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
The nurse is preparing to administer the first dose of intravenous immunoglobulin (IVIG) to a 50-year-old female adult client admitted to the hospital with Guillain-Barre syndrome. Which nursing intervention is appropriate regarding administration?
Correct Answer: B
Rationale: Monitoring vital signs before and during IVIG infusion detects adverse reactions (e.g., anaphylaxis) early, ensuring client safety.
Question 3 of 5
When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain?
Correct Answer: D
Rationale: Dietary intake, particularly of phosphorus-rich foods, is the most significant factor in assessing hyperphosphatemia risk, as excessive intake can elevate serum phosphate levels.
Question 4 of 5
The nurse is caring for a client with myasthenia gravis who is having trouble breathing. The nurse would encourage which of the following positions for maximal lung expansion?
Correct Answer: D
Rationale: Sitting or high Fowler's position maximizes lung expansion and diaphragmatic movement, critical for myasthenia gravis patients with respiratory weakness.
Question 5 of 5
The nurse is observing a student nurse administer an otic medication to an adult client. The nurse knows the student nurse requires additional teaching when which of the following actions is observed?
Correct Answer: A
Rationale: Otic medication requires a side-lying or sitting position, not prone, to ensure proper ear canal access and medication delivery.