NGN NCLEX RN EXAM TEST BANK ACCURATE AND

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?

• Cooperative
• Associative
• Parallel
• 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?

• Check the Babinski reflex
• Listen to the heart and lung sounds
• Palpate the abdomen
• 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:

• Think abstractly
• Use magical thinking
• Understand conservation of matter
• See things from the perspective of others

B (Use magical thinking) 1 / 4

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?

• Doesn't understand yes and no
• Understands the meaning of all words
• Can combine three or four words
• 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?

• Prepare an injection of vitamin K
• Irrigate the urinary catheter with 50 mL of normal saline
• Offer the client additional oral fluids
• 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?

• Constipation 2 / 4

NGN NCLEX RN EXAM TEST BANK ACCURATE AND

VERIFIED 600 QUESTIONS AND ANSWERS WITH

RATIONALES

• Hyperperistalsis
• Delayed gastric emptying
• 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.) 3 / 4

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 best for this client?

• 1 cup beef broth
• 1 baked potato
• 1/2 cup raisins
• 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 in answer 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:

• Observing the client for signs of depression or suicidal thinking
• Allowing the client to lead unit group sessions
• Restricting the client's activity to the assigned unit of care throughout hospitalization
• 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 because the client's activities do not have to be restricted to the unit after the level of depression has been determined ) Which of the following is an expected finding in the assessment of a client with bulimia nervosa

• Extreme weight loss
• Presence of lanugo over body
• Erosion of tooth enamel
• Muscle wasting

C (Erosion of tooth enamel) (Erosion of tooth enamel caused by frequent self-induced vomiting is an expected finding in a client with bulimia nervosa. Answers A, B, and D are expected findings in the client with anorexia nervosa; therefore, they are incorrect.)

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