionldfurtherldinterferesldwithldtheldairway.
Aldclientldwithldcancerldislda,ldadmittedldtoldtheldoncologyldunit.ldStatldlabldvaluesldrevelldHgbld12.6,ldWBCld6500,ldK
+1.9,lduricldacidld7.0,ldNa+136,ldandldplateletsld178,000.ldTheldnurseldevaluatesldthatldtheldclientldisldexperiencing
ldwhichldofldtheldfollowing?
A.ldHypernatremia
B.ldHypokalemia
C.ldMyelosuppression
D.ldLeukocytosisld-ldcorrectldanswers-B.ldHypokalemia
why?
Hypokalemialdisldevidentldfromldtheldlabldvaluesldlisted.ldTheldotherldlaboratoryldfindingsldareldwithinldnormalldli
mits.ldmakingldanswersldA,CldandldDldincorrect
Ald24ldyear-
oldldfemaleldclientldisldscheduledldforldsurgeryldinldtheldmorning.ldWhichldofldtheldfollowingldisldtheldprimaryldresp
onsibilityldofldtheldnurse?
,A.ldtakingldtheldvitalldsigns
B.ldobtainingldtheldpermit
C.ldexplainingldtheldprocedure
D.ldCheckingldtheldlabldworkld-ldcorrectldanswers-A.ldtakingldtheldvitalldsigns
why?
theldprimaryldresponisblityldofldtheldnurseldisldtoldtakeldtheldvitalldsignsldbeforeldanyldsurgery.
answersldB,CldandldDldareldtheldresponsibilityldofldthelddoctor.
Theldnurseldisldworkingldinldtheldemergencyldroomldwhenldaldclientldarrivesldwithldsevereldburnsldofldtheldleftldarm,
ldhands,ldface,ldandldneck.ldwhichldactionldshouldldreceiveldpriority?
A.ldstartingldanldIV?
B.ldApplyingldoxygen
C.Obtainingldbloodldgasld
D.ldMedicatingldtheldclientldfoeldpainld-ldcorrectldanswers-B.ldApplyingldoxygen
why?
theldclientldwithldburnsldtoldtheldneckldneedsldairwayldassessmentsldandldsupplementalldoxygen,ldsoldapplyingldo
xygenldisldpriority.ldtheldnextldactionldshouldldbeldtoldstartldanldIVldandldmedicateldforldpain.
Theldnurseldisldvisitingldaldhomeldhealthldclientldwithldosteoporosis.ldTheldclientldhasldaldnewldprescriptionldforldal
endronateld(Fosamax).ldWhichldinstructionsldshouldldbeldgivenldtoldtheldclient
A.ldrestldinldbedldafterldtakingldtheldmedicationldforldatldleastld30ldmins
B.ldAvoidldrapidldmovementsldafterldtakingldtheldmedication
C.ldTakeldmedicationldwithldwaterldonly
D.ldAllowldatldleastld1ldhourldbetweenldtakingldtheldmedicineldandldtakingldotherldmedicationsld-
ldcorrectldanswers-C.ldTakeldmedicationldwithldwaterldonly
why?
,Fosmaxldshouldldbeldtakenldwithldwaterldonly.ldTheldclientldshouldldalsoldremainlduprightldforldatldleastld30ldminslda
fterldtakingldtheldmedication.
TheldnurseldisldmakingldinitialldroundsldonldaldclientldwithldaldC5ldfractureldandldcrutchfieldldthongs.ldWhichldequip
mentldshouldldbeldkeptldatldtheldbedside?
A.ldAldpairldofldforceps
B.ldAldtorqueldwrench
C.ldAldpairldorldwireldcutters
D.ldAldscrewdriverld-ldcorrectldanswers-B.ldAldtorqueldwrench
why?
Aldtourqueldwrenchldisldkeptldatldtheldbedsideldtoldtightenldandldloosenldtheldscrewsldofldcrutchfieldldtongs.ldThisld
wrenchldcontrolsldtheldamountldofldpressureldthatldisldplacedldonldtheldscrews.
Anldinfantldweighsld7ldpoundsldatldbirth.ldTheldexcpectdldweightldbyld1ldyearldshouldldbe:
A.ld10ldpounds
B.12ldpounds
C.ld18ldpounds
D.ld21ldpoundsld-ldcorrectldanswers-D.ld21ldpounds
why?
Aldbirthldweightldofld7ldpoundsldwouldldindicateld21ldpoundsldinld1ldyearldorldtripleldtheldhisldbirthldweight.
AldclientldisldadmittedldwithldaldEwing'sldsacroma.ldwhichldsymptomsldwouldldbeldexpectedlddueldtoldthisldtumor's
ldlocation?
A.ldHemiplegia
B.ldAphasia
, C.ldNausea
D.ldBoneldPainld-ldcorrectldanswers-D.ldBoneldPain
why?
Sacromaldisldaldtypeldofldboneldcancer,ldtherefor,ldboneldpainldwouldldbeldexpected
Theldnurseldisldcaringldforldaldclientldwithldepilepsyldwholdisldbeingldtreatedldwithldcarbamazepineld(Tegretol).ldWh
ichldlabatoryldvalueldmightldbeldaldindicateldaldseriousldsideldeffectldofldthislddrug?
A.ldUricldacidldofld5mg/dL
B.ldHematoccritldofld33%
C.ldWBCld2,000ldperldcubicldmillimeter
D.ldPlateletsld150,000ldperldcubicldmillimeterld-ldcorrectldanswers-C.ldWBCld2,000ldperldcubicldmillimeter
why?
Tegratolldcanldsuppressldtheldboneldmarrowldandlddecreaseldtheldwhiteldbloodldcellsldcount;ldthus,ldaldlabldvalueld
ofldWBCld2,000ldperldcubicldmillimeterldindicatesldsideldeffectsldofldthelddrug.
Ald6-month-
oldldclientldisldadmittedldwithldpossibleldintussuception.ldWhichldquestionldduringldtheldnursingldhistoryldisldleastl
dhelpfulldinldobtainingldinformationldregardingldthislddiagnosis?
A.ld"tellldmeldaboutldtheldpain"
B."whatlddoesldhisldvomitldlookldlike?"
C."ldDescribeldhisldusuallddiet."
D.ld"ldhaveldyouldnoticedldchangesldinldhisldadominalldsize?"ld-ldcorrectldanswers-C."ldDescribeldhisldusuallddiet."
why?