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EXAM CRAM NCLEX-PN PRACTICE QUESTIONS AND ANSWERS
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EXAM CRAM NCLEX-PN PRACTICE QUESTIONS AND ANSWERS
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EXAM CRAM NCLEX-PN PRACTICE QUESTIONS ANDANSWERS
The nurse is caring for a client scheduled for removal of a pituitary tumor using the
transsphenoidal approach. The nurse should be particularly alert to:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria - answer- a. Nasal congestion
Why?
Removal of the pituitary gland is usually done by transsphernoidal approach through the
nose. Nasal congestion further interferes with the airway.
A client with cancer is a, admitted to the oncology unit. Stat lab values revel hgb 12.6,
wbc 6500, k+1.9, uric acid 7.0, na+136, and platelets 178,000. The nurse evaluates that
the client is experiencing which of the following?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis - answer- b. Hypokalemia
Why?
Hypokalemia is evident from the lab values listed. The other laboratory findings are
within normal limits. Making answers a,c and d incorrect
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 - 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.
The nurse is working in the emergency room when a client arrives with severe burns of
the left arm, hands, face, and neck. Which action should receive priority?
A. Starting an iv?
,B. Applying oxygen
C.obtaining blood gas
D. Medicating the client foe pain - answer- b. Applying oxygen
Why?
The client with burns to the neck needs airway assessments and supplemental oxygen,
so applying oxygen is priority. The next action should be to start an iv and medicate for
pain.
The nurse is visiting a home health client with osteoporosis. The client has a new
prescription for alendronate (fosamax). Which instructions should be given to the client
A. Rest in bed after taking the medication for at least 30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine and taking other medications -
answer- c. Take medication with water only
Why?
Fosmax should be taken with water only. The client should also remain upright for at
least 30 mins after taking the medication.
The nurse is making initial rounds on a client with a c5 fracture and crutchfield thongs.
Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
D. A screwdriver - answer- b. A torque wrench
Why?
A tourque wrench is kept at the bedside to tighten and loosen the screws of crutchfield
tongs. This wrench controls the amount of pressure that is placed on the screws.
An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds - answer- d. 21 pounds
Why?
,A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth
weight.
A client is admitted with a ewing's sacroma. Which symptoms would be expected due to
this tumor's location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain - answer- d. Bone pain
Why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
The nurse is caring for a client with epilepsy who is being treated with carbamazepine
(tegretol). Which labatory value might be a indicate a serious side effect of this drug?
A. Uric acid of 5mg/dl
B. Hematoccrit of 33%
C. Wbc 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter - answer- c. Wbc 2,000 per cubic millimeter
Why?
Tegratol can suppress the bone marrow and decrease the white blood cells count; thus,
a lab value of wbc 2,000 per cubic millimeter indicates side effects of the drug.
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?" - answer- c." describe his usual
diet."
Why?
Why?
The client with a fractured femur will be placed in bucks traction to realign the leg and
decrease spasms and pain.
A client with caner is to undergo an intravenous pyelogram. The nurse should:
, A. Force fluids 24 hours before the procedure.
B. Ask the client to void immediately before the study.
C. Hold medication that affects the central nervous system for 12 hours pre- and post-
test.
D. Cover the client's reproductive organs with an x-ray shield. - answer- b. Ask the client
to void immediately before the study.
Why?
The client having an intravenous pyelogram will have orders for laxatives of enemas so
asking the client to void before the test is in order. A full bladder or bowel can obscure
the visualization of the kidney, ureters, and urethra.
The nurse is caring for a client with a malignancy. The classification of the primary
tumor is tis. The nurse should plan care for a tumor:
A. That cannot be assessed
B. That is in situ
C. With increasing lymph node involvement
D. With distant mestastasis - answer- b. That is in situ.
Why?
Cancer in situ means that the cancer is still localized in the primary site. Cancer is
graded in terms of tumor, grade, node, involvement, and mestatasis.
A client is 2 days post-operative colon resection. After a coughing episode, the client's
wound eviscerates. Which nursing action is most appropriate?
A. Reinsert the protruding organ and cover with 4x4s
B. Cover the wound with a sterile 4x4 and abd dressing
C. Cover the wound with a sterile saline-soaked dressing
D. Apply an abdominal binder and manual pressure to the wound - answer- c. Cover the
wound with a sterile saline-soaked dressing.
Why?
If the client eviscerates, the abdominal content should be covered with a sterile saline-
soaked dressing.
The nurse is preparing a client for surgery. Which item is most important to remove
before sending the client to surgery?
A. Hearing aid
B. Contact lenses
C. Wedding ring
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