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NGN NCLEX RN Exam Test Bank: Comprehensive Clinical Q&A

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Prepare for the Next Generation NCLEX (NGN) with this verified 600-question test bank. Master pediatric developmental stages, labor and delivery assessment, and critical nursing interventions with detailed rationales for nursing success.

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Institution
Pharmacology
Course
Pharmacology

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NGN NCLEX RN EXAM TEST BANK ACCURATE AND V
B B B B B B B B



ERIFIED 600 QUESTIONS AND ANSWERS WITH RATIO
B B B B B B



NALES
Which term describes the play activity of the preschool aged child? A
B B B B B B B B B B B




. Cooperative
B


B.Associative B


C. Parallel
B


D. Solitary
B




B (Associative)
B



(Play of the preschool aged child is described as associative. At this stage, children
B B B B B B B B B B B B B B


are more interested in playing with other children than they are with playing with t
B B B B B B B B B B B B B B


oys. The child may talkto other children and exchange toys or play games without
B B B B B B B B B B B B B B


any rules. Answer A describes the play of a school-
B B B B B B B B B


aged child. Answer C describes the play of an infant.)
B B B B B B B B B



The nurse is ready to begin an exam on a nine-month-
B B B B B B B B B B


old infant who is sitting quietly on hismother's lap. Which should the nurse do first
B B B B B B B B B B B B B B


?

A. Check the Babinski reflex
B B B B


B. Listen to the heart and lung sounds
B B B B B B B


C. Palpate the abdomen
B B B


D. Check tympanic membranes
B B B




B (Listen to the heart and lung sounds)
B B B B B B B



(While the infant is quiet, the nurse should begin the exam by listening to the hea
B B B B B B B B B B B B B B B


rt and lungs. Ifthe nurse elicits the Babinski reflex , palpates the abdomen, or chec
B B B B B B B B B B B B B B


ks the tympanic membranes,the infant may cry and it will be difficult to adequate
B B B B B B B B B B B B B


ly listen to the heart and lungs; therefore answers A,C, and D are incorrect.)
B B B B B B B B B B B B B




In terms of cognitive development, a three-year-old would be expected to:
B B B B B B B B B B




A. Think abstractly B


B. Use magical thinking B B


C. Understand conservation of matter B B B


D. See things from the perspective of others
B B B B B B




B (Use magical thinking)
B B B

,NGN NCLEX RN EXAM TEST BANK ACCURATE AND V
B B B B B B B B



ERIFIED 600 QUESTIONS AND ANSWERS WITH RATIO
B B B B B B



NALES

(A three-year-
B


old is expected to use magical thinking, such as believing that a toy bear is a real b
B B B B B B B B B B B B B B B B B


ear. Answers A, C, and D are incorrect because of abstract thinking, conservation o
B B B B B B B B B B B B B


f matter, andthe ability to look at things from the perspective of others are cognitiv
B B B B B B B B B B B B B B


e abilities of an older child)
B B B B B




Which of the following describes the language development of a two-year-old?
B B B B B B B B B B




A. Doesn't understand yes and no B B B B


B. Understands the meaning of all words B B B B B


C. Can combine three or four words
B B B B B B B


D. Repeatedly asks "why?"
B B B




C (can combine three or four words)
B B B B B B



(The two year old can combine three to four words. Answers A and B are incorrec
B B B B B B B B B B B B B B B


t because thetwo-year-
B B


old understands yes and no, but does not understand the meaning of all the words.
B B B B B B B B B B B B B B


Answer D is incorrect because seeking information and asking "why?" is typica
B B B B B B B B B B B


l of the three-year old)
B B B B




A client who has been receiving Urokinase (uPA) for deep vein thrombosis is note
B B B B B B B B B B B B B


d to have darkbrown urine in the urine collection bag. Which action should the nurs
B B B B B B B B B B B B B B


e take immediately?
B B




A. Prepare an injection of vitamin K B B B B B


B. Irrigate the urinary catheter with 50 mL of normal saline
B B B B B B B B B


C. Offer the client additional oral fluids
B B B B B


D. Withhold the medication and notify the physician B B B B B B




D (Withhold the medication and notify the physician)
B B B B B B B



(Urokinase is a thrombolytic agent used in the treatment of deep vein thrombosis,
B B B B B B B B B B B B B


pulmonary embolus, or myocardial infarction. The presence of dark brown or rust
B B B B B B B B B B B


-
colored urine suggests bleeding. The nurse should withhold the medication, call t
B B B B B B B B B B B


he doctor immediately, and prepare toadminister Amicar. Answer A is correct be
B B B B B B B B B B B


cause vitamin K is not the antidote for urokinase.
B B B B B B B B


Answers B and C are incorrect because they do not address the adverse proble
B B B B B B B B B B B B B




m of bleeding)Which of the following can occur with the frequent use of calciu
B B B B B B B B B B B B B




m based antacids?
B B

,A. Constipation

, NGN NCLEX RN EXAM TEST BANK ACCURATE AND V
B B B B B B B B



ERIFIED 600 QUESTIONS AND ANSWERS WITH RATIO
B B B B B B



NALES
B. Hyperperistalsis
C. Delayed gastric emptying
B B


D. Diarrhea
B B




A (Constipation)
B



(The client taking calcium-
B B B


based antacids will frequently develop constipation. Answers B, C,and D are n
B B B B B B B B B B B


ot associated with the use of calcium-
B B B B B B


based antacids; therefore, they are incorrect.)
B B B B B

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Institution
Pharmacology
Course
Pharmacology

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Uploaded on
January 14, 2026
Number of pages
269
Written in
2025/2026
Type
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Questions & answers

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