1. A client with a diagnosis of passive-aggressive personality
disorder is seen at the local mental health clinic. A common
characteristic of 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 diagnosed with antisocial personality disorder. A key part
of the 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 a client with bulimia is:
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 development, which of the following children is at
greatest risk for accidental poisoning?
a. A 6-month-old
b. A 4-year-old
c. A 12-year-old
d. A 13-year-old
,INTENSIVE NURSING LICENSURE EXAMINATION QUESTIONS
5. Which of the following examples represents parallel play?
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 is sitting in his mother’s lap. Which should the nurse
do first?
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:
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?
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 movement. Which action would be best for the nurse to
take immediately?
, INTENSIVE NURSING LICENSURE EXAMINATION QUESTIONS
a. Administer vitamin K IM
b. Stop the urokinase
c. Reduce the urokinase and administer heparin
d. Stop the urokinase and call the doctor
10. The client has a prescription for a calcium carbonate
compound to neutralize stomach acid. The nurse should assess
the client for:
a. Constipation
b. Hyperphosphatemia
c. Hypomagnesemia
d. Diarrhea
11. Heparin has been ordered for a client with pulmonary
emboli. Which statement, if made by the graduate nurse,
indicates a lack of understanding of the medication?
a. “I will administer the medication 1-2 inches away from
the umbilicus.”
b. “I will administer the medication in the abdomen.”
c. “I will check the PTT before administering the
medication.”
d. “I will need to aspirate when I give Heparin.”
12. The nurse is caring for a client with peripheral vascular
disease. To correctly assess the oxygen saturation level, the
monitor may be placed on the:
a. Hip
b. Ankle
c. Earlobe
d. Chin
13. While caring for a client with hypertension, the nurse
notes the following vital signs: BP of 140/20, pulse 120,
respirations 36, temperature 100.8°F. The nurse’s initial action
should be to: