NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 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 2 of 5
A client is scheduled for a CT with and without contrast to rule out diverticulitis. Which medication on the client's medication list would be of concern to the nurse?
Correct Answer: C
Rationale: Metformin should be held before and after contrast CT due to the risk of lactic acidosis if renal function is impaired by contrast dye.
Question 3 of 5
A 28-year-old woman with Guillain-Barre syndrome has been intubated and is on mechanical ventilation due to ascending paralysis. She has become increasingly worried and upset as the day has gone on. What would be the best response by the nurse to help the woman cope?
Correct Answer: D
Rationale: Acknowledging the client’s worry, offering support, and encouraging family presence promote emotional coping and reduce isolation. Other responses dismiss the client’s feelings or limit support.
Question 4 of 5
When assessing the client with acute arterial occlusion, the nurse would expect to find:
Correct Answer: B
Rationale: Acute arterial occlusion causes ischemia, leading to cyanosis or blackened areas (gangrene) in distal areas like the toes due to lack of blood flow.
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.