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NCLEX RN Actual Exam Test Bank
1. A physician's order instructs a nurse to take a temperature at the axilla. Where would the nurse place the thermometer?
- A. In the rectum
- B. In the mouth
- C. On the temples
- D. In the armpit
Correct answer: In the armpit
Rationale: When a physician's order specifies taking a temperature at the axilla, the nurse should place the thermometer in the armpit. The axilla is the anatomical area of the armpit located under the arms, proximal to the trunk. Placing the thermometer in the rectum (Choice A) is used for rectal temperature measurements, in the mouth (Choice B) for oral temperature measurements, and on the temples (Choice C) is not a common site for temperature assessment. Therefore, the correct placement based on the given instruction is in the armpit.
2. The nurse assesses a patient suspected of having meningitis. Which of the following is a common clinical manifestation of this condition?
- A. A high WBC count and decreased level of consciousness
- B. A high WBC count and manic activity
- C. A low WBC count and manic activity
- D. A low WBC count and decreased level of consciousness
Correct answer: A high WBC count and decreased level of consciousness
Rationale: The correct answer is 'A high WBC count and decreased level of consciousness.' Meningitis is often caused by an infectious organism, leading to an increase in Intracranial Pressure (ICP), which can result in decreased level of consciousness. While meningitis can trigger an inflammatory response, it typically presents with an elevated white blood cell (WBC) count rather than a low WBC count. Manic activity is not a common clinical manifestation of meningitis; instead, patients may exhibit altered mental status, confusion, or lethargy.
3. Which pathologic condition is described as 'increased intraocular pressure of the eye'?
- A. Detached Retina
- B. Fovea Centralis
- C. Presbyopia
- D. Glaucoma
Correct answer: D: Glaucoma
Rationale: The correct answer is Glaucoma. Glaucoma is a condition characterized by increased intraocular pressure in the eye, which can lead to optic nerve damage, vision loss, and blindness if left untreated. Detached Retina (A), Fovea Centralis (B), and Presbyopia (C) are not conditions associated with increased intraocular pressure like Glaucoma. Detached Retina is a separation of the retina from its underlying tissue, Fovea Centralis is a part of the retina responsible for sharp central vision, and Presbyopia is an age-related condition affecting near vision due to the loss of flexibility in the eye's lens.
4. Who should be members of a patient care conference?
- A. Doctors, nurses, and nursing assistants since they are healthcare providers
- B. Doctors, nurses, and the patient and/or the family members
- C. ALL members of the healthcare team
- D. ALL members of the healthcare team and the patient/resident
Correct answer: ALL members of the healthcare team and the patient/resident
Rationale: In a patient care conference, it is essential to have all members of the healthcare team present to ensure comprehensive and coordinated care. Including the patient or resident, along with their family members if desired, is crucial as they are the focus of care. Choice A is incorrect because it excludes other important members of the healthcare team. Choice B is partially correct as it includes the patient and/or family members but does not encompass the entire healthcare team. Choice C is too broad and does not specifically address the inclusion of the patient or resident. The correct answer, Choice D, includes all healthcare team members and the patient/resident, ensuring a holistic approach to patient-centered care.
5. After instructing the client on crutch walking technique, the nurse should evaluate the client's understanding by using which of the following methods?
- A. Return demonstration
- B. Explanation
- C. Achievement of 90 on written test
- D. Have the client explain the procedure to the family
Correct answer: Return demonstration
Rationale: After teaching the client on crutch walking technique, assessing the client's understanding is crucial. The most effective method to evaluate the client's comprehension of a hands-on skill like crutch walking technique is through a return demonstration. This allows the nurse to observe the client performing the technique, ensuring they have grasped the instructions correctly and can execute the skill safely. While providing an explanation can help clarify doubts, it may not confirm the client's ability to perform the skill. Achieving a high score on a written test assesses cognitive understanding but not necessarily the practical application of the skill. Having the client explain the procedure to the family does not directly assess their ability to perform the skill themselves; it tests their ability to communicate the information to others.
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