NCLEX RN Simulated Exam Test Bank - Nurselytic

Correct Answer: A

Rationale: The correct answer is 'presbycusis.' Presbycusis is the age-related gradual loss of hearing ability, commonly seen in the elderly population. Xerostomia refers to dry mouth, myopia is nearsightedness, and presbyopia is the age-related loss of the eye's ability to focus on close objects. Given Mr. Roberts' age and symptom of gradual hearing loss, presbycusis is the most likely diagnosis. Xerostomia, myopia, and presbyopia do not match the sensory change described in the question, making them incorrect choices.

Correct Answer: B

Rationale: The correct answer is 'lateral.' The Sims' position is characterized by the patient lying on their side with the upper knee flexed and the upper arm positioned in front of the body. This is similar to the lateral position where the patient is also lying on their side. The prone position (choice
A) is when the patient lies face down, the supine position (choice
C) is when the patient lies face up, and Fowler's position (choice
D) is a seated position with the head of the bed elevated at a 45-90 degree angle.
Therefore, the lateral position is the most similar to the Sims' position as both involve the patient lying on their side.

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.

Correct Answer: D

Rationale: Understaffing of nursing personnel is a critical organizational factor that can contribute to workplace violence directed at nurses. When there are too few nurses on duty due to understaffing, it can lead to delays in care delivery and inadequate attention to clients' needs. This situation can result in heightened frustration, aggression, or violence from clients or their families towards the nursing staff. On the other hand, the presence of security guards (
Choice
B) may enhance safety in the workplace and deter violence, making it an incorrect choice. Clients who have short hospital stays (
Choice
A) and restricted client areas (
Choice
C) are not directly linked to organizational factors that promote workplace violence against nurses, making them incorrect choices.

Correct Answer: C

Rationale: The correct answer is the Median Plane, also known as the sagittal plane. It divides the body into right and left sides. The Frontal Plane, or coronal plane, divides the body into front and back sections. The Transverse Plane divides the body into superior (upper) and inferior (lower) sections.
Therefore, choices A, B, and D are incorrect as they do not specifically divide the body into right and left sides.