NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
After a train accident, the nurse is assigned to triage the injured. Based upon the triage protocol, which individual should be seen last?
Correct Answer: C
Rationale: Triage prioritizes life-threatening conditions. The 25-year-old with minor injuries (abrasion, swollen ankle) is the least urgent compared to potential cardiac, neurological, or traumatic injuries.
Question 2 of 5
The nurse is preparing to administer a dose of metoprolol (Lopressor) to a client with hypertension. The client’s heart rate is 58 beats per minute. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: metoprolol is a beta-blocker, and a heart rate of 58 beats per minute is below the threshold for administration, requiring physician notification
Question 3 of 5
The client has an order for heparin to prevent post-surgical thrombi. Immediately following a heparin injection, the nurse should:
Correct Answer: D
Rationale: Checking the site for bleeding ensures early detection of hematoma or excessive bleeding post-heparin injection.
Question 4 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 5 of 5
Which information obtained from the mother of a child with cerebral palsy correlates to the diagnosis?
Correct Answer: B
Rationale: Meningitis in infancy can cause neurological damage, correlating with cerebral palsy.