®
NCLEX-RN
Practice
Questions
Second Edition
Wilda Rinehart
Diann Sloan
Clara Hurd
, CHAP T ER 1 ONE
Practice Exam 1 and
Rationales
i
1. A client with a diagnosis of passive-aggressive personality disorder Quick Answer: 52
is seen at the local mental health clinic. A common characteristic of Detailed Answer: 55
persons with passive-aggressive personality disorder is:
❍ A. Superior intelligence
❍ B. Underlying hostility
❍ C. Dependence on others
❍ D. Ability to share feelings
2. The client is admitted for evaluation of aggressive behavior and Quick Answer: 52
diagnosed with antisocial personality disorder. A key part of the Detailed Answer: 55
care of such clients is:
❍ A. Setting realistic limits
❍ B. Encouraging the client to express remorse for behavior
❍ C. Minimizing interactions with other clients
❍ D. Encouraging the client to act out feelings of rage
3. An important intervention in monitoring the dietary compliance of Quick Answer: 52
a client with bulimia is:
Detailed Answer: 55
❍ A. Allowing the client privacy during mealtimes
❍ B. Praising her for eating all her meal
❍ C. Observing her for 1–2 hours after meals
❍ D. Encouraging her to choose foods she likes and to eat
in moderation
4. Assuming that all have achieved normal cognitive and emotional
Quick Answer: 52
development, which of the following children is at greatest risk for
accidental poisoning? Detailed Answer: 55
❍ A. A 6-month-old
❍ B. A 4-year-old
❍ C. A 12-year-old
❍ D. A 13-year-old
,
, 2 Chapter 2
i
5. Which of the following examples represents parallel play?
Detailed Answer: 55
❍ A. Jenny and Tommy share their toys.
❍ B. Jimmy plays with his car beside Mary, who is playing with
her doll.
❍ C. Kevin plays a game of Scrabble with Kathy and Sue.
❍ D. Mary plays with a handheld game while sitting in her
mother’s lap.
6. The nurse is ready to begin an exam on a 9-month-old infant. The child Quick Answer: 52
is sitting in his mother’s lap. Which should the nurse do first? Detailed Answer: 55
❍ A. Check the Babinski reflex
❍ B. Listen to the heart and lung sounds
❍ C. Palpate the abdomen
❍ D. Check tympanic membranes
7. In terms of cognitive development, a 2-year-old would be expected to: Quick Answer: 52
Detailed Answer: 55
❍ A. Think abstractly
❍ B. Use magical thinking
❍ C. Understand conservation of matter
❍ D. See things from the perspective of others
8. Which of the following best describes the language of a 24-month-old? Quick Answer: 52
Detailed Answer: 55
❍ A. Doesn’t understand yes and no
❍ B. Understands the meaning of words
❍ C. Able to verbalize needs
❍ D. Asks “why?” to most statements
9. A client who has been receiving urokinase has a large bloody bowel move-
Quick Answer: 52
ment. Which action would be best for the nurse to take immediately?
Detailed Answer: 56
❍ A. Administer vitamin K IM
❍ B. Stop the urokinase
❍ C. Reduce the urokinase and administer heparin
❍ D. Stop the urokinase and call the doctor
NCLEX-RN
Practice
Questions
Second Edition
Wilda Rinehart
Diann Sloan
Clara Hurd
, CHAP T ER 1 ONE
Practice Exam 1 and
Rationales
i
1. A client with a diagnosis of passive-aggressive personality disorder Quick Answer: 52
is seen at the local mental health clinic. A common characteristic of Detailed Answer: 55
persons with passive-aggressive personality disorder is:
❍ A. Superior intelligence
❍ B. Underlying hostility
❍ C. Dependence on others
❍ D. Ability to share feelings
2. The client is admitted for evaluation of aggressive behavior and Quick Answer: 52
diagnosed with antisocial personality disorder. A key part of the Detailed Answer: 55
care of such clients is:
❍ A. Setting realistic limits
❍ B. Encouraging the client to express remorse for behavior
❍ C. Minimizing interactions with other clients
❍ D. Encouraging the client to act out feelings of rage
3. An important intervention in monitoring the dietary compliance of Quick Answer: 52
a client with bulimia is:
Detailed Answer: 55
❍ A. Allowing the client privacy during mealtimes
❍ B. Praising her for eating all her meal
❍ C. Observing her for 1–2 hours after meals
❍ D. Encouraging her to choose foods she likes and to eat
in moderation
4. Assuming that all have achieved normal cognitive and emotional
Quick Answer: 52
development, which of the following children is at greatest risk for
accidental poisoning? Detailed Answer: 55
❍ A. A 6-month-old
❍ B. A 4-year-old
❍ C. A 12-year-old
❍ D. A 13-year-old
,
, 2 Chapter 2
i
5. Which of the following examples represents parallel play?
Detailed Answer: 55
❍ A. Jenny and Tommy share their toys.
❍ B. Jimmy plays with his car beside Mary, who is playing with
her doll.
❍ C. Kevin plays a game of Scrabble with Kathy and Sue.
❍ D. Mary plays with a handheld game while sitting in her
mother’s lap.
6. The nurse is ready to begin an exam on a 9-month-old infant. The child Quick Answer: 52
is sitting in his mother’s lap. Which should the nurse do first? Detailed Answer: 55
❍ A. Check the Babinski reflex
❍ B. Listen to the heart and lung sounds
❍ C. Palpate the abdomen
❍ D. Check tympanic membranes
7. In terms of cognitive development, a 2-year-old would be expected to: Quick Answer: 52
Detailed Answer: 55
❍ A. Think abstractly
❍ B. Use magical thinking
❍ C. Understand conservation of matter
❍ D. See things from the perspective of others
8. Which of the following best describes the language of a 24-month-old? Quick Answer: 52
Detailed Answer: 55
❍ A. Doesn’t understand yes and no
❍ B. Understands the meaning of words
❍ C. Able to verbalize needs
❍ D. Asks “why?” to most statements
9. A client who has been receiving urokinase has a large bloody bowel move-
Quick Answer: 52
ment. Which action would be best for the nurse to take immediately?
Detailed Answer: 56
❍ A. Administer vitamin K IM
❍ B. Stop the urokinase
❍ C. Reduce the urokinase and administer heparin
❍ D. Stop the urokinase and call the doctor
