NCSBN TEST BANK FOR THE NCLEX RN AND
NCLEX PN PRACTICE QUESTION SET 2026
◉ Not able extend leg when thigh is flexed anteriorly at hip. Raise
child's leg with knee flexed & then extend the leg at knee & assess
for pain; resistance is noted or pain is felt, result is positive Kernig's
sign. Answer: Kernig's sign
◉ Neck flexion causes adduction & flexion movements lower
extremities children & adolescents Answer: Brudzinski's sign
◉ (extension) posturing characterized: rigid extension & pronation
of arms & legs. Abnormal extension upper extremities with internal
rotation of upper arms & wrists & extension of lower extremities
with some internal rotation. Indicates damage in diencephalon,
midbrain, or pons Answer: Decerebrate posturing
◉ (flexion) posturing; Abnormal flexion of upper extremities &
extension of lower extremities with possible plantar flexion of feet.
Indicates lesion in cerebral hemisphere or disruption of the
corticospinal tracts. Answer: Decorticate posturing
◉ supportive care, monitoring & managing cerebral edema.
Decrease stimuli environment quiet & dimmed lighting would
,decrease stress on cerebral tissue & neuron responses. Answer:
Reye's syndrome
◉ Assess hip instability. Abducts thigh & applies gentle pressure
forward over greater trochanter. A "clicking" sensation indicates
dislocated femoral head moving into acetabulum. Answer: Ortolani
maneuver
◉ confirmed by a p24 antigen assay, virus culture of HIV, or
polymerase chain reaction. Answer: Detection of HIV in infants
◉ Contains neomycin. History of anaphylactic reaction neomycin
considered a contraindication to IPV. Answer: Inactivated polio
vaccine (IPV)
◉ Administered subcutaneously outer aspect of upper arm Answer:
(MMR) vaccine
◉ Transmitted airborne particles or direct contact with infectious
droplets. Airborne droplet precautions required, & should wear
masks. Private room if hospitalized, & door remains closed. Standard
precautions used. Needs rest. consideration in rubeola is eye care.
Child usually has photophobia, suggest parent keep child out of
brightly lit areas. Answer: Rubeola (measles)
,◉ Move safe area away from snake & rest to decrease venom
circulation. Next jewelry & constricting clothing removed before
swelling occurs. Immobilize extremity & maintain below heart level
done next. Kept warm & calm. Stimulants alcohol/caffeinated
beverages not given: may speed absorption of venom Answer:
snakebite first priority intervention
◉ Infection dermis & underlying hypodermis: results in deep red
erythema without sharp borders & spreads widely throughout
tissue spaces. Skin is erythematous, edematous, tender, & sometimes
nodular. Antibiotic therapy; after blood cultures obtained. Warm
compresses to the affected area Answer: Cellulitis
◉ Lesions or patches appear as red, raised papules that may
coalesce into large plaques covered by silvery scales. Affected areas
include scalp, elbows, knees, shins, sacral area, & trunk. Incidence is
lower in darker-skinned races & ethnic groups. Answer: Psoriasis
◉ Pigmented malignant lesions originating melanin-producing cells
of epidermis. This skin cancer highly metastatic, & survival depends
on early diagnosis & treatment Answer: Melanoma
◉ The skin is intact in stage I. stage II, skin not intact. Partial-
thickness skin loss dermis. Shallow open ulcer with red-pink wound
bed, without slough or intact, open or ruptured, serum-filled blister.
Full-thickness skin loss occurs stage III. Exposed bone, tendon,
muscle present stage IV Answer: Pressure ulcers
, ◉ Early signs Periorbital edema, edema face, tightness of a shirt or
blouse collar. As worsens, experiences edema hands & arms.
Cyanosis & mental status changes are late signs. Answer: Superior
vena cava syndrome
◉ Classic symptoms polydipsia, polyuria, & polyphagia Answer:
Hyperglycemia
◉ Results from insufficient ADH production. Triad clinical symptoms
including polyuria, polydipsia, excessive thirst often occurs in client
with diabetes insipidus. Urine dilute, with specific gravity lower than
1.005, & urine osmolality low (50-200 mOsm/L). High serum
osmolality (>300 mOsm/kg of water). There is (insufficient ADH
production), which causes kidneys excrete large volumes of urine.
Answer: Diabetes insipidus
◉ Decreased blood glucose levels produce autonomic nervous
system symptoms, manifested as nervousness, irritability, &
tremors. Usually feels hunger. Profuse sweating & shakiness would
be noted Answer: Hypoglycemic reaction
◉ Caused by excessive amounts cortisol. Diet low carbohydrates &
sodium but ample protein/potassium encouraged. Promotes weight
loss, reduction edema & hypertension, control of hypokalemia,
rebuilding of wasted tissue. Appearance buffalo hump develop but
NCLEX PN PRACTICE QUESTION SET 2026
◉ Not able extend leg when thigh is flexed anteriorly at hip. Raise
child's leg with knee flexed & then extend the leg at knee & assess
for pain; resistance is noted or pain is felt, result is positive Kernig's
sign. Answer: Kernig's sign
◉ Neck flexion causes adduction & flexion movements lower
extremities children & adolescents Answer: Brudzinski's sign
◉ (extension) posturing characterized: rigid extension & pronation
of arms & legs. Abnormal extension upper extremities with internal
rotation of upper arms & wrists & extension of lower extremities
with some internal rotation. Indicates damage in diencephalon,
midbrain, or pons Answer: Decerebrate posturing
◉ (flexion) posturing; Abnormal flexion of upper extremities &
extension of lower extremities with possible plantar flexion of feet.
Indicates lesion in cerebral hemisphere or disruption of the
corticospinal tracts. Answer: Decorticate posturing
◉ supportive care, monitoring & managing cerebral edema.
Decrease stimuli environment quiet & dimmed lighting would
,decrease stress on cerebral tissue & neuron responses. Answer:
Reye's syndrome
◉ Assess hip instability. Abducts thigh & applies gentle pressure
forward over greater trochanter. A "clicking" sensation indicates
dislocated femoral head moving into acetabulum. Answer: Ortolani
maneuver
◉ confirmed by a p24 antigen assay, virus culture of HIV, or
polymerase chain reaction. Answer: Detection of HIV in infants
◉ Contains neomycin. History of anaphylactic reaction neomycin
considered a contraindication to IPV. Answer: Inactivated polio
vaccine (IPV)
◉ Administered subcutaneously outer aspect of upper arm Answer:
(MMR) vaccine
◉ Transmitted airborne particles or direct contact with infectious
droplets. Airborne droplet precautions required, & should wear
masks. Private room if hospitalized, & door remains closed. Standard
precautions used. Needs rest. consideration in rubeola is eye care.
Child usually has photophobia, suggest parent keep child out of
brightly lit areas. Answer: Rubeola (measles)
,◉ Move safe area away from snake & rest to decrease venom
circulation. Next jewelry & constricting clothing removed before
swelling occurs. Immobilize extremity & maintain below heart level
done next. Kept warm & calm. Stimulants alcohol/caffeinated
beverages not given: may speed absorption of venom Answer:
snakebite first priority intervention
◉ Infection dermis & underlying hypodermis: results in deep red
erythema without sharp borders & spreads widely throughout
tissue spaces. Skin is erythematous, edematous, tender, & sometimes
nodular. Antibiotic therapy; after blood cultures obtained. Warm
compresses to the affected area Answer: Cellulitis
◉ Lesions or patches appear as red, raised papules that may
coalesce into large plaques covered by silvery scales. Affected areas
include scalp, elbows, knees, shins, sacral area, & trunk. Incidence is
lower in darker-skinned races & ethnic groups. Answer: Psoriasis
◉ Pigmented malignant lesions originating melanin-producing cells
of epidermis. This skin cancer highly metastatic, & survival depends
on early diagnosis & treatment Answer: Melanoma
◉ The skin is intact in stage I. stage II, skin not intact. Partial-
thickness skin loss dermis. Shallow open ulcer with red-pink wound
bed, without slough or intact, open or ruptured, serum-filled blister.
Full-thickness skin loss occurs stage III. Exposed bone, tendon,
muscle present stage IV Answer: Pressure ulcers
, ◉ Early signs Periorbital edema, edema face, tightness of a shirt or
blouse collar. As worsens, experiences edema hands & arms.
Cyanosis & mental status changes are late signs. Answer: Superior
vena cava syndrome
◉ Classic symptoms polydipsia, polyuria, & polyphagia Answer:
Hyperglycemia
◉ Results from insufficient ADH production. Triad clinical symptoms
including polyuria, polydipsia, excessive thirst often occurs in client
with diabetes insipidus. Urine dilute, with specific gravity lower than
1.005, & urine osmolality low (50-200 mOsm/L). High serum
osmolality (>300 mOsm/kg of water). There is (insufficient ADH
production), which causes kidneys excrete large volumes of urine.
Answer: Diabetes insipidus
◉ Decreased blood glucose levels produce autonomic nervous
system symptoms, manifested as nervousness, irritability, &
tremors. Usually feels hunger. Profuse sweating & shakiness would
be noted Answer: Hypoglycemic reaction
◉ Caused by excessive amounts cortisol. Diet low carbohydrates &
sodium but ample protein/potassium encouraged. Promotes weight
loss, reduction edema & hypertension, control of hypokalemia,
rebuilding of wasted tissue. Appearance buffalo hump develop but
