2020/2021 NCLEX-PN

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? A. Alteration in cerebral tissue perfusion B. Fluid volume deficit C. Ineffective airway clearance D. Alteration in sensory perception 15. Which information obtained from the visit to a client with hemophilia would cause the most concern? The client: A. Likes to play football B. Drinks several carbonated drinks per day C. Has two sisters with sickle cell tract D. Is taking acetaminophen to control pain 16. The nurse on oncology is caring for a client with a white blood count of 800, a platelet count of 150,000, and a red blood cell count of 250,000. During evening visitation, a visitor is noted to be coughing and sneezing. What action should the nurse take? A. Ask the visitor to wash his hands B. Document the visitor’s condition in the chart C. Ask the visitor to leave and not return until the client’s white blood cell count is 1,000 D. Provide the visitor with a mask and gown 17. The nurse is caring for the client admitted after trauma to the neck in an automobile accident. The client suddenly becomes unresponsive and pale, with a BP of 60 systolic. The initial nurse’s action should be to: A. Place the client in Trendelenburg position B. Increase the infusion of normal saline C. Administer atropine IM D. Obtain a crash cart 18. Immediately following the removal of a chest tube, the nurse would: A. Order a chest x-ray B. Take the blood pressure C. Cover the insertion site with a Vaseline gauze D. Ask the client to perform the Valsalva maneuver 19. A client being treated with sodium warfarin has an INR of 9.0. Which