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NCLEX-PN Exam Questions - Part 106
1. Which of the following developmental milestones for a 6-month-old child should be screened by the nurse during a routine office visit?
A) standing while holding something
B) rolling over
C) sitting up
D) creeping
2. During the health screening of an adolescent, which finding by the nurse requires further teaching?
A) The client started her first menses 2 years ago.
B) The client states she is currently on birth control pills.
C) The client states she recently lost 5 pounds.
D) The client states she is experiencing growing pains.
3. A mother brings her 1-year-old child to the clinic. The child has no record of previous immunizations, and the mother confirms the child has not been immunized.Teaching by the nurse should include which of the following?
A) Immunizations may be started at any age.
B) The recommended immunization schedule must be followed exactly.
C) If a primary series of immunizations is interrupted, the series must be restarted.
D) This child is at increased risk for reaction to the vaccines, when they are started.
4. Which of the following vaccines is a live virus?
A) varicella
B) IPV
C) DTaP
D) hepatitis B
5. The nurse provides a postoperative client with an analgesic medication and darkens the room before the client goes to sleep for the night. The nurse - s actions:
A) help the client - s circadian rhythm.
B) stimulate hormonal changes in the brain.
C) decrease stimuli from the cerebral cortex.
D) alert the hypothalamus in the brain.
A) standing while holding something
B) rolling over
C) sitting up
D) creeping
2. During the health screening of an adolescent, which finding by the nurse requires further teaching?
A) The client started her first menses 2 years ago.
B) The client states she is currently on birth control pills.
C) The client states she recently lost 5 pounds.
D) The client states she is experiencing growing pains.
3. A mother brings her 1-year-old child to the clinic. The child has no record of previous immunizations, and the mother confirms the child has not been immunized.Teaching by the nurse should include which of the following?
A) Immunizations may be started at any age.
B) The recommended immunization schedule must be followed exactly.
C) If a primary series of immunizations is interrupted, the series must be restarted.
D) This child is at increased risk for reaction to the vaccines, when they are started.
4. Which of the following vaccines is a live virus?
A) varicella
B) IPV
C) DTaP
D) hepatitis B
5. The nurse provides a postoperative client with an analgesic medication and darkens the room before the client goes to sleep for the night. The nurse - s actions:
A) help the client - s circadian rhythm.
B) stimulate hormonal changes in the brain.
C) decrease stimuli from the cerebral cortex.
D) alert the hypothalamus in the brain.
1. Right Answer: B
Explanation: Rolling over occurs between 4 and 6 months of age. Sitting up occurs between 7 and 8 months, creeping between 9 and 10 months, and standing between 8 and10 months. Health Promotion and Maintenance
2. Right Answer: B
Explanation: Because the client is on the pill, she requires further teaching regarding protection against STDs. The other findings are not abnormal for an adolescent. HealthPromotion and Maintenance
3. Right Answer: A
Explanation: While a recommended immunization schedule exists, immunizations may be started at any age. An interrupted series may be continued and need not be restarted. There is no increased risk for reaction to vaccines due to delay. Health Promotion and Maintenance
4. Right Answer: A
Explanation: Varicella is a live virus, as is OPV. IPV is an inactivated polio vaccine. Health Promotion and Maintenance
5. Right Answer: C
Explanation: Reduction of environmental stimuli (particularly light and noise) from the cerebral cortex (which can be an area of arousal) facilitates sleep. Sleep occurs when there is a decreased input into this area. Basic Care and Comfort
Explanation: Rolling over occurs between 4 and 6 months of age. Sitting up occurs between 7 and 8 months, creeping between 9 and 10 months, and standing between 8 and10 months. Health Promotion and Maintenance
2. Right Answer: B
Explanation: Because the client is on the pill, she requires further teaching regarding protection against STDs. The other findings are not abnormal for an adolescent. HealthPromotion and Maintenance
3. Right Answer: A
Explanation: While a recommended immunization schedule exists, immunizations may be started at any age. An interrupted series may be continued and need not be restarted. There is no increased risk for reaction to vaccines due to delay. Health Promotion and Maintenance
4. Right Answer: A
Explanation: Varicella is a live virus, as is OPV. IPV is an inactivated polio vaccine. Health Promotion and Maintenance
5. Right Answer: C
Explanation: Reduction of environmental stimuli (particularly light and noise) from the cerebral cortex (which can be an area of arousal) facilitates sleep. Sleep occurs when there is a decreased input into this area. Basic Care and Comfort
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