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
medications
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.
6. The nurse is making initial rounds on a client with a C5 fracture and
crutchfield tongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D. A screwdriver
Answer B: A torque 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. A pair of forceps, wire cutters, and a screwdriver, in answers A, C,
and D, would not be used and, thus, are incorrect.
7. An infant weighs 7 pounds at birth. The expected weight by 1 year should
be:
A. 10 pounds
B. 12 pounds
C. 18 pounds
D. 21 pounds
Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple
his birth weight. Answers A, B, and C therefore are incorrect.
8. A client is admitted with a Ewing’s sarcoma. Which symptoms would be
expected due to this tumor’s location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain
Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would be
expected. Answers A, B, and C are not specific to this type of cancer and are
incorrect.
9. The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which laboratory value might indicate a serious side
effect of this drug?
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
Answer C: Tegretol can suppress the bone marrow and decrease the white blood
cell count; thus, a lab value of WBC 2,000 per cubic millimeter indicates side
effects of the drug. Answers A and D are within normal limits, and answer B is a
lower limit of normal; therefore, answers A, B, and D are incorrect.
10. 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 his pain.”
B. “What does his vomit look like?”
C. “Describe his usual diet.”
D. “Have you noticed changes in his abdominal size?”
Answer C: The least-helpful questions are those describing his usual diet. A, B, and
D are useful in determining the extent of disease process and, thus, are incorrect.
11. The nurse is assisting a client with diverticulosis to select appropriate
foods. Which food should be avoided?
A. Bran
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls
Answer C: The client with diverticulitis should avoid foods with seeds. The foods in
answers A, B, and D are allowed; in fact, bran cereal and fruit will help prevent
constipation.
12. 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?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolyte loss in the incisional area
C. Encouraging a high-fiber diet
D. Facilitating perineal wound drainage
Answer D: The client with a perineal resection will have a perineal incision. Drains
will be used to facilitate wound drainage. This will help prevent infection of the
surgical site. The client will not have an illeostomy, as in answer A; he will have
some electrolyte loss, but treatment is not focused on preventing the loss, so
answer B is incorrect. A high-fiber diet, in answer C, is not ordered at this time.
13. The nurse is performing discharge teaching on a client with diverticulitis
who has been placed on a low-roughage diet. Which food would have to be
eliminated from this client’s diet?
A. Roasted chicken
B. Noodles
C. Cooked broccoli
D. Custard
Answer C: The client with diverticulitis should avoid eating foods that are
gas forming and that increase abdominal discomfort, such as cooked broccoli.
Foods such as those listed in answers A, B, and D are allowed.
14. 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:
A. The baby is dehydrated due to polyuria.
B. The baby is hypoglycemic due to lack of glucose.
C. The baby is allergic to the formula the mother is giving him.
D. The baby can lose up to 10% of weight due to meconium stool, loss of
extracellular fluid, and initiation of breast-feeding.
Answer D: After birth, meconium stool, loss of extracellular fluid, and initiation of
breastfeeding cause the infant to lose body mass. There is no evidence to indicate
dehydration, hypoglycemia, or allergy to the infant formula; thus, answers A, B,
and C are incorrect.
15. The nurse is caring for a client with laryngeal cancer. Which finding
ascertained in the health history would not be common for this diagnosis?
A. Foul breath
B. Dysphagia
C. Diarrhea
D. Chronic hiccups
Answer C: Diarrhea is not common in clients with mouth and throat cancer. All the
findings in answers A, B, and D are expected findings.
16. 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 in the
plan?
A. Closed chest drainage
B. A tracheostomy
C. A mediastinal tube
D. Percussion vibration and drainage
Answer A: The client with a lung resection will have chest tubes and a drainagecollection
device.
He
probably
will
not
have
a
tracheostomy
or
mediastinal
tube,
and
he
will
not
have
an
order
for
percussion,
vibration,
or
drainage.
Therefore,
answers
B,
C,
and
D
are
incorrect.
17. Six hours after birth, the infant is found to have an area of swelling over
the right parietal area that does not cross the suture line. The nurse should chart
this finding as:
A. A cephalohematoma
B. Molding
C. Subdural hematoma
D. Caput succedaneum
Answer A: A swelling over the right parietal area is a cephalohematoma, an area
of bleeding outside the cranium. This type of hematoma does not cross the suture
line because it is outside the cranium but beneath the periosteum. Answer B,
molding, is overlapping of the bones of the cranium and, thus, incorrect. In
answer C, a subdural hematoma, or intracranial bleeding, is ominous and can be
seen only on a CAT scan or x-ray. A caput succedaneum, in answer D, crosses the
suture line and is edema.
18. The nurse is assisting the RN with discharge instructions for a client with
an implantable defibrillator. What discharge instruction is essential?
A. “You cannot eat food prepared in a microwave.”
B. “You should avoid moving the shoulder on the side of the pacemaker site
for 6 weeks.”
C. “You should use your cellphone on your right side.”
D. “You will not be able to fly on a commercial airliner with the defibrillator in
place.”
Answer C: The client with an internal defibrillator should learn to use any batteryoperated
machinery
on
the
opposite
side.
He
should
also
take
his
pulse
rate
and
report
dizziness
or
fainting.
Answers
A,
B,
and
D
are
incorrect
because
the
client
can
eat
food
prepared
in
the
microwave,
move
his
shoulder
on
the
affected
side,
and
fly
in
an
airplane.
19. 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
B. Tachycardia
C. Premature ventricular beats
D. Heart block
Answer A: Suctioning can cause a vagal response and bradycardia. Answer B is
unlikely and, therefore, not most important, although it can occur.
Answers C and D can occur as well, but they are less likely.
20. 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?
A. Assessment of the client’s level of anxiety
B. Evaluation of the client’s exercise tolerance
C. Identification of peripheral pulses
D. Assessment of bowel sounds and activity
Answer C: The assessment that is most crucial to the client is the identification of
peripheral pulses because the aorta is clamped during surgery. This decreases
blood circulation to the kidneys and lower extremities. The nurse must also assess
for the return of circulation to the lower extremities. Answer A is of lesser
concern, answer B is not advised at this time, and answer D is of lesser concern
than answer A.
21. A client with suspected renal disease is to undergo a renal biopsy. The
nurse plans to include which statement in the teaching session?
A. “You will be sitting for the examination procedure.”
B. “Portions of the procedure will cause pain or discomfort.”
C. “You will be given some medication to anesthetize the area.”
D. “You will not be able to drink fluids for 24 hours before the study.”
Answer B: Portions of the exam are painful, especially when the sample is being
withdrawn, so this should be included in the session with the client. Answer A is
incorrect because the client will be positioned prone, not in a sitting position, for
the exam. Anesthesia is not commonly given before this test, making answer C
incorrect. Answer D is incorrect because the client can eat and drink following the
test.
22. The nurse is performing an assessment on a client with possible
pernicious anemia. Which data would support this diagnosis?
A. A weight loss of 10 pounds in 2 weeks
B. Complaints of numbness and tingling in the extremities
C. A red, beefy tongue
D. A hemoglobin level of 12.0gm/dL
Answer C: A red, beefy tongue is characteristic of the client with pernicious
anemia. Answer A, a weight loss of 10 pounds in 2 weeks, is abnormal but is not
seen in pernicious anemia. Numbness and tingling, in answer B, can be associated
with anemia but are not particular to pernicious anemia. This is more likely
associated with peripheral vascular diseases involving vasculature. In answer D,
the hemoglobin is low normal.
23. A client arrives in the emergency room with a possible fractured femur.
The nurse should anticipate an order for:
A. Trendelenburg position
B. Ice to the entire extremity
C. Buck’s traction
D. An abduction pillow
Answer C: The client with a fractured femur will be placed in Buck’s traction to
realign the leg and to decrease spasms and pain. The Trendelenburg position is
the wrong position for this client, so answer A is incorrect. Ice might be ordered