12/7/25, 12:34 PM NURS 232 Unit 5 Wk 1 and Wk 2 NCLEX Review Questions - Tested on Final Exam
NURS 232 Unit 5 Wk 1 and Wk 2 NCLEX Review
Questions - Tested on Final Exam 2026
1/100
,12/7/25, 12:34 PM NURS 232 Unit 5 Wk 1 and Wk 2 NCLEX Review Questions - Tested on Final Exam
1
The nurse is assessing a 7-
year-old child with trisomy
21 (Down syndrome).
Which would the nurse be
least likely to assess?
1. Inspection finds the nasal
passages clear and open.
2. Auscultation reveals a
definite heart murmur.
3. Palpation indicates that
the child may be
constipated.
4. The child is significantly
underweight.
Rationale: It is LEAST LIKELY that the nurse would find
the child's nasal passages clear and open. Children with
trisomy 21 (Down syndrome) have chronically stuffy
noses due to underdeveloped nasal bones. Typically,
children with Down syndrome are overweight. Children
with Down syndrome often experience digestive
problems such as constipation. Children with Down
syndrome often experience cardiac problems, such
as a heart murmur.
2/100
,12/7/25, 12:34 PM NURS 232 Unit 5 Wk 1 and Wk 2 NCLEX Review Questions - Tested on Final Exam
3
Parents have just given
birth to a child diagnosed
with trisomy 21 (Down
syndrome). The couple are
parents of three other
children under the age of 8
years old with no genetic
disorders. What would be a
priority nursing diagnosis
at this time?
1. Decisional conflict
2. Interrupted family processes
3. Deficient knowledge
regarding trisomy 21
4. Risk for delayed
growth and
development
Rationale: Based on the child just being born and the
parents dealing with three other children, the highest
priority is Deficient knowledge regarding trisomy 21,
followed by interrupted family processes.
3/100
, 12/7/25, 12:34 PM NURS 232 Unit 5 Wk 1 and Wk 2 NCLEX Review Questions - Tested on Final Exam
2
A nurse is describing the
underlying cause of trisomy
21 (Down syndrome) to a
group of parents,
integrating knowledge that
the disorder is due to:
1. deletion.
2. nondisjunction.
3. duplication.
4. translocation.
Rationale: Trisomy 21 (Down syndrome) is a disorder
caused by nondisjunction or error in cell division. It
is not due to the loss of a portion of the
chromosome (deletion), an extra segment being
present (duplication), or transfer of one part of the
chromosome to another (translocation).
4/100
NURS 232 Unit 5 Wk 1 and Wk 2 NCLEX Review
Questions - Tested on Final Exam 2026
1/100
,12/7/25, 12:34 PM NURS 232 Unit 5 Wk 1 and Wk 2 NCLEX Review Questions - Tested on Final Exam
1
The nurse is assessing a 7-
year-old child with trisomy
21 (Down syndrome).
Which would the nurse be
least likely to assess?
1. Inspection finds the nasal
passages clear and open.
2. Auscultation reveals a
definite heart murmur.
3. Palpation indicates that
the child may be
constipated.
4. The child is significantly
underweight.
Rationale: It is LEAST LIKELY that the nurse would find
the child's nasal passages clear and open. Children with
trisomy 21 (Down syndrome) have chronically stuffy
noses due to underdeveloped nasal bones. Typically,
children with Down syndrome are overweight. Children
with Down syndrome often experience digestive
problems such as constipation. Children with Down
syndrome often experience cardiac problems, such
as a heart murmur.
2/100
,12/7/25, 12:34 PM NURS 232 Unit 5 Wk 1 and Wk 2 NCLEX Review Questions - Tested on Final Exam
3
Parents have just given
birth to a child diagnosed
with trisomy 21 (Down
syndrome). The couple are
parents of three other
children under the age of 8
years old with no genetic
disorders. What would be a
priority nursing diagnosis
at this time?
1. Decisional conflict
2. Interrupted family processes
3. Deficient knowledge
regarding trisomy 21
4. Risk for delayed
growth and
development
Rationale: Based on the child just being born and the
parents dealing with three other children, the highest
priority is Deficient knowledge regarding trisomy 21,
followed by interrupted family processes.
3/100
, 12/7/25, 12:34 PM NURS 232 Unit 5 Wk 1 and Wk 2 NCLEX Review Questions - Tested on Final Exam
2
A nurse is describing the
underlying cause of trisomy
21 (Down syndrome) to a
group of parents,
integrating knowledge that
the disorder is due to:
1. deletion.
2. nondisjunction.
3. duplication.
4. translocation.
Rationale: Trisomy 21 (Down syndrome) is a disorder
caused by nondisjunction or error in cell division. It
is not due to the loss of a portion of the
chromosome (deletion), an extra segment being
present (duplication), or transfer of one part of the
chromosome to another (translocation).
4/100
