NCLEX PN TEST PREP V3 ACTUAL QUESTION AND
ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1
ALREADY GRADED A+.
• A client is sent to the psychiatric unit for forensic evaluation
after he is accused of arson. His tentative diagnosis is antisocial
personality disorder. In reviewing the client’s record, the nurse
could expect to find:
A. A history of consistent employment
B. A below-average
intelligence C. A history of
cruelty to animals
D. An expression of remorse for his actions
Answer C: A history of cruelty to people and animals, truancy,
setting fires, and lack of guilt or remorse are associated with a
diagnosis of conduct disorder in children, which becomes a
diagnosis of antisocial personality disorder in adults. Answer A is
incorrect because the client with antisocial personality disorder
does not hold consistent employment. Answer B is incorrect
because the IQ is usually higher than average. Answer D is
incorrect because of a lack of guilt or remorse for wrong-doing.
• The licensed vocational nurse may not assume the primary
care for a client:
A. In the fourth stage of labor
,NCLEX PN TEST PREP V3 ACTUAL QUESTION AND
ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1
ALREADY GRADED A+.
B. Two days post-
appendectomy C. With a
venous access device
D. With bipolar disorder
Answer C: The licensed vocational nurse may not assume
primary care of the client with a central venous access device.
The licensed vocational nurse may care for the client in labor, the
client post-operative client, and the client with bipolar disorder;
therefore, answers A, B, and D are incorrect.
• The physician has ordered dressings with mafenide acetate
(Sulfamylon) cream for a client with full-thickness burns of the
hands and arms. Before dressing changes, the nurse should give
priority to:
A. Administering pain medication
B. Checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick
Answer A: Sulfamylon (mafenide acetate) produces a painful
sensation when applied to the burn wound; therefore, the client
should receive pain medication before dressing changes. Answers
B, C, and D do not pertain to dressing changes for the client with
,NCLEX PN TEST PREP V3 ACTUAL QUESTION AND
ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1
ALREADY GRADED A+.
burns, so they are incorrect.
• The nurse is teaching a group of parents about gross motor
development of the toddler. Which behavior is an example of the
normal gross motor skill of
a toddler?
A. She can pull a toy behind her.
B. She can copy a horizontal line.
C. She can build a tower of eight blocks.
D. She can broad-jump.
Answer A: According to the Denver Developmental Screening Test, the
, NCLEX PN TEST PREP V3 ACTUAL QUESTION AND
ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1
ALREADY GRADED A+.
child can pull a toy behind her by age 2 years. Answers B, C, and D
are not accomplished until ages 4–5 years; therefore, they are
incorrect.
• A client hospitalized with a fractured mandible is to be
discharged. Which piece of equipment should be kept on the
client with a fractured mandible? A. Wire cutters
B. Oral airway
C. Pliers
D. Tracheostomy set
Answer A: The client with a fractured mandible should keep a
pair of wire cutters with him at all times to release the device in
case of choking or aspiration. Answer B is incorrect because the
wires would prevent insertion of an oral airway. Answer C is
incorrect because it would be of no use in releasing the wires.
Answer D is incorrect because it would be used only as a last resort
in case of airway obstruction.
• The nurse is to administer digoxin (Lanoxin) elixir to a 6-
month-old with a congenital heart defect. The nurse auscultates
an apical pulse rate of 100. The nurse should:
A. Record the heart rate and call the physician
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