NCLEX NCLEX-PN
Best NCLEX Next Gen Prep
1. The parents of a 2-year-old child ask the nurse how they can teach their child to stop taking toys away from other children. Which of the following statements by the nurse offers the parents the best explanation of their child’s behavior?
- A. “Your child is egocentric. Egocentricity is normal for 2-year-old children. He believes other children want him to have their toys.”
- B. “Your child is showing negativity. He doesn’t want other children to have the toys he wants.”
- C. “Your child is demonstrating magical thinking. He believes he can make the other children want him to play with their toys.”
- D. “Your child is engaging in domestic imitation. He is doing what he has seen other children do.”
Correct answer: “Your child is egocentric. Egocentricity is normal for 2-year-old children. He believes other children want him to have their toys.”
Rationale: Two-year-old children are very egocentric, believing everything revolves around them. They think other children want them to have their toys, which explains why they may take toys from others. This behavior is typical for children at this age as they lack the ability to see things from another's perspective. Option B is incorrect because negativity in children this age is more related to refusal of requests rather than taking toys. Magical thinking, as described in option C, is usually seen in preschool-age children and involves unrealistic beliefs. Option D is incorrect as domestic imitation refers to imitating adult household tasks, not other children's behavior.
2. While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?
- A. “I will assist you in arranging to have a medicine woman present.”
- B. “We do not allow medicine women in exam rooms.”
- C. “That does not make any difference in the outcome.”
- D. “It is old-fashioned to believe in that.”
Correct answer: “I will assist you in arranging to have a medicine woman present.”
Rationale: The correct response is to show cultural awareness and acceptance by offering to assist in arranging for the medicine woman to be present. This demonstrates respect for the client's beliefs and preferences. Choice B is inappropriate as it dismisses the client's request without considering its cultural significance. Choice C is dismissive and does not acknowledge the client's values. Choice D is disrespectful and judgmental, undermining the client's beliefs. Therefore, the only appropriate and professional response is to support the client's request and offer assistance in accommodating it.
3. A nurse assisting with data collection plans to perform the Romberg test. After describing the test to the client, the nurse tells the client that it will help reveal which disorder?
- A. Loss of hearing acuity
- B. A problem with balance
- C. A problem with distant hearing
- D. A problem discriminating high-pitched and low-pitched sounds
Correct answer: A problem with balance
Rationale: The Romberg test is a balance assessment that evaluates cerebellar function. During the test, the client stands with feet together and eyes closed, aiming to maintain balance for about 20 seconds. This test helps identify issues related to balance and proprioception, not hearing acuity or sound discrimination. Choices C and D are incorrect as the Romberg test focuses on balance, not distant hearing or sound discrimination.
4. The LPN notices a client with poor gait and balance. She is currently being treated for hypertension, but the nurse is concerned. What should the nurse do?
- A. Add this issue to the nursing care plan and include daily gait/balance training as an intervention.
- B. Do nothing as this is unrelated to the client's hospitalization.
- C. Speak with the attending physician about the concerns and request a referral for the client to go to physical therapy.
- D. Speak with the attending physician about the concerns and request a referral to physical therapy.
Correct answer: Speak with the attending physician about the concerns and request a referral to physical therapy.
Rationale: Nurses should address any concerns regarding a client's health, even if they are not directly related to the reason for hospitalization. In this case, the nurse noticing the client's poor gait and balance should communicate these concerns to the attending physician. The correct course of action is to request a referral to physical therapy, as this specialized intervention can help address the client's issues effectively. Adding gait/balance training to the care plan without professional assessment and intervention may not be appropriate. Doing nothing is not in line with providing comprehensive care, and referring the client to the hospital gym is not as effective as a referral to physical therapy for addressing gait and balance issues.
5. In the treatment of symptomatic bradycardia, which medication is most commonly recognized?
- A. Questran
- B. Digitalis
- C. Nitroglycerin
- D. Atropine
Correct answer: Atropine
Rationale: Atropine is the medication most commonly recognized for the treatment of symptomatic bradycardia because it increases the rate of conduction in the AV node, helping to alleviate bradycardia. Questran is a medication used to lower cholesterol levels and is not indicated for bradycardia. Digitalis, such as Digoxin, is used for heart failure and atrial fibrillation but not typically for bradycardia. Nitroglycerin is primarily used for angina and not bradycardia.
Similar Questions
Access More Features
NCLEX Basic
- 5,000 Questions with answers
- Comprehensive NCLEX coverage
- 30 days access @ $69.99
NCLEX Basic
- 5,000 Questions and answers
- Comprehensive NCLEX Coverage
- 90 days access @ $69.99