NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is performing a neurologic assessment on a 1-day-old neonate. Which of the following findings would indicate possible asphyxia in utero? Select all that apply:
Correct Answer: C,D,F
Rationale: Failure of the toes to curl downward when the baby's soles are stroked and lack of response to a loud sound can be evidence that neurological damage from asphyxia has occurred. The normal responses would be that the toes curl downward with stroking and that the arms and legs extend in response to a loud noise. Weak, ineffective sucking is another sign of neurologic damage; a neonate should root and suck when the side of his cheek is stroked. A neonate should also grasp a person's finger when it's placed in the palm of his hand, do stepping movements when held upright with the soles touching a surface, and turn toward an object when his cheek is touched by it.
Question 2 of 5
An adult has low back pain. Which position is likely to be most comfortable for the client?
Correct Answer: C
Rationale: Side-lying with knees flexed reduces lumbar strain, easing low back pain. Prone, supine, or semi-sitting positions may exacerbate discomfort.
Extract:
When giving NG feeding, the nurse was observed of not checking the NGT placement prior to administering the feeding in spite of previous instructions from a colleague.
Question 3 of 5
Appropriate action taken at this time would include:
Correct Answer: C
Rationale: Reminding the colleague reinforces safe practice without escalating unnecessarily.
Extract:
Question 4 of 5
A parent asks the nurse about a 6 year-old child's apparent need for punishment following a series of misbehaviors. The child was diagnosed with rheumatic fever a few weeks ago. Which response is most appropriate?
Correct Answer: D
Rationale: A major manifestation of rheumatic fever that reflects central nervous system involvement is chorea. Early symptoms of chorea include behavior changes and clumsiness. Chorea is characterized by sudden, aimless, irregular movements of the extremities, involuntary facial grimaces, speech disturbances, emotional lability, and muscle weakness.
Question 5 of 5
A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurse's teaching about discontinuing the medication?
Correct Answer: C
Rationale: Gradual tapering, as described, prevents withdrawal symptoms from benzodiazepines like Xanax. The other statements reflect misunderstandings about safe discontinuation. Psychosocial Integrity