NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
If a client's waist measurement is 38 inches and the hip measurement is 45 inches, what is the client's waist-to-hip ratio. Record your answer rounded to two decimal places.
Correct Answer: 0.84
Rationale: Waist-to-hip ratio = Waist/ Hip = 38/ 45 ≈ 0.844, rounded to 0.84.
Question 2 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 3 of 5
A client arrives in the emergency room after a motor vehicle accident. Witnesses tell the nurse that they observed the client's head hit the side of the car door. Nursing assessment findings include BP 70/34, heart rate 130, and respirations 22. Which is the client's most appropriate priority nursing diagnosis?
Correct Answer: B
Rationale: Hypotension (BP 70/34) and tachycardia (HR 130) indicate hypovolemic shock, likely from blood loss. Fluid volume deficit is the priority diagnosis to address life-threatening hypovolemia.
Question 4 of 5
The nurse has just received the change of shift report. The nurse should give priority to assessing the client with:
Correct Answer: A
Rationale: 110 mL of drainage post-thoracotomy in one hour suggests excessive bleeding, requiring immediate assessment.
Question 5 of 5
A 2-year-old toddler is admitted to the hospital. Which of the following nursing interventions would you expect?
Correct Answer: C
Rationale: Rooming-in with the parent promotes comfort and reduces anxiety for a hospitalized toddler.