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 talk to 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 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
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. If the 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, and the 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 the two-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 dark brown 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 to administer 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
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 talk to 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 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
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. If the 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, and the 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 the two-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 dark brown 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 to administer 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
