NCLEX RN Simulated Exam Test Bank - Nurselytic

Correct Answer: D

Rationale: The pulse point located on the top of the foot is known as the dorsalis pedis pulse point. It is situated on the arch of the foot, slightly lateral to the midline. This pulse point is commonly examined in patients with peripheral vascular problems to assess blood flow adequacy. Additionally, some individuals may not have this pulse point due to a congenital anomaly.
Therefore, all the given statements are correct in relation to the dorsalis pedis pulse point, making 'All of the above' the correct answer.

Choices A, B, and C are all individually valid characteristics of the dorsalis pedis pulse point, hence selecting 'All of the above' as the correct answer is appropriate.

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.

Correct Answer: C

Rationale: The correct answer is 'Please describe your symptoms.' This question is considered open-ended because it encourages the respondent to provide a detailed and descriptive answer, fostering a more elaborate response. Open-ended questions are designed to prompt thoughtful and detailed responses.
Choice A is a closed-ended question since it seeks a specific time for the medication intake.
Choice B is also closed-ended as it can be answered with a simple 'yes' or 'no,' limiting the response.
Choice D is closed-ended as it requests a specific day for the follow-up appointment, restricting the range of possible responses.

Correct Answer: B

Rationale: The correct answer is B: The apical pulse method is used on infants. This method involves placing a stethoscope in the fifth intercostal space, mid-clavicular line, and counting the beats for a full minute. It is a preferred method for infants due to their small size and the difficulty in palpating peripheral pulses accurately.

Choices A, C, and D are incorrect.
Choice A is incorrect as pulse rates are indeed taken on infants, albeit using a different method.
Choice C is incorrect as a sphygmomanometer is typically used for measuring blood pressure, not pulse rates.
Choice D is incorrect as pulse rates on infants are usually taken apically in the fifth intercostal space, not the third.

Correct Answer: C

Rationale: The correct answer is 'Gastropexy,' which means 'surgical fixation of the stomach.' This procedure involves surgically fixing the stomach in place. 'Abdominorrhaphy' refers to suturing or repairing the abdomen, not related to fixing the stomach. 'Gastroplasty' is a surgical reconstruction of the abdomen, not specifically related to fixing the stomach. 'Abdominorrhexis' refers to the rupture or tearing of the abdomen, not a surgical fixation procedure.