Exam Cram NCLEX-PN Practice Questions Part 1
This flashcard set reviews NCLEX-PN-style questions focused on post-operative care, lab value analysis, and critical thinking. It helps reinforce key concepts such as airway monitoring after transsphenoidal surgery and identifying electrolyte imbalances like hypokalemia.
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
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.
Key Terms
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
A. Nasal congestion
why?
removal of the pituitary gland is usually done by transsphernoidal approach through the nose. Nasal congestion f...
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
B. Hypokalemia
why?
Hypokalemia is evident from the lab values listed. The other laboratory findings are within normal limits. making ans...
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
A. taking the vital signs
why?
the primary responisblity of the nurse is to take the vital signs before any surgery.
answers B,C a...
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
B. Applying oxygen
why?
the client with burns to the neck needs airway assessments and supplemental oxygen, so applying oxygen is priorit...
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
C. Take medication with water only
why?
Fosmax should be taken with water only. The client should also remain upright for at least 30...
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
B. A torque wrench
why?
A tourque wrench is kept at the bedside to tighten and loosen the screws of crutchfield tongs. This wrench co...
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| Term | Definition |
|---|---|
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 |
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? | B. Hypokalemia |
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 |
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? | B. Applying oxygen |
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 | C. Take medication with water only |
The nurse is making initial rounds on a client with a C5 fracture and crutchfield thongs. Which equipment should be kept at the bedside? | B. A torque wrench |
An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be: | D. 21 pounds |
A client is admitted with a Ewing's sacroma. which symptoms would be expected due to this tumor's location? | D. Bone Pain |
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? | C. WBC 2,000 per cubic millimeter |
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? | C." Describe his usual diet." |
The nurse is assisting a client with diverticulosis to select appropiate foods. Which food should be avoided? | C. Cucumber salad |
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? | D. Facilitating perineal wound drainage |
The nurse is performing discharge teaching on a client with diverticulitis who has been placed on low-roughage diet. Which food would have to be eliminated from this client's diet? | C. Cooked Broccoli |
The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is: | D. The baby can lose up to 10% of weight due to meconium still, loss of extraceullar fluid, and initiation of breast-feeding. |
The nurse if caring for a client with laryngeal cancer. Which finding ascertained in the health history would not be common for this diagnosis? | C. Diarrhea |
A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-operative measure would usually be included? | A. A closed chest drainage |
Six hours after birth, the infant is found to have an areas of swelling over the right parietal area that does not cross the suture line. The nurse should chart this finding as: | A. A cephalohematoma |
The nurse is assisting the RN with discharge instructions for a client with an implantable defibrillator. What discharge instruction is essential? | C. "You should use your cellphone on your right side." |
A client in the cardiac step-down unit requires suctioning for excess mucous secretions. The nurse should be most careful to monitor the client for which dysrhythmia during this procedure? | A. Bradycardia |
The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period? | C. Identification of peripheral pulses |
A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which statement in the teaching session? | B. "Portions of the procedure will cause pain or discomfort." |
The nurse is performing an assessment on a client with possible pernicious anemia. Which data would support this diagnosis? | C. A red, beefy tongue |
A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for: | C. Bucks traction |
A client with caner is to undergo an intravenous pyelogram. The nurse should: | B. Ask the client to void immediately before the study. |
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: | B. That is in situ. |
A client is 2 days post-operative colon resection. After a coughing episode, the client's wound eviscerates. Which nursing action is most appropriate? | C. Cover the wound 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? | B. Contact lenses |
The nurse on the 3-11 shift is assessing the chart of a client with an abdominal aneurysm scheduled for surgery in the morning and finds that the consent form has been signed, but the client is unclear about the surgery and possible complications. Which is the most appropriate action? | A. Call the surgeon and ask him or her to see the client to clarify the information |
When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain? | A. A history of radiation treatment in the neck region |
A client is admitted to the acute care unit. Initial laboratory values reveal serum sodium of 170 meq/L. What behavioral changes would be common for this client? | B. Mania |
The nurse is obtaining a history of an 80 year old client. Which statement made by the client might indicate a possible fluid and electrolyte imbalance? | B. "I often use laxatives for constipation." |
A client visits the clinic after the death of a parent. Which statement made by the client's sister signifies abnormal grieving? | D. "Sally has not been sad at all by daddy's death. She acts like nothing has happened at all." |
The nurse recognizes that which of the following would be most appropriate to wear when providing direct care to a client with a cough? | A. Mask |
The nurse is caring for a client with a diagnosis of Hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention? | B. Add baby oil to the client's bath water |
A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate? | B. Insertion of a levine tube |
The client is admitted to the unit after a cholescystectomy. Montgomery straps are utilized with this client. The nurse is aware that Montgomery straps are utilized on this client because: | B. The client will require frequent dressing changes |
The physician has order that the client's medication be administered intrathecally. The nurse is aware that the medications will be administered by which method? | D. Into the cerebrospinal fluid |
Which client can be best assigned to the newely licensed to the Practical Nurse? | D. The client with diverticulitis |
The nurse notes the patient care assistant looking through the personal items of the client with cancer. Which action should be taken by the RN? | B. Report the behavior to the charge nurse |
The nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should: | B. Explore the interaction with the nursing assistant |
A home health nurse is planning for her daily visits. Which client should the home health nurse visit first? | C. A client with a laryngeal cancer with a laryngetomy |
The nurse is assigned to care from infant with physiologic jaundice. Which action by the nurse would facilitate elimination of the bilirubin? | A. Increase the infant's fluid intake |
The graduate licensed practical nurse is assigned to care for the client on ventilator support, pending organ donation. Which goal should receive priority? | A. Maintain the client's systolic blood pressure at 70 mm/Hg or greater |
Which action by the novice nurse indicates need for further teaching? | A. A nurse fails to wear gloves to remove a dressing |
The nurse is preparing the client for a mammogram. To prepare the client for a mammogram, the nurse should tell the client: | B. To omit creams, powders, or deodorants before the exam. |
Which of the following roommates would be best for the client with gastric resection? | D. A client with phlebitis |
The licensed practical nurse is working with a RN and a patient care assistant. Which of the following clients should be cared for by the RN? | D. A client 2 days post-thoracotomy |
The LPN is observing a graduate nurse as she assess the central venous pressure. Which observation indicates that the graduate needs further teaching? | C. The Graduate instructs the client to perform the Valsalva manuever during the CVP reading. |
Which of the following roommates would be most suitable for the client with myasthenia gravis? | A. A client with hypothyroidism |
The nurse employed in the ER is responsible for triage for 4 clients injured in a motor vehicle accident. Which of the following clients should receive priority in care? | B. A 15 year old with sternal bruising |
The client is receiving peritoneal dialysis. If the dialysis returns cloudy the nurse should" | B. Send a specimen to the lab |
The client with cirrhosis of the liver is receiving lactulose. The nurse is aware that the ratio for the order of lactulose is | C. To lower ammonia level |
The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client's ability to care for himself. Which statement by the client indicates a need for follow-up after discharge? | B. "I have trouble seeing" |