Exam (elaborations)
EXAM CRAM NCLEX-PN PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
EXAM CRAM NCLEX-PN PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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EXAM CRAM NCLEX-PN PRACTICE
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
theVnurseVisVcaringVforVaVclientVscheduledVforVremovalVofVaVpituitaryVtumorVusingVtheVtranssphenoidalVapp
roach.VtheVnurseVshouldVbeVparticularlyValertVto:
A.VNasalVcongestion
B.VAbdominalVTenderness
C.VMuscleVTetany
D.VOliguriaV-VANSWERVA.VNasalVcongestion
why?
removalVofVtheVpituitaryVglandVisVusuallyVdoneVbyVtranssphernoidalVapproachVthroughVtheVnose.VNasalVco
ngestionVfurtherVinterferesVwithVtheVairway.
AVclientVwithVcancerVisVa,VadmittedVtoVtheVoncologyVunit.VStatVlabVvaluesVrevelVHgbV12.6,VWBCV6500,VK+1.9
,VuricVacidV7.0,VNa+136,VandVplateletsV178,000.VTheVnurseVevaluatesVthatVtheVclientVisVexperiencingVwhichV
ofVtheVfollowing?
A.VHypernatremia
B.VHypokalemia
C.VMyelosuppression
D.VLeukocytosisV-VANSWERVB.VHypokalemia
why?
HypokalemiaVisVevidentVfromVtheVlabVvaluesVlisted.VTheVotherVlaboratoryVfindingsVareVwithinVnormalVlimits
.VmakingVanswersVA,CVandVDVincorrect
AV24Vyear-
oldVfemaleVclientVisVscheduledVforVsurgeryVinVtheVmorning.VWhichVofVtheVfollowingVisVtheVprimaryVresponsi
bilityVofVtheVnurse?
,A.VtakingVtheVvitalVsigns
B.VobtainingVtheVpermit
C.VexplainingVtheVprocedure
D.VCheckingVtheVlabVworkV-VANSWERVA.VtakingVtheVvitalVsigns
why?
theVprimaryVresponisblityVofVtheVnurseVisVtoVtakeVtheVvitalVsignsVbeforeVanyVsurgery.
answersVB,CVandVDVareVtheVresponsibilityVofVtheVdoctor.
TheVnurseVisVworkingVinVtheVemergencyVroomVwhenVaVclientVarrivesVwithVsevereVburnsVofVtheVleftVarm,Vha
nds,Vface,VandVneck.VwhichVactionVshouldVreceiveVpriority?
A.VstartingVanVIV?
B.VApplyingVoxygen
C.ObtainingVbloodVgasV
D.VMedicatingVtheVclientVfoeVpainV-VANSWERVB.VApplyingVoxygen
why?
theVclientVwithVburnsVtoVtheVneckVneedsVairwayVassessmentsVandVsupplementalVoxygen,VsoVapplyingVoxyg
enVisVpriority.VtheVnextVactionVshouldVbeVtoVstartVanVIVVandVmedicateVforVpain.
TheVnurseVisVvisitingVaVhomeVhealthVclientVwithVosteoporosis.VTheVclientVhasVaVnewVprescriptionVforValendr
onateV(Fosamax).VWhichVinstructionsVshouldVbeVgivenVtoVtheVclient
A.VrestVinVbedVafterVtakingVtheVmedicationVforVatVleastV30Vmins
B.VAvoidVrapidVmovementsVafterVtakingVtheVmedication
C.VTakeVmedicationVwithVwaterVonly
,D.VAllowVatVleastV1VhourVbetweenVtakingVtheVmedicineVandVtakingVotherVmedicationsV-
VANSWERVC.VTakeVmedicationVwithVwaterVonly
why?
FosmaxVshouldVbeVtakenVwithVwaterVonly.VTheVclientVshouldValsoVremainVuprightVforVatVleastV30VminsVafter
VtakingVtheVmedication.
TheVnurseVisVmakingVinitialVroundsVonVaVclientVwithVaVC5VfractureVandVcrutchfieldVthongs.VWhichVequipme
ntVshouldVbeVkeptVatVtheVbedside?
A.VAVpairVofVforceps
B.VAVtorqueVwrench
C.VAVpairVorVwireVcutters
D.VAVscrewdriverV-VANSWERVB.VAVtorqueVwrench
why?
AVtourqueVwrenchVisVkeptVatVtheVbedsideVtoVtightenVandVloosenVtheVscrewsVofVcrutchfieldVtongs.VThisVwre
nchVcontrolsVtheVamountVofVpressureVthatVisVplacedVonVtheVscrews.
AnVinfantVweighsV7VpoundsVatVbirth.VTheVexcpectdVweightVbyV1VyearVshouldVbe:
A.V10Vpounds
B.12Vpounds
C.V18Vpounds
D.V21VpoundsV-VANSWERVD.V21Vpounds
why?
, AVbirthVweightVofV7VpoundsVwouldVindicateV21VpoundsVinV1VyearVorVtripleVtheVhisVbirthVweight.
AVclientVisVadmittedVwithVaVEwing'sVsacroma.VwhichVsymptomsVwouldVbeVexpectedVdueVtoVthisVtumor'sVloc
ation?
A.VHemiplegia
B.VAphasia
C.VNausea
D.VBoneVPainV-VANSWERVD.VBoneVPain
why?
SacromaVisVaVtypeVofVboneVcancer,Vtherefor,VboneVpainVwouldVbeVexpected
TheVnurseVisVcaringVforVaVclientVwithVepilepsyVwhoVisVbeingVtreatedVwithVcarbamazepineV(Tegretol).VWhich
VlabatoryVvalueVmightVbeVaVindicateVaVseriousVsideVeffectVofVthisVdrug?
A.VUricVacidVofV5mg/dL
B.VHematoccritVofV33%
C.VWBCV2,000VperVcubicVmillimeter
D.VPlateletsV150,000VperVcubicVmillimeterV-VANSWERVC.VWBCV2,000VperVcubicVmillimeter
why?
TegratolVcanVsuppressVtheVboneVmarrowVandVdecreaseVtheVwhiteVbloodVcellsVcount;Vthus,VaVlabVvalueVofV
WBCV2,000VperVcubicVmillimeterVindicatesVsideVeffectsVofVtheVdrug.
AV6-month-
oldVclientVisVadmittedVwithVpossibleVintussuception.VWhichVquestionVduringVtheVnursingVhistoryVisVleastVhe
lpfulVinVobtainingVinformationVregardingVthisVdiagnosis?