NCLEX-RN
NCLEX RN Simulated Exam Test Bank Questions
Extract:
Question 1 of 5
Which term best describes changes such as retirement, grandparenting, and increased dependence on others?
Correct Answer: B
Rationale: The correct answer is 'Psychosocial.' Retirement, grandparenting, and increased dependence on others are examples of psychosocial changes because they involve social interactions, relationships, and psychological aspects. 'Moral' (
Choice
A) does not directly relate to the changes mentioned. 'Self-esteem' (
Choice
C) is more about self-perception and confidence, not the social changes mentioned. 'Psychomotor' (
Choice
D) refers to physical movements and skills, which are not the focus of the changes described in the question.
Question 2 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.
Question 3 of 5
A patient's nursing diagnosis is Insomnia. The desired outcome is: 'Patient will sleep for a minimum of 5 hours nightly by October 31.' On November 1, a review of the sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. Which evaluation should be documented?
Correct Answer: D
Rationale: The correct answer is 'Never demonstrated.' Despite the patient sleeping a total of 6 hours daily, it is not achieved in one uninterrupted session at night as per the desired outcome. The patient's habit of taking a 2-hour afternoon nap also affects the evaluation.
Therefore, the outcome should be evaluated as 'Never demonstrated.'
Choice A, 'Consistently demonstrated,' is incorrect because the desired outcome of sleeping for a minimum of 5 hours nightly in one session is not met.
Choice B, 'Often demonstrated,' is incorrect as the patient's sleep pattern does not consistently align with the desired outcome.
Choice C, 'Sometimes demonstrated,' is also incorrect as the patient's sleep pattern does not meet the specific criteria set in the desired outcome.
Question 4 of 5
A patient suffering from hyperglycemia would be experiencing:
Correct Answer: B
Rationale: Hyperglycemia is a condition characterized by high blood sugar levels. In this state, there is an excess of glucose in the bloodstream. Patients with hyperglycemia are often diagnosed with diabetes. The term 'hyperglycemia' specifically refers to elevated blood sugar levels.
Therefore, the correct answer is 'High blood sugar.'
Choices A, C, and D are incorrect because hyperglycemia indicates elevated blood sugar levels and not low or normal levels.
Question 5 of 5
When assessing a pulse, what should be noted?
Correct Answer: C
Rationale: When assessing a pulse, it is important to note the rate (number of beats per minute), quality (regular or irregular), and fullness (thread and weak or full and bounding). These aspects provide crucial information about the patient's cardiovascular status. Regularity, as mentioned in option D, is not typically assessed during a pulse check and is not necessary for routine pulse assessment.
Choice A is too limited as it overlooks important aspects beyond just the rate.
Choice B improves by adding quality but still lacks the fullness aspect.
Choice C is the most comprehensive and accurate as it includes all three essential aspects for a thorough pulse assessment.