NCLEX NCLEX-RN
NCLEX RN Actual Exam Test Bank
1. Which of the following actions can help prevent a fire in the area where a healthcare professional works?
- A. Using an adaptor when plugging in client equipment
- B. Marking equipment that is not working properly and using it carefully until it can be inspected by maintenance
- C. Notifying visitors or posting signs that indicate oxygen is in use in certain areas
- D. Keeping extra equipment stored in one area with other supplies and materials
Correct answer: C: Notifying visitors or posting signs that indicate oxygen is in use in certain areas
Rationale: The correct action to help prevent a fire in a healthcare setting is to notify visitors or post signs indicating that oxygen is in use in certain areas. Oxygen is a combustible material, and awareness of its presence is crucial to prevent fire hazards. By informing all individuals in the facility about the use of oxygen through clear signs or notifications, the risk of improper use and potential fire accidents can be minimized. Choice A is incorrect because using an adaptor when plugging in client equipment is not directly related to fire prevention. Choice B is also incorrect as marking faulty equipment and using it until inspection does not directly address fire prevention. Choice D is not a recommended action for fire prevention; storing extra equipment with supplies does not address the specific fire risk associated with oxygen use.
2. Which of the following bony landmarks is described as a large, blunt, irregularly shaped process found on the lateral aspect of the proximal femur?
- A. Tubercle
- B. Tuberosity
- C. Condyle
- D. Trochanter
Correct answer: D
Rationale: The correct answer is D: Trochanter. The Greater Trochanter is located on the lateral aspect of the proximal femur and is a large, blunt, irregularly shaped bony process. It serves as an important attachment site for many muscles of the legs, providing leverage and movement. Choice A, Tubercle, is a small rounded projection, usually for the attachment of a ligament or tendon. Choice B, Tuberosity, is a large rounded projection, also typically for muscle attachment. Choice C, Condyle, refers to a rounded articular surface at the end of a bone, usually involved in joints.
3. When performing a return demonstration of using a gait belt for a female patient with right-sided weakness, which observation indicates that the caregiver has learned the correct procedure?
- A. Standing on the female patient's strong side, the caregiver is ready to hold the gait belt if any evidence of weakness is observed.
- B. Standing on the female patient's weak side, the caregiver provides security by holding the gait belt from the back.
- C. Standing behind the female patient, the caregiver provides balance by holding both sides of the gait belt.
- D. Standing slightly in front and to the right of the female patient, the caregiver guides her forward by gently pulling on the gait belt.
Correct answer: Standing on the female patient's weak side, the caregiver provides security by holding the gait belt from the back.
Rationale: When assisting a patient with right-sided weakness using a gait belt, the caregiver must stand on the weak side of the patient to provide optimal support and security. By standing on the weak side and holding the gait belt from the back, the caregiver can effectively prevent falls and guide the patient's movements. This position allows for better control over the patient's balance. Standing on the strong side (option A) does not offer the necessary support if the patient leans towards the weak side. Standing behind the patient and holding both sides of the gait belt (option C) does not provide focused support to the weak side. Standing slightly in front and to the right (option D) may not offer adequate assistance to prevent falls on the weak side, making it an incorrect choice.
4. The mental health nurse plans to discuss a client's depression with the health care provider in the emergency department. There are two clients sitting across from the emergency department desk. Which nursing action is best?
- A. Only refer to the client by gender
- B. Identify the client only by age
- C. Avoid using the client's name
- D. Discuss the client another time
Correct answer: Discuss the client another time
Rationale: The best nursing action is to discuss the client another time to ensure confidentiality. It is important to maintain the privacy of the client's information, so discussing sensitive topics like depression in a public area where conversations can be overheard is not appropriate. While options A, B, and C may seem like ways to protect the client's identity, they do not guarantee confidentiality since details like gender or age can still lead to identification. Therefore, the nurse should prioritize privacy and confidentiality by finding a more suitable time and location to have a private discussion about the client's concerns.
5. When reviewing the demographics of ethnic groups in the United States, which group does the nurse recall as the largest and fastest-growing population?
- A. Asian
- B. Hispanic
- C. American Indian
- D. African American/Black
Correct answer: B
Rationale: The correct answer is 'Hispanic.' Hispanics are the largest and fastest-growing population in the United States. While African Americans/Blacks, Asians, American Indians, and other groups are significant, Hispanics currently represent the largest demographic group. African American/Black, Asian, and American Indian populations are substantial but not as large or fast-growing as the Hispanic population. Therefore, Hispanic is the most appropriate choice in this scenario.
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