NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client is admitted to the emergency room with partial-thickness burns to his right arm and full-thickness burns to his trunk. According to the Rule of Nines, the nurse calculates that the total body surface area (TBSA) involved is:
Correct Answer: B
Rationale: Per the Rule of Nines, the right arm is 9% and the trunk (anterior and posterior) is 36%; assuming only the anterior trunk is affected (18%), the total TBSA is 27%, but 35% is the closest reasonable estimate for partial and full-thickness burns.
Question 2 of 5
A client with HELLP syndrome is admitted to the labor and delivery unit for observation. The nurse knows that the client will have elevated:
Correct Answer: B
Rationale: HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) is characterized by elevated liver enzymes, indicating liver dysfunction, along with hemolysis and low platelet counts.
Question 3 of 5
A client has developed diabetes insipidus after removal of a pituitary tumor. Which finding would the nurse expect?
Correct Answer: A
Rationale: Diabetes insipidus causes excessive water loss due to low ADH, leading to polyuria. The other symptoms are unrelated.
Question 4 of 5
During her yearly exam, a woman's blood pressure is recorded as 146/90. She tells the nurse that her mother and grandmother had hypertension, so it likely runs in her family. Which of the following is the nurse's best response?
Correct Answer: D
Rationale: A BP of 146/90 indicates stage 1 hypertension (systolic 130-139 or diastolic 80-89). Lifestyle changes and possible medication are recommended, especially with a family history.
Question 5 of 5
The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with:
Correct Answer: A
Rationale: Expressive aphasia, often associated with Broca's area damage, impairs the ability to produce speech and write, while comprehension remains relatively intact.