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EXAM CRAM NCLEX-PN PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS
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EXAM CRAM NCLEX-PN PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS
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EXAM CRAM NCLEX-PN PRACTICEQUESTIONS WITH COMPLETE SOLUTIONS
A 24 year-old female client is scheduled for surgery in the
morning. Which of the following is the primary responsibility of
the nurse?
A. taking the vital signs
B. obtaining the permit
C. explaining the procedure
D. Checking the lab work Correct Answer A. taking the vital
signs
why?
the primary responisblity of the nurse is to take the vital signs
before any surgery.
answers B,C and D are the responsibility of the doctor.
A 25 year old male is brought to the ER with a piece of metal in
his eye. Which action by the nurse is correct?
A. Use a magnet to remove the object
B. Rinse the eye thoroughly with saline
C. Cover both eyes with paper cups
D. Patch the affected eye only Correct Answer C. Cover both
eyes with paper cups
why?
,Covering both eyes prevents consensual movement of the
affected eye.
A 5 year old is admitted to the unit following a tonsillectomy.
Which of the following would indicate a complication of the
surgery?
A. Decreased appetite
B. A low-grade fever
C. Chest congestion
D. Constant swallowing Correct Answer
A 6 year old with cerebral palsy functions at the level of an 18
month old. Which finding would support that assessment?
A. She dresses herself
B. She pulls a toy behind her
C. She can build a tower of eight blocks
D. She can copy a horizontal or vertical line. Correct Answer
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?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?" Correct
Answer C." Describe his usual diet."
why?
,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
A 70 year old man who is recovering from a stroke exhibits
signs of unilateral neglect. Which behavior is suggested of
unilateral neglect?
A. The client is observed by shaving only one side of his face
B. The client is unable to distinguish between two tactile stimuli
presented simultaneously
C. The client is unable to complete a range a vision without
turning his head side to side
D. The client is unable to carry out cognitive and motor activity
at the same time Correct Answer A. The client is observed by
shaving only one side of his face
why?
The client with unilateral neglect will neglect one side of the
body
A client arrives in the emergency room with a possible fractured
femur. The nurse should anticipate an order for:
A. Trendelenburg position
B. Ice to the entire extremity
C. Bucks traction
D. An abduction pillow Correct Answer C. Bucks traction
, why?
The client with a fractured femur will be placed in Bucks
traction to realign the leg and decrease spasms and pain.
A client has been receiving cyanocobalamine (B12) injections
for the past 6 weeks. Which lab finding indicates that the
medication is having the desired effect?
A. Neutrophil count of 60%
B. Basophil count of 0.5%
C. Monocyte count of 2%
D. Reticlocyte count of 1% Correct Answer D. Reticlocyte
count of 1 %
why?
Cyanocolamine is a B12 medication that is used for pernicious
anemia, and a reticulocyte count of 1% indicates that it is having
the desired effect.
A client has rectal cancer and is scheduled for an abdominal
perineal resection. What should be the priority nursing care
during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolytes loss in the incisional area
C. Encouraging a high fiber diet
D. Facilitating perineal wound drainage Correct Answer D.
Facilitating perineal wound drainage
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