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Free Test Prep NCLEX-PN Exam Questions (page: 44)

Page 44 of 254
PDF with 1015 Questions

The mnemonic “PERLA” is useful for the assessment of the eyes. What does PERLA stand for?

  1. Pupils equally reactive to light and accommodation
  2. Patient eyes are equally recessed and responsive to light and acuity
  3. Patient eyes are equally responsive to light and acuity
  4. Pupils equally reactive to light and acuity

Answer(s): A

Explanation:

The mnemonic “PERLA” stands for pupils equally reactive to light and accommodation, not acuity. Visual acuity is tested with the Snellen Chart among adult patients.



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.



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