NCLEX-RN
NCLEX RN Simulated Exam Test Bank Questions
Extract:
Question 1 of 5
A physician asks you to place the patient with his dorsal side facing the exam table. Which of the following accurately describes how the patient is positioned?
Correct Answer: B
Rationale: When the physician asks for the patient to be placed with their dorsal side facing the exam table, it means the patient should be lying on their back. This position is known as the supine position, where the patient's back is on the table, facing up towards the ceiling.
Choice A, 'The patient is lying prone,' is incorrect as the prone position is when the patient is lying face down.
Choice C, 'The patient is lying in the recovery position,' is incorrect as the recovery position is a lateral position typically used in first aid.
Choice D, 'The patient is lying on his stomach,' is incorrect as it describes the prone position, not the supine position as required in this scenario.
Question 2 of 5
Mr. Thomas is a well-groomed 68-year-old male patient who had prostate surgery two days ago. He has an indwelling catheter and a urinary drainage bag. You have weighed him at 9 am each morning for 3 mornings in a row. Today, on the 4th day, his morning weight is 3 pounds more than it was the day before. Why could he have gained these 3 pounds in one day, on a 1000 calorie diet?
Correct Answer: B
Rationale: The correct answer is that the weight gain may be due to the urinary drainage bag not being emptied today, while it was emptied on previous days. This scenario is common and can lead to an increase in weight that is not related to food intake.
Choice A is incorrect because assuming visitors are sneaking junk food is speculative and not based on facts.
Choice C is incorrect as there is no evidence to suggest the scale is broken.
Choice D is incorrect because any unexplained weight gain should be investigated further, even if it seems insignificant at first.
Question 3 of 5
The abbreviation ac is defined as _____________.
Correct Answer: A
Rationale: The correct answer is 'before the meal.' The abbreviation 'ac' is derived from the Latin term 'ante cibum,' which translates to 'before a meal.'
Choices B, C, and D are incorrect because 'ac' does not refer to 'with the meal,' 'after the meal,' or 'ante corpis.' It specifically denotes something occurring before a meal, making option A the correct choice in this context.
Question 4 of 5
What does the medical term 'basophilia' refer to?
Correct Answer: B
Rationale: The correct answer is 'An overabundance of a particular white blood cell in the peripheral blood.' Basophilia specifically indicates an increased number of basophils in the peripheral blood. It can be observed in conditions like leukemia and certain allergic reactions.
Choice A is incorrect as it describes something unrelated to basophilia.
Choice C is incorrect as it suggests a decrease in basophils, which is opposite to the actual meaning of basophilia.
Choice D is also incorrect as basophilia does have a defined medical significance.
Question 5 of 5
When a patient refuses to believe a terminal diagnosis, they are exhibiting:
Correct Answer: C
Rationale: Denial is a defense mechanism where a patient rejects a reality that is too painful or difficult to accept. In the context of a terminal diagnosis, the patient may refuse to believe it in order to avoid facing the harsh truth. Regression (choice
A) involves reverting to earlier, more childlike behaviors and is not applicable in this scenario. Mourning (choice
B) is the process of grieving a loss, which typically occurs after acceptance of the diagnosis. Rationalization (choice
D) is creating logical explanations to justify unacceptable behaviors, which is not the case when a patient denies a terminal diagnosis.