NCLEX-RN
NCLEX RN Simulated Exam Test Bank Questions
Extract:
Question 1 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 2 of 5
A patient's body temperature has varied over the last 24 hours from 97.6 degrees F in the morning to 99 degrees F in the evening. The patient is worried that this change in temperature may indicate the beginning of a fever. Which of the following BEST explains this phenomenon?
Correct Answer: B
Rationale: The patient is experiencing changes related to a diurnal rhythm. Diurnal rhythm is the phenomenon of body temperature fluctuating depending on the time of day. Temperatures taken in the morning are typically lower than those taken throughout the rest of the day.
Choice A is incorrect because a single elevated temperature reading in the evening does not definitively indicate a fever.
Choice C is incorrect as there is no indication of incorrect temperature measurement.
Choice D is incorrect as the temperature changes are not related to monthly hormones but rather to the body's natural daily rhythm.
Question 3 of 5
Which of the following bony landmarks is described as a large, blunt, irregularly shaped process found on the lateral aspect of the proximal femur?
Correct Answer: D
Rationale: The correct answer is D: Trochanter. The Greater Trochanter is located on the lateral aspect of the proximal femur and is a large, blunt, irregularly shaped bony process. It serves as an important attachment site for many muscles of the legs, providing leverage and movement.
Choice A, Tubercle, is a small rounded projection, usually for the attachment of a ligament or tendon.
Choice B, Tuberosity, is a large rounded projection, also typically for muscle attachment.
Choice C, Condyle, refers to a rounded articular surface at the end of a bone, usually involved in joints.
Question 4 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 5 of 5
Which body plane divides the body into right and left sides?
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.