NCLEX RN Simulated Exam Test Bank - Nurselytic

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: A

Rationale: Abduction refers to moving a body part away from the midline of the body. In this case, when the patient abducts her arms, she is moving them away from her trunk.
Choice A is correct.

Choices B, C, and D are incorrect.
Choice B describes adduction, which is the movement of a body part toward the midline.
Choice C describes wrist rotation, not arm abduction.
Choice D describes crossing the arms over the abdomen, which is not the movement associated with abduction.

Correct Answer: C

Rationale: The stapes, along with the malleus and incus, are the three smallest bones in the human body. These bones are located in the inner ear and play a crucial role in hearing. The vomer is a bone in the nasal cavity and is not one of the smallest bones. The distal phalanx of the small toe is relatively larger and not among the smallest bones. The coccyx, also known as the tailbone, is not one of the smallest bones in the body.

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.

Correct Answer: C

Rationale: The correct answer is the axillary temperature of 98.6 degrees F. Afebrile means without a fever, and an axillary temperature, which is taken in the armpit, is considered normal at 98.6 degrees F.
Choice A is incorrect as a rectal temperature of 100.9 degrees F indicates a fever.
Choice B is incorrect as an oral temperature of 38 degrees C is also indicative of a fever.
Choice D is incorrect as not all options are wrong; only choices A and B are incorrect for an afebrile child.