NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client comes to the emergency department with scalding burns covering his entire left arm, anterior and posterior surfaces. Using the rule of nines, how much total body surface area (TBSA) has been burned? Record your answer using a whole number.
Correct Answer: 18
Rationale: Rule of nines: Entire arm (anterior and posterior) = 9% per arm. Left arm burn = 9% X 2 surfaces = 18% TBSA.
Question 2 of 5
A client with burns is admitted and fluid resuscitation has begun. Central venous pressure (CVP) readings are ordered every 4 hours; the client's CVP reading is 14 cm/Hâ‚‚O. Which evaluation by the nurse would be most accurate?
Correct Answer: D
Rationale: A CVP of 14 cm/Hâ‚‚O (normal: 3-8 cm/Hâ‚‚O) indicates fluid volume excess, likely from aggressive resuscitation, requiring careful monitoring to prevent complications.
Question 3 of 5
An obstetrical client has just been diagnosed with cardiac disease. The nurse should give priority to:
Correct Answer: B
Rationale: Monitoring pulse and respirations helps assess cardiac function and detect complications early in a client with cardiac disease.
Question 4 of 5
Which of the following diet instructions should be given to the client with recurring urinary tract infections?
Correct Answer: D
Rationale: Cranberry juice acidifies urine, reducing bacterial growth and preventing urinary tract infections.
Question 5 of 5
A nurse is caring for a client with Parkinson's disease who takes an MAOI as part of the medication regimen. Which item on the lunch tray would the nurse remove?
Correct Answer: A
Rationale: Cheese contains tyramine, which can cause a hypertensive crisis in clients taking MAOIs. Other items are safe.