NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

A psychiatric nurse is assigned to conduct an admission nursing history on a new client. The admission should include which of the following?

Correct Answer: C

Rationale: complete nursing history includes biopsychosocial data; client’s psychosocial and physical status are evaluated along with an assessment of the client’s family system and social support network; evaluation of the client’s cognitive ability is important during the physiological status assessment

Question 2 of 5

A 16-year-old female has been sexually active for two years but was recently treated for a gonorrhea infection. The nurse is teaching the adolescent about safe sex practices. Which of the following statements by the adolescent indicate a need for more information? Select all that apply.

Correct Answer: A,C,D

Rationale: Abstinence until marriage (
A) dismisses the need for education, not using condoms for oral sex (
C) ignores STI risk, and confusion about birth control (
D) indicates a knowledge gap. Statements B and E are correct.

Question 3 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 4 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 5 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.

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