NCLEX-RN
NCLEX RN Exam Prep Questions
Extract:
Question 1 of 5
A client is being assisted to lie in the Sims' position. In what position does the nurse arrange the client?
Correct Answer: A
Rationale: The Sims' position is a side-lying position used for examinations or comfort. In the Sims' position, the client lies on their side with the upper leg flexed. The abdomen is slightly downward, and the lower arm is positioned behind the body. A pillow can be used to support the leg.
Choice B is incorrect as it describes a position with the client lying on their back with the head lower than the feet.
Choice C is incorrect as it describes a prone position, not the Sims' position.
Choice D is incorrect as it describes a sitting position, not the Sims' position.
Question 2 of 5
A client has died approximately one hour ago. The nurse notes that the client's temperature has decreased in the last hour since their death. Which of the following processes explains this phenomenon?
Correct Answer: C
Rationale: Algor mortis occurs after death when the body's circulation stops, and the client's temperature begins to fall. The client's temperature will drop by approximately 1.8 degrees per hour until it reaches room temperature. During algor mortis, the client's skin gradually loses its elasticity. Rigor mortis refers to the stiffening of the body after death due to chemical changes in the muscles. Postmortem decomposition is the breakdown of tissues after death. Livor mortis is the pooling of blood in the dependent parts of the body, causing a purple-red discoloration.
Question 3 of 5
You are working the 8 am to 4 pm shift. You begin to vomit at 3 pm and you do not think that you are able to continue working. You decide to immediately go home without notifying your RN supervisor. You have ________________.
Correct Answer: D
Rationale: Patient abandonment is a serious violation that can lead to disciplinary action and immediate termination of employment. It is defined as leaving patients without proper consent from the supervisor. In this scenario, leaving work without notifying the RN supervisor and potentially leaving patients unattended is considered patient abandonment, as it compromises patient safety and care.
Choices A and B are incorrect because having sick time or finishing work does not justify leaving without proper protocol.
Choice D is incorrect as the scenario does not indicate abuse or neglect towards the patients.
Question 4 of 5
A client is complaining of pain that starts in the shoulder and travels down the length of his arm. This type of pain is referred to as:
Correct Answer: C
Rationale: Radiating pain is the correct term for pain that originates in one part of the body and extends to other related areas. In this scenario, the pain starting in the shoulder and traveling down the arm describes radiating pain. Referred pain (
Choice
A) is pain felt at a site different from the actual origin of the pain. Superficial pain (
Choice
B) is pain that arises from the skin or tissues just beneath it. Precipitating pain (
Choice
D) refers to pain that is triggered by specific actions or events, not the characteristic described in the question.
Question 5 of 5
Which of the following signs or symptoms indicates a possible nutritional deficiency?
Correct Answer: D
Rationale: A client with poor nutritional intake may have pale mucous membranes surrounding the eye, or the conjunctiva. This area should normally be pink, indicating good circulation and a lack of irritation or dryness. Improper nutrition can manifest as numerous signs in the body, including bowed legs, pale mucous membranes, a smooth or beefy tongue, and poor muscle tone. Subcutaneous fat at the waist and abdomen is not a sign of nutritional deficiency but rather of excess fat deposition. The presence of papillae on the surface of the tongue is normal and not indicative of a nutritional deficiency. Straight arms and legs are also typical anatomical features and not specifically related to nutritional deficiencies.