Post NCLEX/2025 Review & NCSBN NCLEX PN Exam Preview

Post NCLEX 4/15/2025 Review & NCSBN NCLEX PN Exam Preview 16 studiers today Leave the first rating Students also studied Terms in this set (20) Science Medicine Save

NCLEX-PN

50 terms Amanda_Hunter36 Preview NCSBN NCLEX Exam Preview Quest...36 terms Manny20444Preview NCLEX-PN Exam Preview 116 terms Sun_Stars_1Preview nclex 124 term bec The nurse is caring for a client who is scheduled to have an arterial blood gas (ABG) sample obtained. Which of the following tests should the nurse anticipate will be performed prior to the procedure?Coombs' test Schilling test Ham test Allen test ✅ Allen test Allen Test: This test assesses collateral circulation in the hand by checking if the ulnar artery can supply adequate blood flow when the radial artery is occluded. It is commonly performed before obtaining an arterial blood gas (ABG) sample from the radial artery.Allen testdetermining the patency of the radial and ulnar arteries by compressing one artery site and observing return of skin color as evidence of patency of the other artery Ham TestHam Test: Also known as the acid hemolysis test, it diagnoses paroxysmal nocturnal hemoglobinuria (PNH), a rare condition where red blood cells break down prematurely due to a defect in their membrane.

The Schilling test for pernicious anemia involves: Schilling Test: This test evaluates vitamin B12 absorption by measuring how much radioactive vitamin B12 is excreted in the urine. It helps diagnose pernicious anemia or other causes of vitamin B12 deficiency.Combos' testTest: This test detects antibodies that are bound to the surface of red blood cells, helping diagnose autoimmune hemolytic anemia or conditions where the immune system attacks red blood cells."Unneeded computer-generated worksheets must be shredded at the end of the shift to ensure client confidentiality." "Personal computer passwords may not be shared with anyone, including other members of the client's health care team." "Keep your voice low when speaking with the client because direct interactions with clients must be kept as private as possible." What aspects of multifactorial inheritance make it difficult to assess the risk for genetic anomalies?Multifactorial inheritance involves more than one factor. Although parents, siblings, and children share genes, that is only one contributing factor. Other factors include diet, exercise, and environmental exposures, which may vary from one member of the family to the next. This makes identifying risk more challenging and time-consuming.Which of the following clients have an increased risk of pregnancy with a fetus who has an aneuploidy?✅ A 20-year -old client who smokes ✅ A client whose oldest child has a trisomy ✅ A 37-year-old client who has had no prior pregnancies.aneuploidyAbnormal number of chromosomes.When caring for a newborn who has Down syndrome, what characteristics or disorders place the newborn at risk for aspiration?A protruding tongue can make feedings difficult and may affect digestion. Poor muscle tone or weak muscles can make feeding a challenge and limit the newborn’s ability to suck and swallow successfully. Heart defects can contribute to poor feeding on any newborn, placing the newborn at risk for aspiration.Therefore, a newborn who has both Down syndrome and a congenital heart defect has a higher risk for feeding difficulties and aspiration.

A client who is pregnant and is scheduled for alpha- fetoprotein (AFP) testing asks the nurse, "What makes this test different from the quad screen?✅ "AFP testing examines your age and ethnicity when predicting the likelihood of anomaly." Although the AFP level is component of the quad screen, the AFP test includes consideration of factors like the client's age and ethnicity, unlike the quad screen, which measures levels of for specific chemicals including AFP.The AFP test is performed on venous blood drawn from the client sometime between 14 and 22 weeks of gestation, with the optimum time frame between 16 and 18 weeks.quad screenThe quad screen is a blood test performed between 15 and 22 weeks of

gestation that calculates blood concentrations of four separate chemicals:

(1) alpha fetoprotein (AF) (2) human chronic gonadotropin (hCG), (3) Estriol, and (4) Inhibin A The quad screen results indicate the risk for Trisomy 21, neural tube defects (NTDs), and Trisomy 18.Cell free DNA testing (NIPT)identifies trisomy 21, 18, 13, and sex chromosome aneuploidy perform 10 wks - term 99?tection rate maternal blood collected for small fragments of circulating fetal DNA if + do amnio or CVS not recommended routinely for low risk women After receiving the news that a client and their partner both carry the gene for a specific medical condition, the nurse should anticipate that the provider will explain which of the following option to the couple? (SATA) A nurse is collecting data from an infant who was born 10 min ago. Which of the following clinical findings should lead the nurse to suspect the newborn has Trisomy 21?

(SATA)

✅ Shorter neck ✅ Protruding tongue ✅ Single palmar crease ✅ Wide -set eyes A nurse is assisting in the care of a client during a preconception counseling visit. The client reports to the nurse, "I had cancer when I was a child, so I am worried about having children and giving them cancer." Which of the following responses should the nurse make?✅ "Cancer cannot be inherited by a child from a parent." Additionally, tumor cell genetic alterations are not transmissible. However, genetic alterations that raise the risk of cancer can be passed down or inherited. It is caused by alterations in the genes that control cell division and growth.

A nurse is an obstetric clinic is preparing charts for clients who will be seen today. Which of the following clients should the nurse expect the provider to refer for genetic counseling?✅ A 28-year-old client who has experienced two spontaneous abortions ✅ A 34-year-old client who is taking fertility medications ✅ A 39-year-old client who is pregnant for the first time ✅ A 16-year-old client whose twin has Trisomy 21 Although all clients should be offered genetic testing, many clients are considered at increased risk for genetic conditions. These clients include those who have a history of pregnancy loss, fertility challenges, previous pregnancy or child who has genetic disorders, abnormal genetic test results, maternal infection, or those who were exposed to toxic chemicals or agents.A nurse is collecting a new client's history. Which of the following findings should the nurse identify as contributing to the multifactorial inheritance of a genetic condition? (SATA) ✅ Nutritional status ✅ Physical activity ✅ Chemical exposure Multifactorial inheritance refers to the way certain traits or conditions are caused by a combination of multiple genetic and environmental factors. Unlike single- gene disorders (like cystic fibrosis), multifactorial conditions result from the interaction between several genes and lifestyle or environmental influences, such as diet, exercise, and exposure to chemicals. Examples include heart disease, diabetes, and some forms of cancer.A nurse is scheduling a referral appointment for genetic counseling for a client. The client asks, "Why do I need t see someone else?" Which of the following responses should the nurse make? (SATA).✅ "A genetic counselor will be able to support and guide you through the journey of genetic testing." ✅ "A genetic counselor can help with family planning before you get pregnant." ✅ "The genetic counselor will help provide you with information about making decisions, understanding results, and choosing treatment options if indicated." ✅ "A genetic counselor can help you better understand results of any genetic testing you choose to do." A nurse in a prenatal clinic is contributing to the plan of care for a 36-year-old client who is at 12 weeks of gestation. Which of the following tests should the nurse anticipate being offered to the client at today's prenatal visit? (SATA) ✅ Cell-free DNA testing.The purpose of cell-free DNA testing is to screen for conditions arising from chromosomes. It can be performed as soon as 10 weeks of gestation and up to the time the client gives birth.✅ Nuchal translucency (NT) NT testing involves performing an ultrasound to measure the posterior fetal neck for the presence of a fluid collection. Testing is performed in the first trimester, between 11 and 13 weeks of gestation as a screening tool for the detection of chromosomal and genetic anomalies.✅ Chronic villus sampling (CVS) CVS is performed between 10 and 13 weeks of gestation. Although all pregnant clients should be offered testing, clients over the age of 35 or those who have a family history of aneuploidy are considered at high risk for genetic, structural, or chromosomal anomalies in pregnancy.