Test Prep NCLEX-PN Exam (page: 22)
Test Prep National Council Licensure Examination(NCLEX-PN)
Updated on: 31-Mar-2026

Viewing Page 22 of 204

The nurse is assessing the newborn’s respirations.

Which of these findings would indicate a need for follow-up and further intervention?

  1. irregular respirations
  2. shallow respirations
  3. 70 breaths per minute
  4. abdominal respirations

Answer(s): C



Which of these is not one of the items in the APGAR Score?

  1. skin color
  2. muscle tone
  3. respiratory rate
  4. reflex irritability

Answer(s): C



The nurse is caring for a patient who has dysphagia related to a stroke. The nurse works with the patient to explain what food and beverages might minimize aspiration.

What is this an example of?

  1. primary prevention
  2. tertiary prevention
  3. health promotion
  4. secondary prevention

Answer(s): B



A newborn baby exhibits a reflex that includes: hand opening, abducted and extended extremities following a jarring motion.

Which of the following correctly identifies the reflex?

  1. ATNR reflex
  2. Startle reflex
  3. Grasping reflex
  4. Moro reflex

Answer(s): D

Explanation:

The moro reflex has all of the listed characteristics.



A mother that has never breast-feed a child before is having trouble getting the baby to latch on to the breast. The baby has lost 3% of its’ birth weight within the first 2 days of life.

The best statement is ______________.

  1. the baby will eventually take to the breast
  2. I can fix up a bottle if you want to try that
  3. a small amount of weight loss in the first few days is normal
  4. I can get the charge nurse to come and talk to you about breast-feeding

Answer(s): C

Explanation:

5-10% of birth weight loss following birth is normal for the first few days of life.



Viewing Page 22 of 204



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