NCLEX-RN
NCLEX RN Simulated Exam Test Bank Questions
Extract:
Question 1 of 5
During an initial assessment interview, which statement made by a patient should serve as the priority focus for the plan of care?
Correct Answer: D
Rationale: The statement about hearing evil voices indicates that the patient is experiencing auditory hallucinations, which is a significant symptom that requires immediate attention and intervention. This symptom can be associated with serious mental health conditions like psychosis.
Choices A, B, and C are more general statements that do not provide specific information about the patient's mental health status or symptoms, making them less urgent and not as critical for the plan of care compared to the presence of auditory hallucinations.
Question 2 of 5
When considering the structural organization of the human body, what is the basic unit of life?
Correct Answer: D
Rationale: The basic unit of life is the cell. Cells are considered the fundamental unit of life because they are capable of carrying out all the processes necessary for life, such as growth, reproduction, responding to stimuli, and more. While chemicals, atoms, and molecules are essential components of cells and living organisms, they are not considered the basic unit of life. Chemicals are general substances, atoms are the smallest units of matter, and molecules are combinations of atoms.
Therefore, the correct answer is cells, as they are the building blocks of all living organisms.
Question 3 of 5
Which of the following sets of word parts means 'Pain'?
Correct Answer: A
Rationale: The correct answer is 'dynia and -algia.' The word parts 'dynia' and '-algia' specifically relate to pain. 'Dynia' refers to pain, and '-algia' also denotes pain.
Therefore, when combined, they form the meaning 'pain.'
Choices B, C, and D are incorrect because 'a-' and 'an' do not relate to pain, 'ia' and '-ac' do not specifically convey pain, and 'pathy' and '-osis' are not word parts that directly signify pain.
Question 4 of 5
A physician's order instructs a nurse to take a temperature at the axilla. Where would the nurse place the thermometer?
Correct Answer: A
Rationale: When a physician's order specifies taking a temperature at the axilla, the nurse should place the thermometer in the armpit. The axilla is the anatomical area of the armpit located under the arms, proximal to the trunk. Placing the thermometer in the rectum (
Choice
A) is used for rectal temperature measurements, in the mouth (
Choice
B) for oral temperature measurements, and on the temples (
Choice
C) is not a common site for temperature assessment.
Therefore, the correct placement based on the given instruction is in the armpit.
Question 5 of 5
What is the most useful patient position for proctologic exams?
Correct Answer: D
Rationale: The Jack Knife position is the most useful for proctologic exams as it allows the patient to lie face down while keeping the buttocks elevated, providing optimal access for the examination. The Trendelenburg position, characterized by the body being laid flat with the feet higher than the head, is not suitable for proctologic exams. Semi-Fowler's and Full Fowler's positions are typically utilized for respiratory or cardiovascular conditions and are not ideal for proctologic examinations due to their lack of optimal access to the perianal area.