NGN NCLEX RN EXAM TEST BANK | ACCURATE AND VERIFIED
QUESTIONS AND ANSWERS WITH RATIONALES |EXPERT VERIFIED
FOR GUARANTEED PASS
|GRADED A |LATEST UPDATE |ALL YOU NEED TO ACE IT
Which term describes the
play activityof thepreschool agedchild?
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 playingwith otherchildrenthantheyarewith 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-aged school
child.
Answer C describes the play of an infant.)
The nurseis readyto beginan examon a nine-month-old infantwho is sittingquietlyon his mother's
lap. Which should the nurse do first?
A. Check theBabinski reflex
B. Listen to theheartand lungsounds
C. Palpatetheabdomen
D. Check tympanicmembranes
B (Listen to theheartand lung sounds)
(While theinfantis quiet,thenurseshouldbegintheexamby listeningto theheartand lungs. If the
nurseelicitstheBabinski reflex, palpatestheabdomen,or checksthetympanicmembranes, 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 termsof cognitivedevelopment, athree-year-old wouldbe expectedto:
A. Think abstractly
B. Use magicalthinking
C. Understandconservationof matter
D. Seethings from theperspectiveof others
,B (Use magicalthinking)
,(A three-year-old is expected to use magical thinking, such as believing that a toy bear is a real bear.
AnswersA, C, and D areincorrectbecauseof abstractthinking, conservationof matter,and the ability to
look at things from the perspective of others are cognitive abilities of anchild)
older
Which of the followingdescribes the language
development of two-year-old?
a
A. Doesn'tunderstandyesand no
B. Understandsthemeaningof all words
C. Can combinethreeor fourwords
D. Repeatedlyasks "why?"
C (can combinethreeor four words)
(The two yearold can combinethreeto four words.AnswersA and B areincorrectbecausethe two-
year-old understands yes and no, but does not understand the meaning of all the words.
AnswerD is incorrectbecauseseekinginformationand asking "why?"is typicalof thethree- year old)
A clientwho has beenreceivingUrokinase(uPA) for deepvein thrombosisis notedto havedark brown
urine in the urine collection bag. Which action should the nurse take immediately?
A. Preparean injectionof vitamin K
B. Irrigate theurinary catheterwith 50mL of normalsaline
C. Offer theclientadditionaloral fluids
D. Withhold themedicationand notifythephysician
D (Withhold themedicationand notifythephysician)
(Urokinase is a thrombolytic agent used in the treatment of deep vein thrombosis, pulmonary embolus,
or myocardial infarction. The presence of dark brown or-colored
rust urine suggests bleeding.
The nurse
shouldwithholdthemedication,call thedoctorimmediately,and prepareto administer Amicar. Answer
A is correct because vitamin K is not the antidote for urokinase.
AnswersB and C areincorrectbecausetheydo not addresstheadverseproblemof bleeding) Which of
the following can occur with the frequent use of calcium based antacids?
A. Constipation
B. Hyperperistalsis
C. Delayedgastricemptying
D. Diarrhea
A (Constipation)
(The clienttakingcalcium-basedantacidswill frequentlydevelopconstipation.AnswersB, C, and D
arenot associatedwith theuseof calcium-basedantacids;therefore, they
are incorrect.)
, A clientwith a renalfailureis prescribeda low potassiumdiet.Which foodchoicewouldbebest for this
client?
A. 1 cup beefbroth
B. 1 bakedpotato
C. 1/2 cupraisins
D. 1 cup rice
D (1 cup of rice)
( AnswerD is correctbecauseonecup of rice is considereda low-potassiumfood.The foodsin answer
A, B, and C are incorrect because they contain higher amounts of potassium)
An appropriatenursing interventionfor the clientwith borderlinepersonalitydisorderis:
A. Observingtheclient for signs of depressionor suicidalthinking
B. Allowing theclient to leadunit group sessions
C. Restrictingtheclient'sactivityto theassignedunit of carethroughouthospitalization
D. Allowing theclient toselect a primarycaregiver
A (observingtheclientfor signs of depressionor suicidalthinking)
(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
theclient
too much controlof thetherapeuticenvironment.Answer C is incorrectbecause theclient'sactivitiesdo
not haveto be restrictedto theunit afterthelevelof depressionhas been determined )
Which of thefollowingis an expected finding
in theassessment ofa client with bulimianervosa
A. Extremeweightloss
B. Presenceof lanugoover body
C. Erosion of toothenamel
D. Musclewasting
C (Erosion of toothenamel)
(Erosion of toothenamelcausedby frequentself-inducedvomitingis an expectedfinding in a client with
bulimia nervosa. Answers A, B, and D are expected findings in the client with anorexia nervosa;
therefore, they are incorrect.)
Assuming thatall haveachievednormalcognitiveand emotionaldevelopment,which of the following
children is at greatest risk for accidental poisoning?
A. One-year-old
B. Four-year-old
QUESTIONS AND ANSWERS WITH RATIONALES |EXPERT VERIFIED
FOR GUARANTEED PASS
|GRADED A |LATEST UPDATE |ALL YOU NEED TO ACE IT
Which term describes the
play activityof thepreschool agedchild?
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 playingwith otherchildrenthantheyarewith 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-aged school
child.
Answer C describes the play of an infant.)
The nurseis readyto beginan examon a nine-month-old infantwho is sittingquietlyon his mother's
lap. Which should the nurse do first?
A. Check theBabinski reflex
B. Listen to theheartand lungsounds
C. Palpatetheabdomen
D. Check tympanicmembranes
B (Listen to theheartand lung sounds)
(While theinfantis quiet,thenurseshouldbegintheexamby listeningto theheartand lungs. If the
nurseelicitstheBabinski reflex, palpatestheabdomen,or checksthetympanicmembranes, 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 termsof cognitivedevelopment, athree-year-old wouldbe expectedto:
A. Think abstractly
B. Use magicalthinking
C. Understandconservationof matter
D. Seethings from theperspectiveof others
,B (Use magicalthinking)
,(A three-year-old is expected to use magical thinking, such as believing that a toy bear is a real bear.
AnswersA, C, and D areincorrectbecauseof abstractthinking, conservationof matter,and the ability to
look at things from the perspective of others are cognitive abilities of anchild)
older
Which of the followingdescribes the language
development of two-year-old?
a
A. Doesn'tunderstandyesand no
B. Understandsthemeaningof all words
C. Can combinethreeor fourwords
D. Repeatedlyasks "why?"
C (can combinethreeor four words)
(The two yearold can combinethreeto four words.AnswersA and B areincorrectbecausethe two-
year-old understands yes and no, but does not understand the meaning of all the words.
AnswerD is incorrectbecauseseekinginformationand asking "why?"is typicalof thethree- year old)
A clientwho has beenreceivingUrokinase(uPA) for deepvein thrombosisis notedto havedark brown
urine in the urine collection bag. Which action should the nurse take immediately?
A. Preparean injectionof vitamin K
B. Irrigate theurinary catheterwith 50mL of normalsaline
C. Offer theclientadditionaloral fluids
D. Withhold themedicationand notifythephysician
D (Withhold themedicationand notifythephysician)
(Urokinase is a thrombolytic agent used in the treatment of deep vein thrombosis, pulmonary embolus,
or myocardial infarction. The presence of dark brown or-colored
rust urine suggests bleeding.
The nurse
shouldwithholdthemedication,call thedoctorimmediately,and prepareto administer Amicar. Answer
A is correct because vitamin K is not the antidote for urokinase.
AnswersB and C areincorrectbecausetheydo not addresstheadverseproblemof bleeding) Which of
the following can occur with the frequent use of calcium based antacids?
A. Constipation
B. Hyperperistalsis
C. Delayedgastricemptying
D. Diarrhea
A (Constipation)
(The clienttakingcalcium-basedantacidswill frequentlydevelopconstipation.AnswersB, C, and D
arenot associatedwith theuseof calcium-basedantacids;therefore, they
are incorrect.)
, A clientwith a renalfailureis prescribeda low potassiumdiet.Which foodchoicewouldbebest for this
client?
A. 1 cup beefbroth
B. 1 bakedpotato
C. 1/2 cupraisins
D. 1 cup rice
D (1 cup of rice)
( AnswerD is correctbecauseonecup of rice is considereda low-potassiumfood.The foodsin answer
A, B, and C are incorrect because they contain higher amounts of potassium)
An appropriatenursing interventionfor the clientwith borderlinepersonalitydisorderis:
A. Observingtheclient for signs of depressionor suicidalthinking
B. Allowing theclient to leadunit group sessions
C. Restrictingtheclient'sactivityto theassignedunit of carethroughouthospitalization
D. Allowing theclient toselect a primarycaregiver
A (observingtheclientfor signs of depressionor suicidalthinking)
(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
theclient
too much controlof thetherapeuticenvironment.Answer C is incorrectbecause theclient'sactivitiesdo
not haveto be restrictedto theunit afterthelevelof depressionhas been determined )
Which of thefollowingis an expected finding
in theassessment ofa client with bulimianervosa
A. Extremeweightloss
B. Presenceof lanugoover body
C. Erosion of toothenamel
D. Musclewasting
C (Erosion of toothenamel)
(Erosion of toothenamelcausedby frequentself-inducedvomitingis an expectedfinding in a client with
bulimia nervosa. Answers A, B, and D are expected findings in the client with anorexia nervosa;
therefore, they are incorrect.)
Assuming thatall haveachievednormalcognitiveand emotionaldevelopment,which of the following
children is at greatest risk for accidental poisoning?
A. One-year-old
B. Four-year-old
