NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is assessing a client with a suspected pulmonary embolism. Which of the following findings would the nurse expect?
Correct Answer: D
Rationale: decreased oxygen saturation is a common finding in pulmonary embolism due to impaired gas exchange
Question 2 of 5
A client with acute respiratory distress syndrome (ARDS) is placed on mechanical ventilation. To increase ventilation and perfusion to all areas of the lungs, the nurse should:
Correct Answer: C
Rationale: Turning the client hourly promotes ventilation and perfusion by mobilizing secretions and preventing atelectasis in ARDS.
Question 3 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 4 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
Question 5 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.