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Free Test Prep NCLEX-PN Exam Questions (page: 40)

Page 40 of 254
PDF with 1015 Questions

Which type of practice is most similar to research based practice?

  1. Best practices
  2. Evidence based practice
  3. Benchmark practices
  4. Standard based practice

Answer(s): B

Explanation:

Evidence-based practice is an approach to patient care that encourages nurses to use the best available evidence, or research, in combination with the individual patient’s circumstances and preferences in clinical practice.
Simply stated, evidence based practice is research based practice.
Best practices may or may not be based on sound research; benchmarks are similar to best practices and these benchmarks are used so that nurses can compare their outcomes of care to those of others.
Standards of care are guidelines for practice; standards of care and standards of practice are published by the American Nurses Association as well as other professional organizations and associations.



Which statement about appendicitis is accurate and true?

  1. Appendicitis is more common among females than males.
  2. A high fiber diet is a risk factor associated with appendicitis.
  3. Left lower quadrant pain is suggestive of appendicitis.
  4. Mc Burney’s point tenderness is suggestive of appendicitis.

Answer(s): D

Explanation:

Mc Burney’s point tenderness in the right lower quadrant is suggestive of appendicitis.
Appendicitis is more common among males than females and those with a high carbohydrate and/or low fiber diet are at risk for this inflammation and infection.



Which of the following differentiates ulcerative colitis from Crohn’s disease?

  1. Crohn’s disease primarily affects the left colon and rectum and ulcerative colitis most often affects the right colon and distal ileum.
  2. Crohn’s disease presents with shallow ulcerations and ulcerative colitis presents with a cobblestone appearance of the mucosal lining.
  3. The extent of involvement is noncontiguous and segmented with Crohn’s disease and it is contiguous and diffuse with ulcerative colitis.
  4. Crohn’s disease has primarily mucosal involvement and it is transmural with ulcerative colitis.

Answer(s): C

Explanation:

The extent of involvement is noncontiguous and segmented with Crohn’s disease; and it is contiguous and diffuse with ulcerative colitis.



Which atrioventricular heart block is also referred to as Mobitz II?

  1. Third-degree atrioventricular heart block.
  2. Second-degree atrioventricular heart block.
  3. First-degree atrioventricular heart block.
  4. Complete heart block.

Answer(s): A

Explanation:

Third-degree atrioventricular heart block is also referred to as Mobitz II; this type of heart block occurs when the AV node impulses are blocked as they try to reach the ventricles.
First degree heart block occurs when the AV node impulse is delayed.
Second degree heart block, as referred to as Mobitz I and Wenckebach, occurs when there are progressive conduction delays through the AV node that alters the PR and QRS intervals.
Complete heart block blocks all atrial impulses to the ventricle.



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