NCLEX-PN 2024 TEST BANK 2000+ REAL EXAM
PRACTICE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
||COMPLETE A+ GUIDE
1. The nurse is caring for a client scheduled for removal of a pituitary tumor using
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the transsphenoidal approach. The nurse should be particularly alert for:
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A. Nasal congestion f
B. Abdominal tenderness f
C. Muscle tetany f
D. Oliguria
Answer A: Removal of the pituitary gland is usually done by a
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transsphenoidal approach, through the nose. Nasal congestion further
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interferes with the airway. Answers B, C, and D are not correct because they
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are not directly associated with the pituitary gland.
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2. A client with cancer is admitted to the oncology unit. Stat lab values reveal Hgb
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12.6, WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,000. The
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nurse evaluates that the client is experiencing which of the following?
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A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
,Answer B: Hypokalemia is evident from the lab values listed. The other
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laboratory findings are within normal limits, making answers A, C, and D
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incorrect.
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3. A 24-year-old female client is scheduled for surgery in the morning. Which of the
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following is the primary responsibility of the nurse?
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A. Taking the vital signs f f f
B. Obtaining the permit f f
C. Explaining the procedure f f
D. Checking the lab work f f f
Answer A: The primary responsibility of the nurse is to take the vital signs
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before any surgery. The actions in answers B, C, and D are the responsibility
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of the doctor and, therefore, are incorrect for this question.
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4. The nurse is working in the emergency room when a client arrives with severe
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burns of the left arm, hands, face, and neck. Which action should receive
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priority?
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A. Starting an IV f f
B. Applying oxygen f
C. Obtaining blood gases f f
,D. Medicating the client for pain f f f f
Answer B: The client with burns to the neck needs airway assessment and
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supplemental oxygen, so applying oxygen is the priority. The next action
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should be to start an IV and medicate for pain, making answers A and C
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incorrect. Answer D, obtaining blood gases, is ordered by the doctor.
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5. The nurse is visiting a home health client with osteoporosis. The client has a new
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prescription for alendronate (Fosamax). Which instruction should be given to the
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client?
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A. Rest in bed after taking the medication for at least 30 minutes
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B. Avoid rapid movements after taking the medication
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C. Take the medication with water only
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D. Allow at least 1 hour between taking the medicine and taking other
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medications
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Answer B: The client with burns to the neck needs airway assessment and
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supplemental oxygen, so applying oxygen is the priority. The next action
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should be to start an IV and medicate for pain, making answers A and C
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incorrect. Answer D, obtaining blood gases, is ordered by the doctor.
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6. The nurse is making initial rounds on a client with a C5 fracture and
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crutchfield tongs. Which equipment should be kept at the bedside?
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A. A pair of forceps
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, B. A torque wrench
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C. A pair of wire cutters
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D. A screwdriver
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Answer B: A torque wrench is kept at the bedside to tighten and loosen the
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screws of crutchfield tongs. This wrench controls the amount of pressure that
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is placed on the screws. A pair of forceps, wire cutters, and a screwdriver, in
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answers A, C, and D, would not be used and, thus, are incorrect.
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7. An infant weighs 7 pounds at birth. The expected weight by 1 year should be:
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A. 10 pounds f
B. 12 pounds f
C. 18 pounds f
D. 21 pounds f
Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or
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triple his birth weight. Answers A, B, and C therefore are incorrect.
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8. A client is admitted with a Ewing’s sarcoma. Which symptoms would be
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expected due to this tumor’s location?
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A. Hemiplegia
