NCLEX RN Simulated Exam Test Bank - Nurselytic

Correct Answer: C

Rationale: Food intake is typically measured in terms of the percentage (%) of food that has been eaten. Using percentages allows for a more precise and standardized way of recording food consumption. For instance, you would record 25% of the vegetable if the person has eaten about a quarter of the vegetables on the plate.

Choices A and B are incorrect.
Choice A's terms 'a little' and 'a moderate amount' are vague and not specific enough for accurate documentation.
Choice B's use of cc is more appropriate for measuring fluids, not solid foods.
Choice D is also incorrect as it combines vague terms with percentages, which could lead to confusion in accurately documenting the food intake.

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: 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.

Correct Answer: C

Rationale: When a patient laughs due to anxiety during an EKG, it is likely to cause tachycardia, which is a rapid heart rate. This increased heart rate can lead to poor EKG graph quality as the electrical signals from large moving muscles can interfere with data collection from the chest leads.
Therefore, in this scenario, the EKG is expected to show tachycardia with poor graph quality.

Choices A, B, and D are incorrect because a patient laughing out of anxiety is more likely to result in an increased pulse rate (tachycardia) rather than a decreased pulse rate (bradycardia) or a normal EKG.

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.