which of the following questions is consideredopen ended

NCLEX-RN

NCLEX RN Actual Exam Test Bank

1. Which of the following questions is considered open-ended?

A. What time did you last take your medications?
B. Are you feeling okay right now?
C. Please describe your symptoms.
D. What day are you available for a follow-up appointment?

Correct answer: C

Rationale: The correct answer is 'Please describe your symptoms.' This question is considered open-ended because it encourages the respondent to provide a detailed and descriptive answer, fostering a more elaborate response. Open-ended questions are designed to prompt thoughtful and detailed responses. Choice A is a closed-ended question since it seeks a specific time for the medication intake. Choice B is also closed-ended as it can be answered with a simple 'yes' or 'no,' limiting the response. Choice D is closed-ended as it requests a specific day for the follow-up appointment, restricting the range of possible responses.

2. When evaluating the temperature of older adults, what aspect should the healthcare provider remember about an older adult's body temperature?

A. The body temperature of the older adult is lower than that of a younger adult.
B. An older adult's body temperature is approximately the same as that of a young child.
C. Body temperature varies based on the type of thermometer used.
D. In older adults, body temperature can fluctuate widely due to less effective heat control mechanisms.

Correct answer: A

Rationale: When evaluating the temperature of older adults, it is important to note that their body temperature is usually lower than that of younger adults, with a mean temperature of 36.2°C. Choice B is incorrect because an older adult's body temperature is not approximately the same as that of a young child. Choice C is incorrect because body temperature is a physiological parameter and does not vary based on the type of thermometer used. Choice D is incorrect because while older adults may have less effective heat control mechanisms, their body temperature is typically lower, not widely fluctuating.

3. When checking for proper blood pressure cuff size, which guideline is correct?

A. The standard cuff size is appropriate for all sizes.
B. The length of the rubber bladder should equal 80% of the arm circumference.
C. The width of the rubber bladder should equal 80% of the arm circumference.
D. The width of the rubber bladder should equal 40% of the arm circumference.

Correct answer: D

Rationale: When selecting the correct blood pressure cuff size, it is essential to ensure that the width of the rubber bladder equals 40% of the circumference of the person's arm. This ensures proper fitting and accurate readings. The length of the bladder should actually equal 80% of the arm circumference, not 80% of the width, making choices B and C incorrect. Choice A stating that the standard cuff size is appropriate for all sizes is inaccurate, as using an incorrectly sized cuff can lead to inaccurate blood pressure readings.

4. What does the medical term 'diaphoresis' mean?

A. Profuse vomiting
B. Profuse sweating
C. Gasping for air
D. None of the above

Correct answer: B

Rationale: The correct answer is B: Profuse sweating. Diaphoresis is a medical term that refers to excessive sweating. It is commonly seen in emergency situations such as heart attacks or diabetic episodes. Choice A, 'Profuse vomiting,' is incorrect as diaphoresis is not related to vomiting. Choice C, 'Gasping for air,' is also incorrect as it refers to difficulty breathing, not sweating. Choice D, 'None of the above,' is incorrect as diaphoresis specifically relates to sweating.

5. Which of the following safety precautions should the nurse discuss when working with an immunocompromised client?

A. Avoid canned foods and increase consumption of fresh fruits and vegetables
B. Hand-wash utensils after use and allow them to air dry
C. Only drink tap water that has been filtered or boiled before consumption
D. Never eat meals prepared in restaurants

Correct answer: C

Rationale: The correct answer is to only drink tap water that has been filtered or boiled before consumption. Immunocompromised clients are susceptible to infections, so it is essential to take precautions to prevent exposure to harmful pathogens. Drinking tap water that has been filtered or boiled helps eliminate potential pathogens that could be harmful to the client's health. Choices A, B, and D do not directly address the issue of avoiding potential pathogens that could compromise the health of an immunocompromised client. Thus, they are incorrect. Hand-washing utensils, avoiding canned foods, and increasing fruit and vegetable consumption are good general hygiene practices but may not specifically address the needs of an immunocompromised client.