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
After a traumatic accident, the client must have his left arm amputated in an emergency procedure. When the client wakes from anesthesia and sees his arm has been amputated, he becomes extremely distressed. He cries uncontrollably and yells about how angry he is at the doctor. The best therapeutic action from the nurse is
Correct Answer: B
Rationale: Sitting quietly with the client provides emotional support, allowing him to process grief and anger without judgment.
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
A client is diagnosed with post-traumatic stress disorder following a rape by an unknown assailant. The nurse should give priority to:
Correct Answer: A
Rationale: A supportive environment fosters trust and safety, critical for a client with PTSD to begin processing trauma.
Question 5 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