2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
• APclientPvisitingPaPfamilyPplanningPclinicPisPsuspectedPofPhavi
ng an STI.The most diagnostic test for treponema pallidum is
P P P P P P P P P P
:
A. Venereal Disease Research Lab (VDRL) P P P P
B. Rapid plasma reagin (RPR)P P P
C. Florescent treponemal antibody (FTA) P P P
D. Thayer-Martin culture (TMC) P P
Answer C: FTA is the only answer choice for treponema pallidum
P P P P P P P P P P
. Answers A and B are incorrect because VDRL and RPR are screen
P P P P P P P P P P P P
ing tests for syphilisbut are not conclusive of the disease; they onl
P P P P P P P P P P P P
y indicate exposure to the disease. The Thayer-
P P P P P P P
Martin culture is a test for gonorrhea, so answer D is incorrect.
P P P P P P P P P P P
• WhichPlaboratoryPfindingPisPassociatedPwithPHELLPPsyndro
me in theobstetric client?
P P P P
A. Elevated blood glucose P P
B. Elevated platelet count P P
C. Elevated creatinine clear P P
anceD. Elevated hepatic en
P P P P
zymes
2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
,2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
Answer D: The criteria for HELLP is hemolysis, elevated liver enzy
P P P P P P P P P P
mes, andlow platelet count. In answer A, an elevated blood glucose
P P P P P P P P P P P
P level is not associated with HELLP. Platelets are decreased in HEL
P P P P P P P P P P
LP syndrome, not elevated, as stated in answer B. The creatinine le
P P P P P P P P P P P
vels are elevated in renal disease and are not associated with HELL
P P P P P P P P P P P
P syndrome, as stated in answer C.
P P P P P P
• ThePnursePisPassessingPthePdeepPtendonPreflexesPofPthePcl
ient withhypomagnesemia. Which method is used to elicit
P P P P P P P P
the biceps reflex?
P P P
A. The nurse places her thumb on the muscle inset in the antecu
P P P P P P P P P P P
bital spaceand taps the thumb briskly with the reflex hammer.
P P P P P P P P P P
B. The nurse loosely suspends the client’s arm in an open hand whi
P P P P P P P P P P P
le tapping the back of the client’s elbow.
P P P P P P P
C. The nurse instructs the client to dangle her legs as the nurse s
P P P P P P P P P P P P
trikes thearea below the patella with the blunt side of the reflex
P P P P P P P P P P P P
hammer.
P
D. The nurse instructs the client to place her arms loosely at her
P P P P P P P P P P P P
side as thenurse strikes the muscle insert just above the wrist.
P P P P P P P P P P P
Answer A: The answer can only be A because the other methods el
P P P P P P P P P P P P
2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
,2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
icit different reflexes. Answer B elicits the triceps reflex, answer C e
P P P P P P P P P P P
licits thepatella reflex, and answer D elicits the radial nerve.
P P P P P P P P P P
• WhichPmedicationPshouldPbePusedPwithPcautionPinPthePobstetricP
client withdiabetes?P P
A. Magnesium sulf P
ateB. Brethine
P P
C. Stadol
P
D. AncefP
Answer B: Brethine is used cautiously because it raises the blood
P P P P P P P P P P
glucoselevels. Answers A, C, and D are all medications that are co
P P P P P P P P P P P P P
mmonly used in the diabetic client, so there is no need to questio
P P P P P P P P P P P P
n the order for these medications.
P P P P P
• APmultigravidaPisPscheduledPforPanPamniocentesisPatP32PweeksPg
estation todetermine the L/S ratio and phosphatidyl glycerol leve
P P P P P P P P P
l. The L/S ratio is 1:1. The nurse’s assessment of this data is:
P P P P P P P P P P P P
A. The infant is at low risk for congenital anomalies.
P P P P P P P P
B. The infant is at high risk for intrauterine growth ret
P P P P P P P P P
ardation.C. The infant is at high risk for respiratory dis
P P P P P P P P P P
2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
, 2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
tress syndrome. P
D. The infant is at high risk for birth trauma.
P P P P P P P P P
Answer C: When the L/S ratio reaches 2:1, the lungs are conside
P P P P P P P P P P P
red to be mature. The infant will most likely be small for gestatio
P P P P P P P P P P P P
nal age and will not be at risk for birth trauma, so answer B is inc
P P P P P P P P P P P P P P P
orrect. The L/S ratio does not indicate congenital anomalies, as st
P P P P P P P P P P
ated in answer A, and the infant is not atrisk for intrauterine gro
P P P P P P P P P P P P P
wth retardation, as stated in answer D.
P P P P P P
• WhichPobservationPinPthePnewbornPofPaPmotherPwhoPisPalcoholP
dependentwould require immediate nursing intervention?
P P P P P
A. Crying
B. Wakefulne
ssC. Jitterine
P P
ss
D. Yawning
P
Answer C: Jitteriness is a sign of seizure in the neonate. Answers A, B, and
P P P P P P P P P P P P P P
D are incorrect because crying, wakefulness, and yawning are expe
P P P P P P P P P
cted in thenewborn.
P P P
2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
• APclientPvisitingPaPfamilyPplanningPclinicPisPsuspectedPofPhavi
ng an STI.The most diagnostic test for treponema pallidum is
P P P P P P P P P P
:
A. Venereal Disease Research Lab (VDRL) P P P P
B. Rapid plasma reagin (RPR)P P P
C. Florescent treponemal antibody (FTA) P P P
D. Thayer-Martin culture (TMC) P P
Answer C: FTA is the only answer choice for treponema pallidum
P P P P P P P P P P
. Answers A and B are incorrect because VDRL and RPR are screen
P P P P P P P P P P P P
ing tests for syphilisbut are not conclusive of the disease; they onl
P P P P P P P P P P P P
y indicate exposure to the disease. The Thayer-
P P P P P P P
Martin culture is a test for gonorrhea, so answer D is incorrect.
P P P P P P P P P P P
• WhichPlaboratoryPfindingPisPassociatedPwithPHELLPPsyndro
me in theobstetric client?
P P P P
A. Elevated blood glucose P P
B. Elevated platelet count P P
C. Elevated creatinine clear P P
anceD. Elevated hepatic en
P P P P
zymes
2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
,2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
Answer D: The criteria for HELLP is hemolysis, elevated liver enzy
P P P P P P P P P P
mes, andlow platelet count. In answer A, an elevated blood glucose
P P P P P P P P P P P
P level is not associated with HELLP. Platelets are decreased in HEL
P P P P P P P P P P
LP syndrome, not elevated, as stated in answer B. The creatinine le
P P P P P P P P P P P
vels are elevated in renal disease and are not associated with HELL
P P P P P P P P P P P
P syndrome, as stated in answer C.
P P P P P P
• ThePnursePisPassessingPthePdeepPtendonPreflexesPofPthePcl
ient withhypomagnesemia. Which method is used to elicit
P P P P P P P P
the biceps reflex?
P P P
A. The nurse places her thumb on the muscle inset in the antecu
P P P P P P P P P P P
bital spaceand taps the thumb briskly with the reflex hammer.
P P P P P P P P P P
B. The nurse loosely suspends the client’s arm in an open hand whi
P P P P P P P P P P P
le tapping the back of the client’s elbow.
P P P P P P P
C. The nurse instructs the client to dangle her legs as the nurse s
P P P P P P P P P P P P
trikes thearea below the patella with the blunt side of the reflex
P P P P P P P P P P P P
hammer.
P
D. The nurse instructs the client to place her arms loosely at her
P P P P P P P P P P P P
side as thenurse strikes the muscle insert just above the wrist.
P P P P P P P P P P P
Answer A: The answer can only be A because the other methods el
P P P P P P P P P P P P
2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
,2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
icit different reflexes. Answer B elicits the triceps reflex, answer C e
P P P P P P P P P P P
licits thepatella reflex, and answer D elicits the radial nerve.
P P P P P P P P P P
• WhichPmedicationPshouldPbePusedPwithPcautionPinPthePobstetricP
client withdiabetes?P P
A. Magnesium sulf P
ateB. Brethine
P P
C. Stadol
P
D. AncefP
Answer B: Brethine is used cautiously because it raises the blood
P P P P P P P P P P
glucoselevels. Answers A, C, and D are all medications that are co
P P P P P P P P P P P P P
mmonly used in the diabetic client, so there is no need to questio
P P P P P P P P P P P P
n the order for these medications.
P P P P P
• APmultigravidaPisPscheduledPforPanPamniocentesisPatP32PweeksPg
estation todetermine the L/S ratio and phosphatidyl glycerol leve
P P P P P P P P P
l. The L/S ratio is 1:1. The nurse’s assessment of this data is:
P P P P P P P P P P P P
A. The infant is at low risk for congenital anomalies.
P P P P P P P P
B. The infant is at high risk for intrauterine growth ret
P P P P P P P P P
ardation.C. The infant is at high risk for respiratory dis
P P P P P P P P P P
2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
, 2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
tress syndrome. P
D. The infant is at high risk for birth trauma.
P P P P P P P P P
Answer C: When the L/S ratio reaches 2:1, the lungs are conside
P P P P P P P P P P P
red to be mature. The infant will most likely be small for gestatio
P P P P P P P P P P P P
nal age and will not be at risk for birth trauma, so answer B is inc
P P P P P P P P P P P P P P P
orrect. The L/S ratio does not indicate congenital anomalies, as st
P P P P P P P P P P
ated in answer A, and the infant is not atrisk for intrauterine gro
P P P P P P P P P P P P P
wth retardation, as stated in answer D.
P P P P P P
• WhichPobservationPinPthePnewbornPofPaPmotherPwhoPisPalcoholP
dependentwould require immediate nursing intervention?
P P P P P
A. Crying
B. Wakefulne
ssC. Jitterine
P P
ss
D. Yawning
P
Answer C: Jitteriness is a sign of seizure in the neonate. Answers A, B, and
P P P P P P P P P P P P P P
D are incorrect because crying, wakefulness, and yawning are expe
P P P P P P P P P
cted in thenewborn.
P P P
2020/2021 NCLEX- P
PN Test Prep Questions and Answers with Explanations V2
P P P P P P P P P
PRACTICE EXAM 1 (STUDY MODE) P P P P
