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NCLEX-PN Exam Questions - Part 135

Jenny Clarke

Mon, 10 Feb 2025

1. A nurse is working in a pediatric clinic and a 25 year-old mother comes in with a 4 week-old baby. The mother is stress out about loss of sleep and the baby exhibits signs of colic. Which of the following techniques should the nurse teach the mother?

A) Distraction of the infant with a red object
B) Prone positioning techniques
C) Tapping reflex techniques
D) Neural warmth techniques



2. A nurse is working in a pediatric clinic and a mother brings in her 13 month old child who has Down Syndrome. The mother reports, 'My child - s muscles feel weak and he isn - t moving well. My RN friend check his reflexes and she said they are diminished.' Which of the following actions should the nurse take first?

A) Contact the physician immediately
B) Have the patient go to X-ray for a c-spine work-up.
C) Start an IV on the patient
D) Position the child - s neck in a neutral position



3. A nurse is reviewing a patients arterial blood gas values. Which of the following conditions apply under the following values? pH- 7.49Bicarbonate ion 24 mEq/dl -PaCO2 31 mmHg -PaO2 52 mmHg -FiO2 - .22 -

A) respiratory acidosis
B) respiratory alkalosis
C) metabolic acidosis
D) metabolic alkalosis



4. A 28 year-old male has a diagnosis of AIDS. The patient has had a two year history of AIDS. The most likely cognitive deficits include which of the following?

A) Disorientation
B) Sensory changes
C) Inability to produce sound
D) Hearing deficits



5. A patient has been admitted to the hospital with a HNP L4-5 segment diagnosis. After 24 hours the patient is able to ambulate with assistance with reduced muscle spasms. Which of the following medications was the most beneficial in changing the patients mobility status?

A) Mivacron
B) Atropine
C) Bethanechol
D) Flexeril



1. Right Answer: D
Explanation: Neural warmth will help to lower the babys agitation level.

2. Right Answer: D
Explanation: An atlanto-axial dislocation may have occurred. Position the child in a neutral c-spine posture and then contact the doctor immediately.

3. Right Answer: B
Explanation: Elevated pH and low CO2 level indicate respiratory alkalosis, no compensation is noted.

4. Right Answer: A
Explanation: Cognitive changes may include confusion and disorientation.

5. Right Answer: D
Explanation: Flexeril is a muscle relaxant for acute muscle pain and spasms.

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