NCLEX-RN
NCLEX RN Exam Preview Answers
1. The nurse is discussing the term subculture with a student nurse. Which statement by the nurse would best describe subculture?
- A. "Fitting as many people as possible into the majority culture."?
- B. "Identifying small groups of people who do not want to be identified with the larger culture."?
- C. "Singling out groups of people who suffer differential and unequal treatment as a result of cultural variations."?
- D. "Recognizing groups of people within a culture with shared characteristics that are not common to all members of the culture."?
Correct answer: D
Rationale: A subculture refers to a group of people within a larger culture who share distinct beliefs, values, or attitudes that are not universal among all members of the larger culture. Subcultures can emerge based on factors such as ethnicity, religion, education, occupation, age, and gender. The correct answer describes the concept of a subculture accurately. Choices A, B, and C are incorrect because they do not capture the essence of a subculture. Fitting people into the majority culture, identifying small groups who distance themselves from the larger culture, or singling out individuals facing differential treatment do not define subculture. Subcultures represent specific groups with shared characteristics that differentiate them from the broader cultural norms.
2. What does the term 'Afferent Nerve' mean?
- A. Carrying an impulse to the brain
- B. Carrying an impulse away from the brain
- C. Carrying impulses to the motor neurons of the appendicular muscles
- D. None of the above
Correct answer: A
Rationale: The correct answer is 'Carrying an impulse to the brain.' Afferent nerves are sensory nerves that carry signals from sensory receptors towards the central nervous system, including the brain. Choice B, 'Carrying an impulse away from the brain,' is incorrect as this describes efferent nerves which carry signals from the central nervous system to muscles and glands. Choice C, 'Carrying impulses to the motor neurons of the appendicular muscles,' is incorrect as it describes a different type of nerve function. Choice D, 'None of the above,' is incorrect as the correct definition of afferent nerve is indeed 'Carrying an impulse to the brain.'
3. A patient suffering from hyperglycemia would be experiencing:
- A. Low blood sugar
- B. High blood sugar
- C. Normal blood sugar
- D. None of the above
Correct answer: B
Rationale: Hyperglycemia is a condition characterized by high blood sugar levels. In this state, there is an excess of glucose in the bloodstream. Patients with hyperglycemia are often diagnosed with diabetes. The term 'hyperglycemia' specifically refers to elevated blood sugar levels. Therefore, the correct answer is 'High blood sugar.' Choices A, C, and D are incorrect because hyperglycemia indicates elevated blood sugar levels and not low or normal levels.
4. When considering the concepts related to blood pressure, which statement best describes the concept of mean arterial pressure (MAP)?
- A. MAP is the pressure of the arterial pulse.
- B. MAP reflects the stroke volume of the heart.
- C. MAP is the pressure forcing blood into the tissues, averaged over the cardiac cycle.
- D. MAP is an average of the systolic and diastolic blood pressures and reflects tissue perfusion.
Correct answer: C
Rationale: Mean Arterial Pressure (MAP) is the pressure that forces blood into the tissues, averaged over the cardiac cycle. It is not the pressure of the arterial pulse (Choice A), nor does it directly reflect the stroke volume of the heart (Choice B). While MAP involves systolic and diastolic pressures, it is not simply an average of these two values as diastole lasts longer. Instead, MAP is closer to diastolic pressure plus one third of the pulse pressure. The best description of MAP is that it represents the pressure forcing blood into the tissues, averaged over the cardiac cycle.
5. A home health nurse is preparing to visit her next client, whom she has never visited before. Which of the following actions indicates the nurse is upholding safety precautions?
- A. Send a text to the client to confirm the location of the house
- B. Leave her purse and valuables on the seat in the car and lock the doors
- C. Ask the client to keep an extra set of keys in case the car is locked
- D. Keep the car windows rolled up when in an unfamiliar environment
Correct answer: D
Rationale: The correct answer is to keep the car windows rolled up when in an unfamiliar environment. This action helps uphold safety precautions for the home health nurse. When visiting a new client in an unfamiliar area, it is essential to ensure personal safety. Keeping the car windows rolled up can prevent potential intruders or unwanted individuals from gaining access to the nurse while in the vehicle. This precaution is important for personal safety and security. Choice A, sending a text to the client to confirm the location of the house, is not directly related to the nurse's safety during the visit. While communication with the client is important, it does not directly address the nurse's safety. Choice B, leaving her purse and valuables on the seat in the car, poses a security risk. It is not advisable to leave valuables visible in the car, as it may attract thieves and compromise the nurse's safety. Choice C, asking the client to keep an extra set of keys, is more related to accessibility and convenience rather than the nurse's safety. While having an extra set of keys may be helpful, it does not directly address safety precautions for the nurse.
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