NCLEX RN (NEXT GENERATION ) ACTUAL EXAM TEST BANK ALL
QUESTIONS AND WELL ELABORATED CORRECT ANSWERS
WITH RATIONALES OP RATED VERSION FOR 2026-2027
ALREADY A GRADED
In Abruptio Placenta, the placenta from the uterine wall . - CORRECT
CORRECT ANSWER -Separates, prematurely
Vaginal bleeding (+/-), Abdominal pain, Back pain.
Rapid uterine contractions
Treatment includes
- Bed rest and continuous FHM
- Emergency C-Section
-Blood transfusion
Abruptio Placenta usually occurs in (prima/multi) gravida over the age of . - CORRECT
CORRECT ANSWER -Multi, 35 (HTN, trauma, tobacco,cocaine)
How is the bleeding of Abruptio Placenta different from that in placenta previa? - CORRECT CORRECT
ANSWER - pain and less voluminous in abruption
Bright red vaginal bleeding without pain = Previa
If you are the nurse starting the IV on the client with Abruptia Placenta, what guage needle should you
use? - CORRECT CORRECT ANSWER -18 (in preparation to give blood if necessary)
How often should you measure the vital signs, vaginal bleeding, fetal heart rate during Abruptio
Placenta>? - CORRECT CORRECT ANSWER -Q5-15 minutes for bleeding and maternal VS,
continuous fetal monitoring, deliver at earliest sign of fetal distress
How is an infant delivered when Abruptio Placenta is present? - CORRECT CORRECT ANSWER -Usually C-
section
,Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta Previa? -
CORRECT CORRECT ANSWER -Higher
,In what trimester does Abruptio Placenta most commonly occur? - CORRECT CORRECT ANSWER -Third
At what age are accidental poisonings most common? - CORRECT CORRECT ANSWER -2 years old
If a child swallows a potentially poisonous substance, what should be done first? - CORRECT CORRECT
ANSWER - call medical help
When taking a child to the ER after accidental poisoning has occurred what must accompany the child to
the ER? - CORRECT CORRECT ANSWER -the suspected poison
An elderly client is a (high/low) risk for accidental poisoning? What about a school age child? - CORRECT
CORRECT ANSWER -high - due to poor eyesight, high
What types of chemicals cause burns to oral mucosa when ingested? - CORRECT CORRECT ANSWER -
Lye, caustic cleaners
Children at highest risk for seizure activity after ingestion are those who have swallowed
and . - CORRECT CORRECT ANSWER -drugs, insecticides
Can impaired skin integrity ever be an appropriate nursing diagnosis when poisoning has occurred? -
CORRECT CORRECT ANSWER -Yes, when lye or caustic agents have been ingested
What is the causative organism of acne? - CORRECT CORRECT ANSWER -P. acnes (propionibacterium acnes)
What structures are involved in acne vulgaris? - CORRECT CORRECT ANSWER -The sebaceous glands
Name 3 drugs given for acne? - CORRECT CORRECT ANSWER -Vitamin A, Antibiotics, Retinoids
Dietary indiscretions and uncleanliness are causes of acne? - CORRECT CORRECT ANSWER -NO
, What are the 3 causative factors in acne vulgaris? - CORRECT CORRECT ANSWER -Heredity, Bacterial,
Hormonal
What is the most common retinoid given to people with acne? - CORRECT CORRECT ANSWER -
Accutane (Isotretinoin)
Requires an iPledge
Accutane is an analog of which vitamin? - CORRECT CORRECT ANSWER -Vitamin A
What is the most common side effect of accutane and Tetracycline? - CORRECT CORRECT ANSWER -
birth defects sensitivity to sunlight
What is the antibiotic most commonly given to clients with acne? - CORRECT CORRECT ANSWER -
Tetracycline - sensitivity to sunlight
How long will it take for the person to see results when acne is being treated? - CORRECT CORRECT
ANSWER -4 to 6 weeks
Does stress make acne worse? - CORRECT CORRECT ANSWER -yes
How often should the client with acne wash his face each day? - CORRECT CORRECT ANSWER -twice a day
What instructions do you give to a client taking tetracycline? - CORRECT CORRECT ANSWER -Take it
on an empty stomach and avoid the sunlight (photosensitivity)
What are comedones? - CORRECT CORRECT ANSWER -Blackheads (opened) and white heads (closed)
What virus causes AIDS? - CORRECT CORRECT ANSWER -HIV - Human immunodeficiency virus
The AIDS virus invades helper . - CORRECT CORRECT ANSWER -T-lymphocytes (or CD4 cells)
QUESTIONS AND WELL ELABORATED CORRECT ANSWERS
WITH RATIONALES OP RATED VERSION FOR 2026-2027
ALREADY A GRADED
In Abruptio Placenta, the placenta from the uterine wall . - CORRECT
CORRECT ANSWER -Separates, prematurely
Vaginal bleeding (+/-), Abdominal pain, Back pain.
Rapid uterine contractions
Treatment includes
- Bed rest and continuous FHM
- Emergency C-Section
-Blood transfusion
Abruptio Placenta usually occurs in (prima/multi) gravida over the age of . - CORRECT
CORRECT ANSWER -Multi, 35 (HTN, trauma, tobacco,cocaine)
How is the bleeding of Abruptio Placenta different from that in placenta previa? - CORRECT CORRECT
ANSWER - pain and less voluminous in abruption
Bright red vaginal bleeding without pain = Previa
If you are the nurse starting the IV on the client with Abruptia Placenta, what guage needle should you
use? - CORRECT CORRECT ANSWER -18 (in preparation to give blood if necessary)
How often should you measure the vital signs, vaginal bleeding, fetal heart rate during Abruptio
Placenta>? - CORRECT CORRECT ANSWER -Q5-15 minutes for bleeding and maternal VS,
continuous fetal monitoring, deliver at earliest sign of fetal distress
How is an infant delivered when Abruptio Placenta is present? - CORRECT CORRECT ANSWER -Usually C-
section
,Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta Previa? -
CORRECT CORRECT ANSWER -Higher
,In what trimester does Abruptio Placenta most commonly occur? - CORRECT CORRECT ANSWER -Third
At what age are accidental poisonings most common? - CORRECT CORRECT ANSWER -2 years old
If a child swallows a potentially poisonous substance, what should be done first? - CORRECT CORRECT
ANSWER - call medical help
When taking a child to the ER after accidental poisoning has occurred what must accompany the child to
the ER? - CORRECT CORRECT ANSWER -the suspected poison
An elderly client is a (high/low) risk for accidental poisoning? What about a school age child? - CORRECT
CORRECT ANSWER -high - due to poor eyesight, high
What types of chemicals cause burns to oral mucosa when ingested? - CORRECT CORRECT ANSWER -
Lye, caustic cleaners
Children at highest risk for seizure activity after ingestion are those who have swallowed
and . - CORRECT CORRECT ANSWER -drugs, insecticides
Can impaired skin integrity ever be an appropriate nursing diagnosis when poisoning has occurred? -
CORRECT CORRECT ANSWER -Yes, when lye or caustic agents have been ingested
What is the causative organism of acne? - CORRECT CORRECT ANSWER -P. acnes (propionibacterium acnes)
What structures are involved in acne vulgaris? - CORRECT CORRECT ANSWER -The sebaceous glands
Name 3 drugs given for acne? - CORRECT CORRECT ANSWER -Vitamin A, Antibiotics, Retinoids
Dietary indiscretions and uncleanliness are causes of acne? - CORRECT CORRECT ANSWER -NO
, What are the 3 causative factors in acne vulgaris? - CORRECT CORRECT ANSWER -Heredity, Bacterial,
Hormonal
What is the most common retinoid given to people with acne? - CORRECT CORRECT ANSWER -
Accutane (Isotretinoin)
Requires an iPledge
Accutane is an analog of which vitamin? - CORRECT CORRECT ANSWER -Vitamin A
What is the most common side effect of accutane and Tetracycline? - CORRECT CORRECT ANSWER -
birth defects sensitivity to sunlight
What is the antibiotic most commonly given to clients with acne? - CORRECT CORRECT ANSWER -
Tetracycline - sensitivity to sunlight
How long will it take for the person to see results when acne is being treated? - CORRECT CORRECT
ANSWER -4 to 6 weeks
Does stress make acne worse? - CORRECT CORRECT ANSWER -yes
How often should the client with acne wash his face each day? - CORRECT CORRECT ANSWER -twice a day
What instructions do you give to a client taking tetracycline? - CORRECT CORRECT ANSWER -Take it
on an empty stomach and avoid the sunlight (photosensitivity)
What are comedones? - CORRECT CORRECT ANSWER -Blackheads (opened) and white heads (closed)
What virus causes AIDS? - CORRECT CORRECT ANSWER -HIV - Human immunodeficiency virus
The AIDS virus invades helper . - CORRECT CORRECT ANSWER -T-lymphocytes (or CD4 cells)
