KAPLAN NCLEX-RN: 215 ACTUAL EXAM QUESTIONS

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Kaplan NCLEX-RN 2025/2026

KAPLAN NCLEX-RN 2025/2026: 215 QUESTIONS

& ANSWERS ( 2025 EDITION) Tx for Pertussis (whooping cough) - ANSWER-Macrolide ABX, do not use cough suppressants or antihistamines, do not use cortisone or bronchodilators

S/S of preeclampsia - ANSWER-- BP: SBP > 140 and/or 90 diastolic mmHg

Occurs 2x (4-6 hours apart)

• Proteinuria

>0.3 g/24 hours Protein/creatinine ratio >0.3

• Platelets > 100,000
• HA, visual changes, edema

Preeclampsia care - ANSWER-bed rest in left lateral position, well-balanced diet, daily weights

Preeclampsia with severe features - ANSWER-- BP: 160/110 or higher

• Proteinuria not necessary
• HA, RU epigastric pain, dizziness, visual changes, anginal pain

Severe preeclampsia care - ANSWER-bed rest, monitor I/Os, seizure precautions, VS, fetal heart tones, give antihypertensive meds

S/s of eclampsia - ANSWER-most serious form of toxemia during pregnancy

• HTN, proteinuria, edema, motor seizures (tonic-clonic)
• occurs between 20-40 weeks of pregnancy
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Kaplan NCLEX-RN 2025/2026 eclampsia care - ANSWER-bedrest in left lateral position, monitor I/Os, VS, fetal heart tones, seizure precautions, give magnesium sulfate (anticonvulsant), hydralazine (vasodilator), diazepam (sedative, anxiolytic), nifedipine (CCB), well-balanced diet, daily weights

Food to avoid in pregnancy - ANSWER-raw eggs, shellfish, or fish

fish with mercury: swordfish, tuna

unpasteurized milk or dairy products, soft cheeses

processed/deli meats: bologna, salami, hot dogs

S/S of ectopic pregnancy - ANSWER-severe, unilateral, lower abd pain pain referred to shoulder abd rigidity bleeding low hct and low HCG levels

ectopic pregnancy care - ANSWER-assess for hemorrhage and shock provide fluid support prepare for surgery give Rho(D) immune globulin if Rh-negative emotional support

Placenta previa - ANSWER-placenta grows over cervix

S/s: intermittent, painless bleeding during pregnancy

Placental abruption - ANSWER-placenta pulls away from the uterine wall S/s: hard abdomen, painful, sudden bleeding 2 / 4

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Kaplan NCLEX-RN 2025/2026

HELLP syndrome - ANSWER-hemolysis, elevated liver enzymes, low platelets *Can lead to DIC

placenta previa risk factors - ANSWER-hx of placenta previa prior c-section multiparity advanced maternal age smoking

placental abruption risk factors - ANSWER-maternal HTN, cocaine use, blunt external abdominal trauma, maternal abuse, multiparity, smoking, premature rupture of membranes, hx of placental abruption

What does alpha-fetoprotein (AFP) test for? - ANSWER-neural tube defects

Results: increased = neural tube defects; decreased = Down syndrome

WBC count - ANSWER-4,500-11,000

Hemoglobin normal range - ANSWER-male 13-18 female 12-16

RBC count - ANSWER-male 4.6 - 6.2 female 4.2 - 5.4

Hematocrit range - ANSWER-Male 42-52% 3 / 4

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Kaplan NCLEX-RN 2025/2026 Female 35-47%

PTT purpose - ANSWER-monitors effectiveness of heparin therapy; detects coagulation disorders

PTT (partial thromboplastin time) - ANSWER-lower limit of normal: 20-25 sec

upper limit of normal: 32-39

Platelet count - ANSWER-150,000-400,000

Prothrombin Time (PT) - ANSWER-9.5-12 seconds

INR (international normalized ratio) - ANSWER-1 sec 2-3 sec for afib therapy, DVT, and PE 2.5-3.5 sec for prosthetic heart valve therapy

glucose tolerance test (GTT) - ANSWER-fasting: 70-99

1 h: 190

2 h: 140

3 h: 125

total cholesterol - ANSWER-150-200 mg/dL

LDL - ANSWER-<100 mg/dL

The lower the better

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