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NCLEX RN· Safe and Effective Care Environment · Exam Cram NCLEX RN Practice Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

In which of these patients would rectal temperatures be measured?

A. Older adult

B. Critically ill patient

C. School-age child

D. Patient receiving oxygen via nasal cannula

Expert Explanatory Rationale

Correct Answer: Critically ill patient

Question 2 of 5

A patient's blood pressure is 118/82 mm Hg. The patient asks the nurse, "What do the numbers mean?"? Which is the best reply by the nurse?

A. "The numbers are within the normal range and are nothing to worry about."?

B. "The bottom number is the diastolic pressure and reflects the pressure in the arteries when the heart relaxes."?

C. "The top number is the systolic blood pressure and reflects the pressure of the blood against the arteries when the heart contracts."?

D. "The concept of blood pressure can be complex. The primary thing to be concerned about is the top number, or the systolic blood pressure."?

Expert Explanatory Rationale

Correct Answer: "The top number is the systolic blood pressure and reflects the pressure of the blood against the arteries when the heart contracts."?

Question 3 of 5

Which of the following puts the layers of skin in the correct order from right to left?

A. Dermis, epidermis, hypodermis

B. Hypodermis, epidermis, dermis

C. Epidermis, dermis, hypodermis

D. None of the above

Expert Explanatory Rationale

Correct Answer: Epidermis, dermis, hypodermis

Question 4 of 5

The healthcare professional notices that a colleague is preparing to check the blood pressure of a patient who is obese by using a standard-sized blood pressure cuff. How would this likely affect the blood pressure reading?

A. Yield a falsely low blood pressure

B. Yield a falsely high blood pressure

C. Be the same, regardless of cuff size

D. Vary as a result of the technique of the person performing the assessment

Expert Explanatory Rationale

Correct Answer: Yield a falsely high blood pressure

Question 5 of 5

During an examination, the nurse notices that a female patient has a round "moon"? face, central trunk obesity, and a cervical hump. Her skin is fragile with bruises. The nurse determines that the patient likely has which condition?

A. Gigantism

B. Acromegaly

C. Cushing syndrome

D. Marfan syndrome

Expert Explanatory Rationale

Correct Answer: Cushing syndrome

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