Kaplan NCLEX-RN 2025/2026
KAPLAN NCLEX-RN 2025/2026: 215 ACTUAL EXAM QUESTIONS
& VERIFIED A+ ANSWERS (LATEST 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
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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%
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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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KAPLAN NCLEX-RN 2025/2026: 215 ACTUAL EXAM QUESTIONS
& VERIFIED A+ ANSWERS (LATEST 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
1|Page
, 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|Page
, 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|Page
, 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
4|Page
