NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
An RN is supervising a team of LPNs on the med-surg floor. All of the following tasks can be delegated to a competent LPN EXCEPT
Correct Answer: D
Rationale: Admissions assessments require RN judgment and are outside LPN scope. Sputum collection, catheterization, and inhaler administration are within LPN scope.
Question 2 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 3 of 5
A client is diagnosed with bleeding from the upper gastrointestinal system. The nurse would expect the client's stools to be:
Correct Answer: B
Rationale: Black, tarry stools (melena) indicate upper gastrointestinal bleeding due to digested blood.
Question 4 of 5
A client has signed the consent form for a right radical mastectomy. Shortly before the client is to be taken to surgery, she tells the nurse, 'I'm not really sure that this is what I want to do. Everything was so sudden.' Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: This response encourages the client to express her concerns, facilitating informed consent and addressing her doubts.
Question 5 of 5
The nurse is preparing to administer digoxin (Lanoxin) 0.25 mg IV to a client with heart failure. Prior to administration, the nurse checks the client’s apical pulse and finds it to be 52 beats per minute. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: digoxin is withheld if the apical pulse is below 60 beats per minute in adults, as it can exacerbate bradycardia