NURSING NURSING II Medical Surgical
NCLEX_RN_2018_1.pdf1_0789737043_ch01.qxd
1
, NURSING NURSING II Medical Surgical
NCLEX_RN_2018_1.pdf1_0789737043_ch01.qxd
2018 Exam 1 and
Rationales
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?
2
, NURSING NURSING II Medical Surgical
NCLEX_RN_2018_1.pdf1_0789737043_ch01.qxd
❍ A. A 6-month-old
❍ B. A 4-year-old
❍ C. A 12-year-old
❍ D. A 13-year-old
3
, NURSING NURSING II Medical Surgical
NCLEX_RN_2018_1.pdf1_0789737043_ch01.qxd
2 Chapter 1
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 move-
ment. Which action would be best for the nurse to take immediately?
❍ A. Administer vitamin K IM
❍ B. Stop the urokinase
❍ C. Reduce the urokinase and administer heparin
4
NCLEX_RN_2018_1.pdf1_0789737043_ch01.qxd
1
, NURSING NURSING II Medical Surgical
NCLEX_RN_2018_1.pdf1_0789737043_ch01.qxd
2018 Exam 1 and
Rationales
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?
2
, NURSING NURSING II Medical Surgical
NCLEX_RN_2018_1.pdf1_0789737043_ch01.qxd
❍ A. A 6-month-old
❍ B. A 4-year-old
❍ C. A 12-year-old
❍ D. A 13-year-old
3
, NURSING NURSING II Medical Surgical
NCLEX_RN_2018_1.pdf1_0789737043_ch01.qxd
2 Chapter 1
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 move-
ment. Which action would be best for the nurse to take immediately?
❍ A. Administer vitamin K IM
❍ B. Stop the urokinase
❍ C. Reduce the urokinase and administer heparin
4
