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NCLEX-PN Test-Bank (200 Questions with Answers and Explanation)

NCLEX-PN Test-Bank (200 Questions with Answers and
Explanation)
1. The nurse is caring for a client scheduled for removal of a pituitary tumor
using the transsphenoidal approach. The nurse should be particularly alert for:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria
Answer A: Removal of the pituitary gland is usually done by a transsphenoidal
approach, through the nose. Nasal congestion further interferes with the airway.
Answers B, C, and D are not correct because they are not directly associated with
the pituitary gland.
2. A client with cancer is admitted to the oncology unit. Stat lab values
reveal 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 is evident from the lab values listed. The other laboratory
findings are within normal limits, making answers A, C, and D incorrect.
3. 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: The primary responsibility of the nurse is to take the vital signs before
any surgery. The actions in answers B, C, and D are the responsibility of the doctor
and, therefore, are incorrect for this question.
4. 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 gases
D. Medicating the client for pain
Answer B: The client with burns to the neck needs airway assessment and
supplemental oxygen, so applying oxygen is the priority. The next action should be
to start an IV and medicate for pain, making answers A and C incorrect. Answer D,
obtaining blood gases, is ordered by the doctor.
5. The nurse is visiting a home health client with osteoporosis. The client has
a new prescription for alendronate (Fosamax). Which instruction should be
given to the client?
A. Rest in bed after taking the medication for at least 30 minutes
B. Avoid rapid movements after taking the medication
C. Take the medication with water only
D. Allow at least 1 hour between taking the medicine and taking other
medication

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Specificaties

Niveau: University
School: South University
Opleiding: Nursing Fudermentals
Vaknaam: Nursing
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Document
Rubriek: Tentamens
Gemaakt op: 28-10-2023
Type: .pdf
Pagina's: 82
Taal: English

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