NGN NCLEX RN EXAM TEST BANK | ACTUAL ACCURATE
AND VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES | EXPERT VERIFIED FOR GUARANTEED PASS |
GRADED A+ | LATEST UPDATE 2026
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)
,(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
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.)
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
C.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
D. 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
AND VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES | EXPERT VERIFIED FOR GUARANTEED PASS |
GRADED A+ | LATEST UPDATE 2026
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)
,(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
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.)
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
C.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
D. 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
