NCLEX-PN EXAM - Fiscal Law Final Exam NEWEST
2023-2024 ACTUAL TEST 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A
,1. Which laboratory test would be the least effective in making the diagnosis of a
myocardial infarction?
A. AST
B. Troponin
C. CK-MB
D. Myoglobin
2. The licensed practical nurse assigned to the post-partal unit is preparing to administer
Rhogam to a postpartum client. Which woman is not a candidate for RhoGam?
A. A gravida IV para 3 that is Rh negative with an Rh-positive baby
B. A gravida I para 1 that is Rh negative with an Rh-positive baby
C. A gravida II para 0 that is Rh negative admitted after a stillbirth delivery
D. A gravida IV para 2 that is Rh negative with an Rh-negative baby
3. The first exercise that should be performed by the client who had a mastectomy is:
A. Walking the hand up the wall
B. Sweeping the floor
C. Combing her hair
D. Squeezing a ball
4. The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which
medication should be kept available during the test?
,A. Atropine sulfate
B. Furosemide
C. Prostigmin
D. Promethazine
5. The client is scheduled for a pericentesis. Which instruction should be given to the client
before the exam?
A. “You will need to lay flat during the exam.”
B. “You need to empty your bladder before the procedure.”
C. “You will be asleep during the procedure.”
D. “The doctor will inject a medication to treat your illness during the procedure.”
6. To ensure safety while administering a nitroglycerine patch, the nurse should:
A. Wear gloves
B. Shave the area where the patch will be applied
C. Wash the area thoroughly with soap and rinse with hot water
D. Apply the patch to the buttocks
7. The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse
should teach the client to refrain from eating foods containing tyramine because it may cause:
A. Hypertension
B. Hyperthermia
C. Melanoma
D. Urinary retention
, 8. The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the
following statements by the patient’s mother indicates to the nurse that the patient is
experiencing a side effect of Dilantin therapy?
A. “She is very irritable lately.”
B. “She sleeps quite a bit of the time.”
C. “Her gums look too big for her teeth.”
D. “She has gained about 10 pounds in the last 6 months.”
9. A 5-year-old is admitted to the unit following a tonsillectomy. Which of the following
would indicate a complication of the surgery?
A. Decreased appetite
B. A low-grade fever
C. Chest congestion
D. Constant swallowing
10. A 6-year-old with cerebral palsy functions at the level of an 18-month- old. Which
finding would support that assessment?
A. She dresses herself.
B. She pulls a toy behind her.
C. She can build a tower of eight blocks.
D. She can copy a horizontal or vertical line.
2023-2024 ACTUAL TEST 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A
,1. Which laboratory test would be the least effective in making the diagnosis of a
myocardial infarction?
A. AST
B. Troponin
C. CK-MB
D. Myoglobin
2. The licensed practical nurse assigned to the post-partal unit is preparing to administer
Rhogam to a postpartum client. Which woman is not a candidate for RhoGam?
A. A gravida IV para 3 that is Rh negative with an Rh-positive baby
B. A gravida I para 1 that is Rh negative with an Rh-positive baby
C. A gravida II para 0 that is Rh negative admitted after a stillbirth delivery
D. A gravida IV para 2 that is Rh negative with an Rh-negative baby
3. The first exercise that should be performed by the client who had a mastectomy is:
A. Walking the hand up the wall
B. Sweeping the floor
C. Combing her hair
D. Squeezing a ball
4. The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which
medication should be kept available during the test?
,A. Atropine sulfate
B. Furosemide
C. Prostigmin
D. Promethazine
5. The client is scheduled for a pericentesis. Which instruction should be given to the client
before the exam?
A. “You will need to lay flat during the exam.”
B. “You need to empty your bladder before the procedure.”
C. “You will be asleep during the procedure.”
D. “The doctor will inject a medication to treat your illness during the procedure.”
6. To ensure safety while administering a nitroglycerine patch, the nurse should:
A. Wear gloves
B. Shave the area where the patch will be applied
C. Wash the area thoroughly with soap and rinse with hot water
D. Apply the patch to the buttocks
7. The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse
should teach the client to refrain from eating foods containing tyramine because it may cause:
A. Hypertension
B. Hyperthermia
C. Melanoma
D. Urinary retention
, 8. The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the
following statements by the patient’s mother indicates to the nurse that the patient is
experiencing a side effect of Dilantin therapy?
A. “She is very irritable lately.”
B. “She sleeps quite a bit of the time.”
C. “Her gums look too big for her teeth.”
D. “She has gained about 10 pounds in the last 6 months.”
9. A 5-year-old is admitted to the unit following a tonsillectomy. Which of the following
would indicate a complication of the surgery?
A. Decreased appetite
B. A low-grade fever
C. Chest congestion
D. Constant swallowing
10. A 6-year-old with cerebral palsy functions at the level of an 18-month- old. Which
finding would support that assessment?
A. She dresses herself.
B. She pulls a toy behind her.
C. She can build a tower of eight blocks.
D. She can copy a horizontal or vertical line.
