TEST MODE
2020/2021 NCLEX-PN Test Prep
Questions and Answers with Explanations
PRACTICE EXAM 3 [TEST MODE]
1. A papular lesion is noted on the perineum of the laboring client.
Which initial action is most appropriate?
A. Document the finding
B. Report the finding to the doctor
C. Prepare the client for a C-section
D. Continue primary care as prescribed
2. A client with a diagnosis of human papillomavirus (HPV) is at risk
for which of the following?
A. Lymphoma
B. Cervical and vaginal cancer
C. Leukemia
D. Systemic lupus
3. The client seen in the family planning clinic tells the nurse that she has a
painful lesion on the perineum. The nurse is aware that the most likely
source of the lesion is:
A. Syphilis
B. Herpes
C. Candidiasis
D. Condylomata
4. A client visiting a family planning clinic is suspected of having an
STI. The most diagnostic test for treponema pallidum is:
A. Venereal Disease Research Lab (VDRL)
B. Rapid plasma reagin (RPR)
C. Florescent treponemal antibody (FTA)
D. Thayer-Martin culture (TMC)
5. Which laboratory finding is associated with HELLP syndrome in the
,obstetric client?
A. Elevated blood glucose
B. Elevated platelet count
C. Elevated creatinine clearance
D. Elevated hepatic enzymes
6. The nurse is assessing the deep tendon reflexes of the client
with hypomagnesemia. Which method is used to elicit the biceps
reflex?
A. The nurse places her thumb on the muscle inset in the antecubital
space and taps the thumb briskly with the reflex hammer.
B. The nurse loosely suspends the client’s arm in an open hand while
tapping the back of the client’s elbow.
C. The nurse instructs the client to dangle her legs as the nurse strikes
the area below the patella with the blunt side of the reflex hammer.
D. The nurse instructs the client to place her arms loosely at her side as
the nurse strikes the muscle insert just above the wrist.
7. Which medication should be used with caution in the obstetric client
with diabetes?
A. Magnesium sulfate
B. Brethine
C. Stadol
D. Ancef
8. A multigravida is scheduled for an amniocentesis at 32 weeks gestation
to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is
1:1. The nurse’s assessment of this data is:
A. The infant is at low risk for congenital anomalies.
B. The infant is at high risk for intrauterine growth retardation.
C. The infant is at high risk for respiratory distress syndrome.
D. The infant is at high risk for birth trauma.
9. Which observation in the newborn of a mother who is alcohol
dependent would require immediate nursing intervention?
A. Crying
B. Wakefulness
, C. Jitteriness
D. Yawning
10. The nurse caring for a client receiving magnesium sulfate must closely
observe for side effects associated with drug therapy. An expected side
effect of magnesium sulfate is:
A. Decreased urinary output
B. Hypersomnolence
C. Absence of knee jerk reflex
D. Decreased respiratory rate
11. The 57-year-old male client has elected to have epidural anesthesia as
the anesthetic during a hernia repair. If the client experiences hypotension,
the nurse would:
A. Place him in the Trendelenburg position
B. Obtain an order for Benedryl
C. Administer oxygen per nasal cannula
D. Speed the IV infusion of normal saline
12. A client has cancer of the pancreas. The nurse should be most
concerned with which nursing diagnosis?
A. Alteration in nutrition
B. Alteration in bowel elimination
C. Alteration in skin integrity
D. Ineffective individual coping
13. The nurse is caring for a client with ascites. Which is the best method
to use for determining early ascites?
A. Inspection of the abdomen for enlargement
B. Bimanual palpation for hepatomegaly
C. Daily measurement of abdominal girth
D. Assessment for a fluid wave
14. The client arrives in the emergency department after a motor vehicle
accident. Nursing assessment findings include BP 80/34, pulse rate 120,
and respirations 20. Which is the client’s most appropriate priority nursing
diagnosis?
2020/2021 NCLEX-PN Test Prep
Questions and Answers with Explanations
PRACTICE EXAM 3 [TEST MODE]
1. A papular lesion is noted on the perineum of the laboring client.
Which initial action is most appropriate?
A. Document the finding
B. Report the finding to the doctor
C. Prepare the client for a C-section
D. Continue primary care as prescribed
2. A client with a diagnosis of human papillomavirus (HPV) is at risk
for which of the following?
A. Lymphoma
B. Cervical and vaginal cancer
C. Leukemia
D. Systemic lupus
3. The client seen in the family planning clinic tells the nurse that she has a
painful lesion on the perineum. The nurse is aware that the most likely
source of the lesion is:
A. Syphilis
B. Herpes
C. Candidiasis
D. Condylomata
4. A client visiting a family planning clinic is suspected of having an
STI. The most diagnostic test for treponema pallidum is:
A. Venereal Disease Research Lab (VDRL)
B. Rapid plasma reagin (RPR)
C. Florescent treponemal antibody (FTA)
D. Thayer-Martin culture (TMC)
5. Which laboratory finding is associated with HELLP syndrome in the
,obstetric client?
A. Elevated blood glucose
B. Elevated platelet count
C. Elevated creatinine clearance
D. Elevated hepatic enzymes
6. The nurse is assessing the deep tendon reflexes of the client
with hypomagnesemia. Which method is used to elicit the biceps
reflex?
A. The nurse places her thumb on the muscle inset in the antecubital
space and taps the thumb briskly with the reflex hammer.
B. The nurse loosely suspends the client’s arm in an open hand while
tapping the back of the client’s elbow.
C. The nurse instructs the client to dangle her legs as the nurse strikes
the area below the patella with the blunt side of the reflex hammer.
D. The nurse instructs the client to place her arms loosely at her side as
the nurse strikes the muscle insert just above the wrist.
7. Which medication should be used with caution in the obstetric client
with diabetes?
A. Magnesium sulfate
B. Brethine
C. Stadol
D. Ancef
8. A multigravida is scheduled for an amniocentesis at 32 weeks gestation
to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is
1:1. The nurse’s assessment of this data is:
A. The infant is at low risk for congenital anomalies.
B. The infant is at high risk for intrauterine growth retardation.
C. The infant is at high risk for respiratory distress syndrome.
D. The infant is at high risk for birth trauma.
9. Which observation in the newborn of a mother who is alcohol
dependent would require immediate nursing intervention?
A. Crying
B. Wakefulness
, C. Jitteriness
D. Yawning
10. The nurse caring for a client receiving magnesium sulfate must closely
observe for side effects associated with drug therapy. An expected side
effect of magnesium sulfate is:
A. Decreased urinary output
B. Hypersomnolence
C. Absence of knee jerk reflex
D. Decreased respiratory rate
11. The 57-year-old male client has elected to have epidural anesthesia as
the anesthetic during a hernia repair. If the client experiences hypotension,
the nurse would:
A. Place him in the Trendelenburg position
B. Obtain an order for Benedryl
C. Administer oxygen per nasal cannula
D. Speed the IV infusion of normal saline
12. A client has cancer of the pancreas. The nurse should be most
concerned with which nursing diagnosis?
A. Alteration in nutrition
B. Alteration in bowel elimination
C. Alteration in skin integrity
D. Ineffective individual coping
13. The nurse is caring for a client with ascites. Which is the best method
to use for determining early ascites?
A. Inspection of the abdomen for enlargement
B. Bimanual palpation for hepatomegaly
C. Daily measurement of abdominal girth
D. Assessment for a fluid wave
14. The client arrives in the emergency department after a motor vehicle
accident. Nursing assessment findings include BP 80/34, pulse rate 120,
and respirations 20. Which is the client’s most appropriate priority nursing
diagnosis?
