NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
Which term describes the play activity of the preschool aged child?
A. Cooperative
B.Associative
C. Parallel
D. Solitary
B (Associative)
(Play of the preschool aged child is described as associative. At this stage, children
are more interested in playing with other children than they are with playing with
toys. The child may talkto other children and exchange toys or play games without
any rules. Answer A describes the play of a school-aged child. Answer C describes
the play of an infant.)
The nurse is ready to begin an exam on a nine-month-old infant who is sitting
quietly on hismother'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
B (Listen to the heart and lung sounds)
(While the infant is quiet, the nurse should begin the exam by listening to the
heart and lungs. Ifthe nurse elicits the Babinski reflex , palpates the abdomen, or
checks the tympanic membranes,the infant may cry and it will be difficult to
adequately listen to the heart and lungs; therefore answers A,C, and D are
incorrect.)
In terms of cognitive development, a three-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
B (Use magical thinking)
,NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
(A three-year-old is expected to use magical thinking, such as believing that a toy
bear is a real bear. Answers A, C, and D are incorrect because of abstract thinking,
conservation of matter, andthe ability to look at things from the perspective of
others are cognitive abilities of an older child)
Which of the following describes the language development of a two-year-old?
A. Doesn't understand yes and no
B. Understands the meaning of all words
C. Can combine three or four words
D. Repeatedly asks "why?"
C (can combine three or four words)
(The two year old can combine three to four words. Answers A and B are
incorrect because thetwo-year-old understands yes and no, but does not
understand the meaning of all the words.
Answer D is incorrect because seeking information and asking "why?" is
typical of the three-year old)
A client who has been receiving Urokinase (uPA) for deep vein thrombosis is
noted to have darkbrown urine in the urine collection bag. Which action should the
nurse take immediately?
A. Prepare an injection of vitamin K
B. Irrigate the urinary catheter with 50 mL of normal saline
C. Offer the client additional oral fluids
D. Withhold the medication and notify the physician
D (Withhold the medication and notify the physician)
(Urokinase is a thrombolytic agent used in the treatment of deep vein thrombosis,
pulmonary embolus, or myocardial infarction. The presence of dark brown or
rust-colored urine suggests bleeding. The nurse should withhold the medication,
call the doctor immediately, and prepare toadminister Amicar. Answer A is
correct because vitamin K is not the antidote for urokinase.
Answers B and C are incorrect because they do not address the adverse
problem of bleeding)Which of the following can occur with the frequent use of
calcium based antacids?
A. Constipation
,NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
B. Hyperperistalsis
C. Delayed gastric emptying
D. Diarrhea
A (Constipation)
(The client taking calcium-based antacids will frequently develop constipation.
Answers B, C,and D are not associated with the use of calcium-based antacids;
therefore, they are incorrect.)
,NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
A client with a renal failure is prescribed a low potassium diet. Which food choice
would be bestfor this client?
A.1 cup beef broth
B.1 baked potato
C. 1/2 cup raisins
D.1 cup rice
D (1 cup of rice)
( Answer D is correct because one cup of rice is considered a low-potassium
food. The foods inanswer A, B, and C are incorrect because they contain higher
amounts of potassium)
An appropriate nursing intervention for the client with borderline personality disorder
is:
A. Observing the client for signs of depression or suicidal thinking
B.Allowing the client to lead unit group sessions
C. Restricting the client's activity to the assigned unit of care throughout hospitalization
D. Allowing the client to select a primary caregiver
A (observing the client for signs of depression or suicidal thinking)
(Clients with borderline personality frequently suffer from depression and suicidal
thinking and should be assessed for risk of self-injury. Answers B and D are
incorrect choices because they allow the client too much control of the therapeutic
environment. Answer C is incorrect becausethe client's activities do not have to be
restricted to the unit after the level of depression has beendetermined )
Which of the following is an expected finding in the assessment of a client with bulimia
nervosa
A. Extreme weight loss
B.Presence of lanugo over body
C. Erosion of tooth enamel
D. Muscle wasting
C (Erosion of tooth enamel)
(Erosion of tooth enamel caused by frequent self-induced vomiting is an
expected finding in aclient with bulimia nervosa. Answers A, B, and D are
expected findings in the client with anorexia nervosa; therefore, they are
incorrect.)
,NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
Assuming that all have achieved normal cognitive and emotional development,
which of thefollowing children is at greatest risk for accidental poisoning?
A. One-year-old
B.Four-year-old
C. Eight-year-old
D. Twelve-year-old
, NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
B (Four-year-old)
(Because of their increased mobility, manual dexterity and curiosity, the four year
old is at greater risk for accidental poisoning. Other accidental injuries in this age
group include being struck by a car, falls, burns, and drowning. Answer A is
incorrect because the one-year-old lacksthe developmental skill to be at risk for
accidental poisoning. Answers C and D are incorrect because the eight-year-old
and the twelve-year-old are at less risk because they are aware of the dangers of
accidental poisoning)
Which statement made by the student nurse indicates the need for further teaching
regarding theadministration of heparin?
A."I will administer the medication 1-2 inches away from the umbilicus."
B."I will not massage the injection site after administering the heparin."
C."I will check the PTT before administering the heparin."
D."I will need to gently aspirate when I give the heparin."
D ("I will need to gently aspirate when I give the heparin.")
(The nurse should not aspirate when giving heparin; therefore, answer D indicates
a need for further teaching regarding heparin administration. Answers A, B, and C
indicate the student nurse understands the the correct administration of heparin
and are, therefore, incorrect answers.
)
To correctly assess the oxygen saturation level of an adult client, the pulse
oximeter should notbe placed on the:
A. Finger
B.Earlobe
C. Extremity with noninvasive BP cuff
D. Nose
C (Extremity with noninvasive BP cuff)
(To obtain a correct oxygen saturation reading using pulse oximetry, the probe
should not be placed on the arm with a noninvasive BP cuff or intraarterial line.
Suitable sites are the finger,earlobe, or nose; therefore, Answers A, B, and D are
incorrect.)
While caring for an elderly patient with hypertension, the nurse notes the
following vital signs:BP of 140/40, pulse 129, respirations 36. The nurse's initial
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
Which term describes the play activity of the preschool aged child?
A. Cooperative
B.Associative
C. Parallel
D. Solitary
B (Associative)
(Play of the preschool aged child is described as associative. At this stage, children
are more interested in playing with other children than they are with playing with
toys. The child may talkto other children and exchange toys or play games without
any rules. Answer A describes the play of a school-aged child. Answer C describes
the play of an infant.)
The nurse is ready to begin an exam on a nine-month-old infant who is sitting
quietly on hismother'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
B (Listen to the heart and lung sounds)
(While the infant is quiet, the nurse should begin the exam by listening to the
heart and lungs. Ifthe nurse elicits the Babinski reflex , palpates the abdomen, or
checks the tympanic membranes,the infant may cry and it will be difficult to
adequately listen to the heart and lungs; therefore answers A,C, and D are
incorrect.)
In terms of cognitive development, a three-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
B (Use magical thinking)
,NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
(A three-year-old is expected to use magical thinking, such as believing that a toy
bear is a real bear. Answers A, C, and D are incorrect because of abstract thinking,
conservation of matter, andthe ability to look at things from the perspective of
others are cognitive abilities of an older child)
Which of the following describes the language development of a two-year-old?
A. Doesn't understand yes and no
B. Understands the meaning of all words
C. Can combine three or four words
D. Repeatedly asks "why?"
C (can combine three or four words)
(The two year old can combine three to four words. Answers A and B are
incorrect because thetwo-year-old understands yes and no, but does not
understand the meaning of all the words.
Answer D is incorrect because seeking information and asking "why?" is
typical of the three-year old)
A client who has been receiving Urokinase (uPA) for deep vein thrombosis is
noted to have darkbrown urine in the urine collection bag. Which action should the
nurse take immediately?
A. Prepare an injection of vitamin K
B. Irrigate the urinary catheter with 50 mL of normal saline
C. Offer the client additional oral fluids
D. Withhold the medication and notify the physician
D (Withhold the medication and notify the physician)
(Urokinase is a thrombolytic agent used in the treatment of deep vein thrombosis,
pulmonary embolus, or myocardial infarction. The presence of dark brown or
rust-colored urine suggests bleeding. The nurse should withhold the medication,
call the doctor immediately, and prepare toadminister Amicar. Answer A is
correct because vitamin K is not the antidote for urokinase.
Answers B and C are incorrect because they do not address the adverse
problem of bleeding)Which of the following can occur with the frequent use of
calcium based antacids?
A. Constipation
,NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
B. Hyperperistalsis
C. Delayed gastric emptying
D. Diarrhea
A (Constipation)
(The client taking calcium-based antacids will frequently develop constipation.
Answers B, C,and D are not associated with the use of calcium-based antacids;
therefore, they are incorrect.)
,NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
A client with a renal failure is prescribed a low potassium diet. Which food choice
would be bestfor this client?
A.1 cup beef broth
B.1 baked potato
C. 1/2 cup raisins
D.1 cup rice
D (1 cup of rice)
( Answer D is correct because one cup of rice is considered a low-potassium
food. The foods inanswer A, B, and C are incorrect because they contain higher
amounts of potassium)
An appropriate nursing intervention for the client with borderline personality disorder
is:
A. Observing the client for signs of depression or suicidal thinking
B.Allowing the client to lead unit group sessions
C. Restricting the client's activity to the assigned unit of care throughout hospitalization
D. Allowing the client to select a primary caregiver
A (observing the client for signs of depression or suicidal thinking)
(Clients with borderline personality frequently suffer from depression and suicidal
thinking and should be assessed for risk of self-injury. Answers B and D are
incorrect choices because they allow the client too much control of the therapeutic
environment. Answer C is incorrect becausethe client's activities do not have to be
restricted to the unit after the level of depression has beendetermined )
Which of the following is an expected finding in the assessment of a client with bulimia
nervosa
A. Extreme weight loss
B.Presence of lanugo over body
C. Erosion of tooth enamel
D. Muscle wasting
C (Erosion of tooth enamel)
(Erosion of tooth enamel caused by frequent self-induced vomiting is an
expected finding in aclient with bulimia nervosa. Answers A, B, and D are
expected findings in the client with anorexia nervosa; therefore, they are
incorrect.)
,NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
Assuming that all have achieved normal cognitive and emotional development,
which of thefollowing children is at greatest risk for accidental poisoning?
A. One-year-old
B.Four-year-old
C. Eight-year-old
D. Twelve-year-old
, NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
B (Four-year-old)
(Because of their increased mobility, manual dexterity and curiosity, the four year
old is at greater risk for accidental poisoning. Other accidental injuries in this age
group include being struck by a car, falls, burns, and drowning. Answer A is
incorrect because the one-year-old lacksthe developmental skill to be at risk for
accidental poisoning. Answers C and D are incorrect because the eight-year-old
and the twelve-year-old are at less risk because they are aware of the dangers of
accidental poisoning)
Which statement made by the student nurse indicates the need for further teaching
regarding theadministration of heparin?
A."I will administer the medication 1-2 inches away from the umbilicus."
B."I will not massage the injection site after administering the heparin."
C."I will check the PTT before administering the heparin."
D."I will need to gently aspirate when I give the heparin."
D ("I will need to gently aspirate when I give the heparin.")
(The nurse should not aspirate when giving heparin; therefore, answer D indicates
a need for further teaching regarding heparin administration. Answers A, B, and C
indicate the student nurse understands the the correct administration of heparin
and are, therefore, incorrect answers.
)
To correctly assess the oxygen saturation level of an adult client, the pulse
oximeter should notbe placed on the:
A. Finger
B.Earlobe
C. Extremity with noninvasive BP cuff
D. Nose
C (Extremity with noninvasive BP cuff)
(To obtain a correct oxygen saturation reading using pulse oximetry, the probe
should not be placed on the arm with a noninvasive BP cuff or intraarterial line.
Suitable sites are the finger,earlobe, or nose; therefore, Answers A, B, and D are
incorrect.)
While caring for an elderly patient with hypertension, the nurse notes the
following vital signs:BP of 140/40, pulse 129, respirations 36. The nurse's initial
