NCLEX-PN TESTBANK NCLEX-PN TEST-
BANK (200 QUESTIONS WITH ANSWERS AND
EXPLANATION) BEST EXAM SOLUTION
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The nurse is caring for a client scheduled for removal of a pituitary
x x x x x x x x x x x x
tumor using thetranssphenoidal approach. The nurse should be particularly
x x x x x x x x x x
alert for:
x x
A. Nasal congestion x
B. Abdominal tenderness x
C. Muscle tetany x
D. Oliguria
Answer A: Removal of the pituitary gland is usually done by a transsphenoidal
x x x x x x x x x x x x
approach, through the nose. Nasal congestion further interferes with the airway.
x x x x x x x x x x x
Answers B, C, and D arenot correct because they are not directly associated with
x x x x x x x x x x x x x x x
the pituitary gland.
x x x
A client with cancer is admitted to the oncology unit. Stat lab values reveal
x x x x x x x x x x x x x
,Hgb 12.6, WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,000. The
x x x x x x x x x x x x x x x
nurse evaluates that theclient is experiencing which of the following?
x x x x x x x x x x x
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
Answer B: Hypokalemia is evident from the lab values listed. The other laboratory
x x x x x x x x x x x x
findings arewithin normal limits, making answers A, C, and D
x x x x x x x x x x x
incorrect.
, A 24-year-old female client is scheduled for surgery in the morning.
x x x x x x x x x x
x Which of thefollowing is the primary responsibility of the nurse?
x x x x x x x x x x
A. Taking the vital signs x x x
B. Obtaining the permit x x
C. Explaining the procedure x x
D. Checking the lab work x x x
Answer A: The primary responsibility of the nurse is to take the vital signs before
x x x x x x x x x x x x x x
any surgery.The actions in answers B, C, and D are the responsibility of the doctor
x x x x x x x x x x x x x x x x
and, therefore, are incorrect for this question.
x x x x x x x
The nurse is working in the emergency room when a client arrives with
x x x x x x x x x x x x
severe burns ofthe left arm, hands, face, and neck. Which action should receive
x x x x x x x x x x x x x x
priority?
x
A. Starting an IV x x
B. Applying oxygen x
C. Obtaining blood gases x x
D. Medicating the client for pain x x x x
, Answer B: The client with burns to the neck needs airway assessment and
x x x x x x x x x x x x
supplemental oxygen, so applying oxygen is the priority. The next action should be
x x x x x x x x x x x x x
to start an IV and medicate for pain, making answers A and C incorrect. Answer D,
x x x x x x x x x x x x x x x x
obtaining blood gases, is ordered by the doctor.
x x x x x x x x
The nurse is performing discharge teaching on a client with diverticulitis
x x x x x x x x x x
who has been placed on a low-roughage diet. Which food would have to be
x x x x x x x x x x x x x x
eliminated from this client’s diet?
x x x x x
A. Roasted chicken x
B. Noodles
C. Cooked broccoli x
D. Custard
Answer C: The client with diverticulitis should avoid eating foods that are
x x x x x x x x x x x
gas forming and that increase abdominal discomfort, such as cooked broccoli.
x x x x x x x x x x
Foods such asthose listed in answers A, B, and D are allowed.
x x x x x x x x x x x x x
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