Test Prep NCLEX-PN Exam
National Council Licensure Examination(NCLEX-PN) (Page 4 )

Updated On: 30-Jan-2026

You are performing a neurological assessment of your adolescent patient. The patient has the Moro reflex. How should you interpret this neurological assessment finding?

  1. It is normal among adolescents.
  2. It indicates that the patient has an intact peripheral nervous system.
  3. It indicates that the patient has an intact central nervous system.
  4. It is not a normal finding.

Answer(s): D

Explanation:

The Moro reflex is a primitive, childhood reflex that disappears long before adolescence and at about 3 months after birth. The Moro reflex is also referred to as the startle reflex.
Other primitive, infant reflexes are the sucking, rooting, step, tonic neck, Galant, grasp and parachute reflexes.



Which patient is most at risk for Osgood-Schlatter disease?

  1. An elderly female who is hospitalized with a hip fracture and on bedrest
  2. A middle aged male patient who has been exposed to asbestos in the shipping industry
  3. An adolescent who is physically active and the captain of their soccer team
  4. An infant of low birth weight and a gestational age of 28 weeks

Answer(s): C

Explanation:

An adolescent who is physically active and the captain of their soccer team is at greatest risk for Osgood- Schlatter disease which results from the overuse of the knee and is characterized with patellar tendon inflammation.
Other sports that can lead to this disease include running, basketball and gymnastics. Mesothelioma results from asbestos exposure.
Lastly, immobility, low birth weight and low gestational age are not associated with Osgood-Schlatter disease.



Your pediatric weighs 15.8 kg.
How many pounds does this child weigh?

  1. 36 pounds
  2. 33.6 pounds
  3. 35 pounds
  4. 34.8 pounds

Answer(s): D

Explanation:

Since there are 2.2 pound in one kilogram, you calculate the weight in pounds by multiplying 2.2 by the kg weight as below.



How many calories per kilogram does an average full term infant require when the infants is around 1-2 months old?

  1. 140 calories per kilogram per day
  2. 120 calories per kilogram per day
  3. 100 calories per kilogram per day
  4. 160 calories per kilogram per day

Answer(s): B

Explanation:

An average full-term newborn requires 120 calories per kilogram of weight each day to grow into a healthy child. For example, if a newborn weighs 4.55 kilograms, multiply 4.55 by 120. 546 calories would be what an infant should consume in one day.



Most water leaves the body by way of the ______________.

  1. lungs
  2. intestines
  3. skin
  4. kidneys

Answer(s): D

Explanation:

The kidneys, via urine, excrete approximately 60% of all water.
Water, in lesser volumes, also leaves the body by way of lung expiration, skin perspiration, and through the intestines.



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