Number: NCLEX-PN
Passing Score: 800
Time Limit: 120 min
File Version: 12.5
NCLEX-PN
National Council Licensure Examination
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,NCLEX-PN
QUESTION 1
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six
months. The nurse should assess the woman for other symptoms of:
A. climacteric.
B. menopause.
C. perimenopause.
D. postmenopause.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Perimenopause refers to a period of time in which hormonal changes occur gradually, ovarian function
diminishes, and menses become irregular. Perimenopause lasts approximately five years.
Climacteric is a term
applied to the period of life in which physiologic changes occur and result in cessation of a woman's
reproductive
ability and lessened sexual activity in males. The term applies to both genders. Climacteric and menopause
are
interchangeable terms when used for females. Menopause is the period when permanent cessation of
menses has
occurred. Postmenopause refers to the period after the changes accompanying menopause are
complete.Health
Promotion and Maintenance
QUESTION 2
When obtaining a health history on a menopausal woman, which information should a nurse recognize as a
contraindication for hormone replacement therapy?
A. family history of stroke
B. ovaries removed before age 45
C. frequent hot flashes and/or night sweats
D. unexplained vaginal bleeding
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Unexplained vaginal bleeding is a contraindication for hormone replacement therapy. Family history of
stroke is not a contraindication for hormone replacement therapy. If the woman herself had a history of
stroke or
other blood-clotting events, hormone therapy could be contraindicated. Frequent hot flashes and/or night
sweats
can be relieved by hormone replacement therapy.Health Promotion and Maintenance
QUESTION 3
Which of the following statements, if made by the parents of a newborn, does not indicate a need for
further teaching about cord care?
A. "I should put alcohol on my baby's cord 34 times a day."
B. "I should put the baby's diaper on so that it covers the cord."
C. "I should call the physician if the cord becomes dark."
,D. "I should wash my hands before and after I take care of the cord."
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Parents should be taught to wash their hands before and after providing cord care. This prevents
transferring
pathogens to and from the cord. Folding the diaper below the cord exposes the cord to air and allows for
drying.
It also prevents wet or soiled diapers from coming into contact with the cord. Current recommendations
include
cleaning the area around the cord 34 times a day with a cotton swab but do not include putting alcohol or
other
antimicrobials on the cord. It is normal for the cord to turn dark as it dries.Health Promotion and
Maintenance
QUESTION 4
The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions
should the nurse include?
A. Use the defrost setting on microwave ovensto warm bottles.
B. When refrigerating formula, don't feed the baby partially used bottles after 24 hours.
C. When using formula concentrate, mix two parts water and one part concentrate.
D. If a portion of one bottle is left for the next feeding, go ahead and add new formula to fill it.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Parents must be careful when warming bottles in a microwave oven because the milk can become
superheated.
When a microwave oven is used, the defrost setting should be chosen, and the temperature of the formula
should
be checked before giving it to the baby. Refrigerated, partially used bottles should be discarded after 4
hours
because the baby might have introduced some pathogens into the formula. Returning the bottle to the
refrigerator
does not destroy pathogens. Formula concentrate and water are usually mixed in a 1:1 ratio of one part
concentrate
and one part water. Infants should be offered fresh formula at each feeding. Partially used bottles should
not have
fresh formula added to them. Pathogens can grow in partially used bottles of formula and be transferred to
the new
formula.Health Promotion and Maintenance
QUESTION 5
The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse
expect to examine?
A. 6
B. 8
C. 12
D. 16
Correct Answer: C
, Section: (none)
Explanation
Explanation/Reference:
Explanation:
In wgeneral, wchildren wbegin wdentition waround w6 wmonths wof wage. wDuring wthe wfirst w2 wyears wof
wlife, wa wquick wguide wto wthe wnumber wof wteeth wa wchild wshould whave wis was wfollows: wSubtract
wthe wnumber w6 wfrom wthe wnumber wof wmonths win wthe
age wof wthe wchild. wIn wthis wexample, wthe wchild wis w18 wmonths wold, wso wthe wformula wis w18 w 6
w= w12. wAn w18-month-old wchild
should whave wapproximately w12 wteeth.Health wPromotion wand wMaintenance
QUESTION w6
Which wof wthe wfollowing wphysical wfindings windicates wthat wan w1112-month-old wchild wis wat wrisk wfor
wdevelopmental wdysplasia wof wthe whip?
A. refusal wto wwalk
B. not wpulling wto wa wstanding wposition
C. negative wTrendelenburg wsign
D. negative wOrtolani wsign
Correct wAnswer:
wB wSection:
w(none)
wExplanation
Explanation/Reference:
Explanation:
The wnurse wmight wbe wconcerned wabout wdevelopmental wdysplasia wof wthe whip wif wan w1112-month-
old wchild wdoesn't wpull wto wa wstanding wposition. wAn winfant wwho wdoes wnot wwalk wby w15 wmonths
wof wage wshould wbe wevaluated. wChildren wshould wstart wwalking wbetween w1115 wmonths wof wage.
wTrendelenberg wsign wis wrelated wto wweakness wof wthe wgluteus
medius wmuscle, wnot whip wdysplasia. wOrtolani wsign wis wused wto widentify wcongenital wsubluxation wor
wdislocation wof wthe
hip win winfants.Health wPromotion wand wMaintenance
QUESTION w7
When wadministering wintravenous welectrolyte wsolution, wthe wnurse wshould wtake wwhich wof wthe
wfollowing wprecautions?
A. Infuse whypertonic wsolutions wrapidly.
B. Mix wno wmore wthan w80 wmEq wof wpotassium wper wliter wof wfluid.
C. Prevent winfiltration wof wcalcium, wwhich wcauses wtissue wnecrosis wand wsloughing.
D. As wappropriate, wreevaluate wthe wclient's wdigitalis wdosage. wHe wmight wneed wan wincreased
wdosage wbecause wIV wcalcium wdiminishes wdigitalis's waction.
Correct wAnswer:
wC wSection:
w(none)
wExplanation
Explanation/Reference:
Explanation: