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NCLEX-PN Exam Questions - Part 82

Jenny Clarke

Mon, 10 Feb 2025

1. The parents of a 2-year-old child ask the nurse how they can teach their child to quit taking toys away from other children. Which of the following statements by the nurse offers the parents the best explanation of their childs 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.'



2. Which of the following infant behaviors demonstrates the concept of object permanence?

A) The infant cries when his mother leaves the room.
B) The infant looks at the floor to find a toy that he was playing with and dropped.
C) The infant picks up another toy after the one he was playing with rolls under the couch.
D) The infant participates in a game of patty-cake.



3. Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing - s syndrome?

A) providing safety measures to prevent falls
B) taking medications as prescribed
C) wearing a medical ID indicating Cushing - s syndrome
D) having regular health assessments



4. Which of the following medications should be held 24 - 48 hours prior to an electroencephalogram (EEG)?

A) Lasix (furosemide)
B) Cardizem (diltiazem)
C) Lanoxin (digoxin)
D) Dilantin (phenytoin)



5. Which of the following statements by a client indicates adequate understanding of preparation for electroencephalography?

A) 'I cannot eat or drink after midnight.'
B) 'I need to wash my hair before the test.'
C) 'I need to remove metal jewelry.'
D) 'I cannot take aspirin before the test.'



1. Right Answer: A
Explanation: Two-year-old children are very egocentric. They believe everything and everyone is concerned about them. They believe other children want them to have their toys. This is different than believing they can make other children want them to have all the toys, as in magical thinking, which normally occurs in preschool-age children. Toddlers are very negative, but this is expressed by refusal of requests made to them. Domestic imitation does occur in preschool-age children, but it refers to the imitation of household chores and roles performed by adults, not the imitation of other children. Health Promotion and Maintenance

2. Right Answer: B
Explanation: Object permanence occurs when the infant learns that something/someone still exists even though they might not be able to see it/them. This develops between 9 and 10 months of age. If the infant cries when his mother leaves the room, it might be because he believes she is no longer in the house when he cant see her. If an infant picks up another toy after the one he is playing with rolls under the couch and the infant fails to look for it, he believes the toy that rolled under the couch no longer exists. Patty-cake is a game infants engage in but, it has nothing to do with object permanence. An infant game that does show object permanence is peek-a-boo. In this game, an infant continues to hunt for a hidden face because he believes it is still there. Health Promotion and Maintenance

3. Right Answer: C
Explanation: All of the strategies listed are included in home care for the client with Cushings syndrome. Choice 3 is the best answer because wearing a medical ID is a visible sign that something is wrong and a constant reminder to the client that he or she has a loss of body function. Choice 1 might enhance body image because it prevents falls that could cause further injury and debilitation. Taking medications as prescribed should enhance body image because it decreases the symptoms present. Having regular health assessments indicates an enhanced body image because it signals the desire to take care of the body and keep it at its best.Health Promotion and Maintenance

4. Right Answer: D
Explanation: Anticonvulsants (such as Dilantin), tranquilizers, barbiturates, and other sedatives should be held 2448 hours prior to an EEG. The other medications do not fall into these classifications. Reduction of Risk Potential

5. Right Answer: B
Explanation: The client needs to wash his hair to remove hair spray, cream, or oil that might interfere with attaching the electrodes to the scalp. Food or fluids do not need to be restricted, with the exception of caffeinated fluids. There is no restriction on metal objects. Aspirin is not a medication that needs to be held before the test (just anticonvulsants, tranquilizers, barbiturates, and other sedatives). Reduction of Risk Potential

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