NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A 28-year-old woman with Guillain-Barre syndrome has been intubated and is on mechanical ventilation due to ascending paralysis. She has become increasingly worried and upset as the day has gone on. What would be the best response by the nurse to help the woman cope?
Correct Answer: D
Rationale: Acknowledging the client’s worry, offering support, and encouraging family presence promote emotional coping and reduce isolation. Other responses dismiss the client’s feelings or limit support.
Question 2 of 5
The nurse is caring for a client following a myocardial infarction. Which of the following enzymes are specific to cardiac damage?
Correct Answer: C
Rationale: CK-MB and LDH are specific to cardiac muscle damage, with CK-MB being particularly indicative of myocardial infarction due to its cardiac specificity.
Question 3 of 5
The nurse is assessing a client with a suspected pulmonary embolism. Which of the following findings would the nurse expect?
Correct Answer: D
Rationale: decreased oxygen saturation is a common finding in pulmonary embolism due to impaired gas exchange
Question 4 of 5
A 4-year-old is admitted to the hospital for treatment of Kawasaki's disease. The medication commonly prescribed for the treatment of Kawasaki's disease is:
Correct Answer: A
Rationale: Aspirin is used in Kawasaki's disease to reduce inflammation and prevent coronary artery complications, often with intravenous immunoglobulin.
Question 5 of 5
A client nearing death has an Advance Directive in his records indicating that he does not want intravenous fluids or other invasive procedures, but the client's physician has ordered IV fluids. Which of the following initial actions by the nurse is most appropriate?
Correct Answer: B
Rationale: The nurse should first inform the physician of the Advance Directive (
B) to ensure the client's wishes are followed, as this is a legal document. Administering fluids (
C) violates the directive, and notifying the bioethics committee (
A) or supervisor (
D) is secondary.