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.)
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.)
