NCLEX-RN Practice Test 11

Question 1

A toddler is 26 months old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the toddler in?

Accepted Answer

Autonomy vs. shame and doubt

Answer

According to Erik Erikson's stages of psychosocial development, toddlers (typically ages 1-3 years) are in the 'Autonomy vs. Shame and Doubt' stage. During this period, children strive for independence and self-control, learning to do things for themselves. Successful navigation leads to autonomy, while excessive criticism or control can lead to shame and doubt.

Question 2

A patient’s chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute?

Accepted Answer

Weight gain

Answer

Ketoacidosis, particularly diabetic ketoacidosis (DKA), is a serious complication characterized by high blood sugar, dehydration, and the production of ketones. Patients experiencing acute ketoacidosis typically present with symptoms like extreme thirst, frequent urination, nausea, vomiting, and a characteristic fruity (acetone) breath. Due to fluid loss and metabolic derangements, weight loss, not weight gain, is usually observed.

Question 3

A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present?

Accepted Answer

Weight gain

Answer

Infants with congenital heart defects often experience fluid retention due to impaired cardiac function and heart failure. This fluid buildup, or edema, can manifest as an increase in body weight, even if the infant is not growing adequately in terms of length or healthy tissue. Therefore, monitoring for sudden weight gain can be an important indicator of worsening heart failure in these patients.

Question 4

A 5-year-old child and has been recently admitted to the hospital. According to Erik Erikson's psychosocial development stages, the child is in which stage?

Accepted Answer

Initiative vs. guilt

Answer

A 5-year-old child falls into Erik Erikson's 'Initiative vs. Guilt' stage, which typically spans ages 3-5 years. During this stage, children begin to assert control over their world through directing play and other social interactions. They develop a sense of purpose and initiative, but if their efforts are criticized or controlled too much, they may develop guilt.

Question 5

A nurse has just started her rounds delivering medication. A new patient on her rounds is a 4-year-old boy who is non-verbal. This child does not have on any identification. What should the nurse do?

Accepted Answer

Ask the father who is in the room the child’s name

Answer

The most appropriate action for patient identification, especially for a non-verbal child without an ID band, is to ask a reliable source present. The father, being in the room, is the most immediate and reliable source to confirm the child's identity. This adheres to patient safety protocols by ensuring the correct patient receives medication, even in the absence of an ID band.

NCLEX Practice Test

NCLEX Practice Test

NCLEX-RN Practice Test 11