NCLEX-RN Practice Test #12

Question 1

A young adult is 20 years old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the adult in?

Accepted Answer

Intimacy vs. isolation

Answer

According to Erik Erikson's stages of psychosocial development, the 'Intimacy vs. Isolation' stage typically occurs in early adulthood, roughly ages 19 to 40. During this stage, individuals focus on forming close, intimate relationships and developing a sense of commitment and love. A 20-year-old would be squarely within this developmental period, navigating the challenges of forming meaningful connections.

Question 2

A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?

Accepted Answer

13-year-old female: 105 BPM, 22 RPM, 105/50 mmHg

Answer

Normal heart rate for a 13-year-old is typically 60-100 BPM. A heart rate of 105 BPM is considered elevated (tachycardia) for this age group, making it an abnormal finding. While respiratory rate and blood pressure values provided are generally within normal limits for a 13-year-old, the elevated heart rate indicates a physiological deviation requiring further assessment.

Question 3

A 34-year-old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb?

Accepted Answer

IgG

Answer

Immunoglobulin G (IgG) is the only class of antibodies that can cross the placental barrier from the mother to the fetus. This passive immunity provides crucial protection to the newborn against various pathogens during the first few months of life. The other immunoglobulins (IgA, IgD, IgE) do not cross the placenta, so IgG is solely responsible for this prenatal protection.

Question 4

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

Accepted Answer

Increased appetite

Answer

Meningitis is an inflammation of the meninges, the membranes surrounding the brain and spinal cord. Acute symptoms typically include fever, headache, stiff neck, photophobia (poor tolerance of light), nausea, and vomiting. An increased appetite is not a characteristic symptom of acute meningitis; in fact, patients often experience anorexia due to the systemic illness and discomfort.

Question 5

A parent calls the pediatric clinic and is frantic about the bottle of cleaning fluid her child drank 20 minutes. Which of the following is the most important instruction the nurse can give the parent?

Accepted Answer

Contact the Poison Control Center quickly

Answer

In cases of suspected poisoning, the most crucial first action is to contact the Poison Control Center immediately. They are experts in toxicology and can provide specific, evidence-based instructions tailored to the type and amount of substance ingested, the child's age, and current symptoms. Their guidance is essential for safe and effective management and often supersedes general advice or self-treatment.

NCLEX Practice Test

NCLEX Practice Test

NCLEX-RN Practice Test #12