NCLEX RN PEARSON TEST BANK ALL QUESTION AND
WELL ELABORATED ANSWERS WITH RATIONALES TOP
RATED VERSION FOR 2024- 2025 ALREADY A GRADED |NEW
AND REVISED
Lasts much longer & more effective at preventing subsequent infections than passive immunity. Active
immunity lasts for years & can be easily reactivated by booster dose of antigen. Protection from active
immunity takes 5-14 days to develop after first exposure to antigen & 1-3 days after subsequent
exposures. - CORRECT ANSWER-Active immunity
Most likely cause is activation of an autoimmune response.Test for rheumatoid factor detects presence
of unusual antibodies of IgG & IgM type, which develop in a number of connective tissue diseases. -
CORRECT ANSWER-Rheumatoid arthritis
Measuring ESR can confirm inflammation or infection anywhere in body. ESR useful for connective tissue
disease because value directly correlates with degree inflammation & later with severity of the disease.
ESR value of 30 to 40 mm/hr indicates mild inflammation, 40 to 70 mm/hr indicates moderate
inflammation, & 70 to 150 mm/hr indicates severe inflammation. - CORRECT ANSWER-Erythrocyte
sedimentation rate (ESR)
Epidermal blistering & sloughing precipitated by lateral finger pressure, commonly is present in
pemphigus vulgaris - CORRECT ANSWER-Nikolsky's sign
Bone pain most common symptom & may manifest in areas close to a joint. Pain related to progressive
enlargement & deformity of bone. Hearing loss, numbness face, or (more rarely) blindness can occur
when thickened bone of Paget's disease compresses vital nerves in skull. Fatigue or difficulty with
ambulation may occur but would not be most common symptom. - CORRECT ANSWER-Paget's disease
Stage I carcinoma strictly confined to cervix. Stage II, carcinoma has extended beyond cervix but has not
extended to pelvic wall. Stage III carcinoma has extended to pelvic wall at lower third of vagina, & in
stage IV, carcinoma has extended beyond true pelvis or has clinically involved mucosa of bladder or
rectum. - CORRECT ANSWER-Papanicolaou smear (PAP), test for cancer
produces GH, LH, and FSH - CORRECT ANSWER-Anterior pituitary gland
,ADH & oxytocin are synthesized by hypothalamus & stored in posterior pituitary gland - CORRECT
ANSWER-Posterior pituitary gland
Produces Epinephrine & norepinephrine - CORRECT ANSWER-Adrenal medulla
Produces cortisol, androgens, & aldosterone - CORRECT ANSWER-Adrenal cortex
Bone infection & may be caused by direct contamination of bone through open wound. Bacteria invade
bone tissue & produce inflammation. Ischemia & necrosis of bone tissue may follow if not treated. -
CORRECT ANSWER-Osteomyelitis
Narrowing this valve will impede circulation blood through the Left atrium to left ventricle - CORRECT
ANSWER-Mitral stenosis
Failure of aortic valve to close completely allows blood to flow retrograde through the Aorta to left
ventricle - CORRECT ANSWER-aortic regurgitation
Primary effect decrease blood pressure is reduced blood flow to myocardium. This decreases
oxygenation of cardiac tissue. Cardiac tissue likely to become excitable or irritable in presence of
hypoxia. Heart rate is likely to increase in response to change. Effects of tissue ischemia lead to
decreased contractility over time. - CORRECT ANSWER-Decrease in blood pressure
The left coronary artery supplies right atrium & right ventricle with blood - CORRECT ANSWER-coronary
arteries
Early decreases fluid volume compensated for by increase in pulse rate. Although BP will decrease, it is
not the earliest indicator. - CORRECT ANSWER-Earliest indication of new decreases in fluid volume
Normal cardiac output for adult can range from 4-8 L/min & varies greatly with body size. Heart
normally pumps 5 L of blood every minute. - CORRECT ANSWER-Cardiac output
Bifurcates from left main coronary artery to supply anterior wall of left ventricle & a few other
structures - CORRECT ANSWER-Left anterior descending coronary artery (LAD)
,Bifurcates from left coronary artery & supplies left atrium & lateral wall of left ventricle - CORRECT
ANSWER-Circumflex coronary artery
Supplies right side of heart, including right atrium & right ventricle. - CORRECT ANSWER-Right coronary
artery (RCA
Supplies posterior wall of the heart. - CORRECT ANSWER-Posterior descending coronary artery (PDA)
Inserted too far into trachea, tube will enter right main bronchus. Occurs because right bronchus is
shorter & wider than left & extends downward in more vertical plane. If tube not inserted far enough,
no chest expansion at all will occur. - CORRECT ANSWER-Endotracheal tube
Use specific positions; vary depending on affected (Lobe or Lobes). Usually place head lower than
affected lung segments facilitate drainage of secretions. Postural drainage often done in conjunction
chest percussion for maximum effectiveness. - CORRECT ANSWER-Postural drainage
Inflammation visceral & parietal pleurae. Inflammation prevents parietal & visceral pleural surfaces from
gliding over each other with respiration. Experiences pain, especially with inspiration. Pleural friction rub
auscultated early in course of pleurisy before pleural fluid accumulates. Once fluid accumulates in
inflamed area, friction between visceral & parietal lung surfaces decreases, & pleural friction rub
disappears. - CORRECT ANSWER-Pleurisy
Cartilaginous ridge separates opening two main (right & left) bronchi. Endotracheal tube inserted past
carina, tube will enter right main bronchus as result natural curvature of airway. Hazardous because
only right lung will be ventilated. - CORRECT ANSWER-The carina
Contains 21% oxygen - CORRECT ANSWER-Room air
Apex of lung is rounded, uppermost part of lung. Nurse would place stethoscope just under left clavicle -
CORRECT ANSWER-Apical pneumothorax
Sometimes referred to as vermiform appendix, attached to apex of cecum. - CORRECT ANSWER-The
appendix
, Thrombin produced by liver & necessary for normal clotting. Insufficient level of this substance is at risk
for bleeding. - CORRECT ANSWER-Low serum levels of thrombin
Experiences blurred vision because focal point falls behind retina. Called farsightedness, condition may
be caused by eyeball that is shorter than usual or cornea that has less curvature than normal. Corrected
by use of convex or plus lens for close work, such as reading. - CORRECT ANSWER-Hyperopia
Light rays come into focus in front of retina. Caused by an eyeball that is too long, which may be familial
trait. Nearsightedness, corrected by use of concave or minus lenses in contact lenses or eyeglasses -
CORRECT ANSWER-Myopia
Abnormal shape to curvature of cornea, which is impairing ability to see clearly. Misshapen cornea not
perfectly spherical. Cornea cannot bend light rays equally in all directions, resulting impairment both
near & far vision. Corrected by use of cylindrical lenses. - CORRECT ANSWER-Astigmatism
Thin, transparent layer mucous membrane that covers eyeballs & lines eyelids. Infection of conjunctiva
is called conjunctivitis, which is a contagious condition - CORRECT ANSWER-The conjunctiva
(Eyelid drooping) Sagging of upper lid of eye so that it covers part of pupil. It can be caused by edema, or
it can be result of third cranial nerve disorders or neuromuscular disorders - CORRECT ANSWER-Ptosis
Ocular movements, track ocular movements horizontally & diagonally to the left & right - CORRECT
ANSWER-The six cardinal fields of gaze
Clouding of Lens of eye & often is found with increasing age. - CORRECT ANSWER-Cataract
Has no visual ability & is blind spot of eye. - CORRECT ANSWER-Optic disc
Function best dim light. Because of this, impaired rod function results in night blindness. - CORRECT
ANSWER-Dysfunction of rods of eye
WELL ELABORATED ANSWERS WITH RATIONALES TOP
RATED VERSION FOR 2024- 2025 ALREADY A GRADED |NEW
AND REVISED
Lasts much longer & more effective at preventing subsequent infections than passive immunity. Active
immunity lasts for years & can be easily reactivated by booster dose of antigen. Protection from active
immunity takes 5-14 days to develop after first exposure to antigen & 1-3 days after subsequent
exposures. - CORRECT ANSWER-Active immunity
Most likely cause is activation of an autoimmune response.Test for rheumatoid factor detects presence
of unusual antibodies of IgG & IgM type, which develop in a number of connective tissue diseases. -
CORRECT ANSWER-Rheumatoid arthritis
Measuring ESR can confirm inflammation or infection anywhere in body. ESR useful for connective tissue
disease because value directly correlates with degree inflammation & later with severity of the disease.
ESR value of 30 to 40 mm/hr indicates mild inflammation, 40 to 70 mm/hr indicates moderate
inflammation, & 70 to 150 mm/hr indicates severe inflammation. - CORRECT ANSWER-Erythrocyte
sedimentation rate (ESR)
Epidermal blistering & sloughing precipitated by lateral finger pressure, commonly is present in
pemphigus vulgaris - CORRECT ANSWER-Nikolsky's sign
Bone pain most common symptom & may manifest in areas close to a joint. Pain related to progressive
enlargement & deformity of bone. Hearing loss, numbness face, or (more rarely) blindness can occur
when thickened bone of Paget's disease compresses vital nerves in skull. Fatigue or difficulty with
ambulation may occur but would not be most common symptom. - CORRECT ANSWER-Paget's disease
Stage I carcinoma strictly confined to cervix. Stage II, carcinoma has extended beyond cervix but has not
extended to pelvic wall. Stage III carcinoma has extended to pelvic wall at lower third of vagina, & in
stage IV, carcinoma has extended beyond true pelvis or has clinically involved mucosa of bladder or
rectum. - CORRECT ANSWER-Papanicolaou smear (PAP), test for cancer
produces GH, LH, and FSH - CORRECT ANSWER-Anterior pituitary gland
,ADH & oxytocin are synthesized by hypothalamus & stored in posterior pituitary gland - CORRECT
ANSWER-Posterior pituitary gland
Produces Epinephrine & norepinephrine - CORRECT ANSWER-Adrenal medulla
Produces cortisol, androgens, & aldosterone - CORRECT ANSWER-Adrenal cortex
Bone infection & may be caused by direct contamination of bone through open wound. Bacteria invade
bone tissue & produce inflammation. Ischemia & necrosis of bone tissue may follow if not treated. -
CORRECT ANSWER-Osteomyelitis
Narrowing this valve will impede circulation blood through the Left atrium to left ventricle - CORRECT
ANSWER-Mitral stenosis
Failure of aortic valve to close completely allows blood to flow retrograde through the Aorta to left
ventricle - CORRECT ANSWER-aortic regurgitation
Primary effect decrease blood pressure is reduced blood flow to myocardium. This decreases
oxygenation of cardiac tissue. Cardiac tissue likely to become excitable or irritable in presence of
hypoxia. Heart rate is likely to increase in response to change. Effects of tissue ischemia lead to
decreased contractility over time. - CORRECT ANSWER-Decrease in blood pressure
The left coronary artery supplies right atrium & right ventricle with blood - CORRECT ANSWER-coronary
arteries
Early decreases fluid volume compensated for by increase in pulse rate. Although BP will decrease, it is
not the earliest indicator. - CORRECT ANSWER-Earliest indication of new decreases in fluid volume
Normal cardiac output for adult can range from 4-8 L/min & varies greatly with body size. Heart
normally pumps 5 L of blood every minute. - CORRECT ANSWER-Cardiac output
Bifurcates from left main coronary artery to supply anterior wall of left ventricle & a few other
structures - CORRECT ANSWER-Left anterior descending coronary artery (LAD)
,Bifurcates from left coronary artery & supplies left atrium & lateral wall of left ventricle - CORRECT
ANSWER-Circumflex coronary artery
Supplies right side of heart, including right atrium & right ventricle. - CORRECT ANSWER-Right coronary
artery (RCA
Supplies posterior wall of the heart. - CORRECT ANSWER-Posterior descending coronary artery (PDA)
Inserted too far into trachea, tube will enter right main bronchus. Occurs because right bronchus is
shorter & wider than left & extends downward in more vertical plane. If tube not inserted far enough,
no chest expansion at all will occur. - CORRECT ANSWER-Endotracheal tube
Use specific positions; vary depending on affected (Lobe or Lobes). Usually place head lower than
affected lung segments facilitate drainage of secretions. Postural drainage often done in conjunction
chest percussion for maximum effectiveness. - CORRECT ANSWER-Postural drainage
Inflammation visceral & parietal pleurae. Inflammation prevents parietal & visceral pleural surfaces from
gliding over each other with respiration. Experiences pain, especially with inspiration. Pleural friction rub
auscultated early in course of pleurisy before pleural fluid accumulates. Once fluid accumulates in
inflamed area, friction between visceral & parietal lung surfaces decreases, & pleural friction rub
disappears. - CORRECT ANSWER-Pleurisy
Cartilaginous ridge separates opening two main (right & left) bronchi. Endotracheal tube inserted past
carina, tube will enter right main bronchus as result natural curvature of airway. Hazardous because
only right lung will be ventilated. - CORRECT ANSWER-The carina
Contains 21% oxygen - CORRECT ANSWER-Room air
Apex of lung is rounded, uppermost part of lung. Nurse would place stethoscope just under left clavicle -
CORRECT ANSWER-Apical pneumothorax
Sometimes referred to as vermiform appendix, attached to apex of cecum. - CORRECT ANSWER-The
appendix
, Thrombin produced by liver & necessary for normal clotting. Insufficient level of this substance is at risk
for bleeding. - CORRECT ANSWER-Low serum levels of thrombin
Experiences blurred vision because focal point falls behind retina. Called farsightedness, condition may
be caused by eyeball that is shorter than usual or cornea that has less curvature than normal. Corrected
by use of convex or plus lens for close work, such as reading. - CORRECT ANSWER-Hyperopia
Light rays come into focus in front of retina. Caused by an eyeball that is too long, which may be familial
trait. Nearsightedness, corrected by use of concave or minus lenses in contact lenses or eyeglasses -
CORRECT ANSWER-Myopia
Abnormal shape to curvature of cornea, which is impairing ability to see clearly. Misshapen cornea not
perfectly spherical. Cornea cannot bend light rays equally in all directions, resulting impairment both
near & far vision. Corrected by use of cylindrical lenses. - CORRECT ANSWER-Astigmatism
Thin, transparent layer mucous membrane that covers eyeballs & lines eyelids. Infection of conjunctiva
is called conjunctivitis, which is a contagious condition - CORRECT ANSWER-The conjunctiva
(Eyelid drooping) Sagging of upper lid of eye so that it covers part of pupil. It can be caused by edema, or
it can be result of third cranial nerve disorders or neuromuscular disorders - CORRECT ANSWER-Ptosis
Ocular movements, track ocular movements horizontally & diagonally to the left & right - CORRECT
ANSWER-The six cardinal fields of gaze
Clouding of Lens of eye & often is found with increasing age. - CORRECT ANSWER-Cataract
Has no visual ability & is blind spot of eye. - CORRECT ANSWER-Optic disc
Function best dim light. Because of this, impaired rod function results in night blindness. - CORRECT
ANSWER-Dysfunction of rods of eye
