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
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 3 of 5
A client with diverticulitis fills out her lunch menu after instruction from the nurse on proper diet. Which selection by the client demonstrates the need for further teaching?
Correct Answer: C
Rationale: Creamy peanut butter is high-fat and low-fiber, which can exacerbate diverticulitis. Other options are low-residue and appropriate.
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 caring for a client who is intubated and on the ventilator. The client is alert but cannot talk while intubated. Which method of communication would be the best choice for this client?
Correct Answer: B
Rationale: A picture board allows clear, non-verbal communication for an alert, intubated client, minimizing misinterpretation compared to writing, mouthing, or blinking.