NCLEX PN TEST PREP V2 ACTUAL QUESTION AND

NCLEX PN TEST PREP V2 ACTUAL QUESTION AND

ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1

ALREADY GRADED A+.

• A client visiting a family planning clinic is suspected of having an STI. The most diagnostic test for treponema

pallidum is:

• Venereal Disease Research Lab (VDRL)
• Rapid plasma reagin (RPR)
• Florescent treponemal antibody (FTA)
• Thayer-Martin culture (TMC)

Answer C: FTA is the only answer choice for treponema

pallidum. Answers A and B are incorrect because VDRL and RPR are screening tests for syphilis but are not conclusive of the disease; they only indicate exposure to the disease. The Thayer- Martin culture is a test for gonorrhea, so answer D is incorrect.

• Which laboratory finding is associated with HELLP syndrome in the obstetric client?

• Elevated blood glucose
• Elevated platelet count
• Elevated creatinine

clearance D. Elevated hepatic enzymes

Answer D: The criteria for HELLP is hemolysis, elevated liver

enzymes, and low platelet count. In answer A, an elevated blood 1 / 4

NCLEX PN TEST PREP V2 ACTUAL QUESTION AND

ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1

ALREADY GRADED A+.

glucose level is not associated with HELLP. Platelets are decreased in HELLP syndrome, not elevated, as stated in answer B. The creatinine levels are elevated in renal disease and are not associated with HELLP syndrome, as stated in answer C.

• The nurse is assessing the deep tendon reflexes of the client with hypomagnesemia. Which method is used to elicit the biceps reflex?

• The nurse places her thumb on the muscle inset in the

antecubital space and taps the thumb briskly with the reflex hammer.

• The nurse loosely suspends the client’s arm in an open hand

while tapping the back of the client’s elbow.

• The nurse instructs the client to dangle her legs as the nurse

strikes the area below the patella with the blunt side of the reflex hammer.

• The nurse instructs the client to place her arms loosely at her

side as the nurse strikes the muscle insert just above the wrist.

Answer A: The answer can only be A because the other methods

elicit different reflexes. Answer B elicits the triceps reflex, answer C elicits the patella reflex, and answer D elicits the radial nerve.

• Which medication should be used with caution in the obstetric 2 / 4

NCLEX PN TEST PREP V2 ACTUAL QUESTION AND

ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1

ALREADY GRADED A+.

client with diabetes?

• Magnesium

sulfate B. Brethine

• Stadol
• Ancef

Answer B: Brethine is used cautiously because it raises the

blood glucose levels. Answers A, C, and D are all medications that are commonly used in the diabetic client, so there is no need to question the order for these medications.

• A multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1. The nurse’s assessment of this data is:

• The infant is at low risk for congenital anomalies.
• The infant is at high risk for intrauterine growth

retardation. C. The infant is at high risk for respiratory distress syndrome.

• The infant is at high risk for birth trauma.

Answer C: When the L/S ratio reaches 2:1, the lungs are considered to be mature. The infant will most likely be small for gestational age and will not be at risk for birth trauma, so answer B is incorrect. The L/S ratio does not indicate congenital 3 / 4

NCLEX PN TEST PREP V2 ACTUAL QUESTION AND

ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1

ALREADY GRADED A+.

anomalies, as stated in answer A, and the infant is not at risk for intrauterine growth retardation, as stated in answer D.

• Which observation in the newborn of a mother who is alcohol dependent would require immediate nursing intervention?

• Crying
• Wakefulne

ss C.Jitteriness

• Yawning

Answer C: Jitteriness is a sign of seizure in the neonate. Answers A, B, and

D are incorrect because crying, wakefulness, and yawning are expected in the newborn.

• The nurse caring for a client receiving magnesium sulfate must closely observe for side effects associated with drug

therapy. An expected side effect of magnesium sulfate is:

• Decreased urinary

output B.Hypersomnolence

• Absence of knee jerk reflex
• Decreased respiratory rate
• / 4