NCLEX-RN
NCLEX RN Actual Exam Test Bank
1. Which of the following is one of the three smallest bones in the body?
- A. Vomer
- B. Distal phalanx of the small toe
- C. Stapes
- D. Coccyx
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.
2. Which body plane divides the body into right and left sides?
- A. Frontal Plane
- B. Medial Plane
- C. Median Plane
- D. Transverse Plane
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.
3. Which of the following scenarios provides an example of a healthcare professional overcoming a barrier to communication?
- A. A healthcare professional uses a visual aid to explain how to conduct a fingerstick glucose test to a patient with visual impairment.
- B. A healthcare professional writes down instructions for a patient who is hearing impaired.
- C. A healthcare professional raises their voice when speaking to a patient who does not speak English.
- D. A healthcare professional uses medical jargon while conversing with a minor.
Correct answer: B
Rationale: Overcoming barriers to communication in healthcare involves utilizing methods of communication that are accessible and understandable to the recipient. In the scenario provided, writing down instructions for a patient who is hearing impaired is an effective way to ensure clear communication and overcome the obstacle of hearing impairment. This method allows the patient to visually comprehend the information provided. Choice A is incorrect because using a visual aid for a visually impaired patient, not a hearing-impaired patient, would be more appropriate. Choice C is incorrect as raising one's voice does not address the language barrier effectively and may not enhance understanding. Choice D is incorrect as using complex medical terms with a minor may lead to confusion and hinder effective communication.
4. 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?
- A. It is obvious that his visitors have been sneaking him junk food from the local fast-food restaurant.
- B. It may be that his urinary drainage bag was not emptied today and it was emptied on previous days.
- C. It is obvious that the scale is broken and it should be replaced immediately to prevent these false weights.
- D. A 3-pound weight gain is not significant enough to question and should just be noted.
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.
5. The most accurate reading for a temperature is done:
- A. Orally
- B. Aurally through a clean canal
- C. Rectally
- D. Axially
Correct answer: B
Rationale: Aural readings are done through the ear canal. The tympanic membrane shares a blood supply with the hypothalamus, the brain area that regulates body temperature. Taking the temperature aurally through a clean canal ensures an accurate reading. Choice A (Orally) is not the most accurate method for temperature measurement as it can be affected by external factors like drinking hot or cold liquids. Choice C (Rectally) is invasive and less practical for routine temperature monitoring. Choice D (Axially) is not a standard method for temperature measurement and may not provide accurate results.
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