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 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
A client with AIDS-related cytomegalovirus is started on Cytovene (ganciclovir). The nurse should tell the client that the medication will be needed:
Correct Answer: D
Rationale: Ganciclovir is typically required lifelong for AIDS-related cytomegalovirus to prevent recurrence.
Question 4 of 5
A client nearing death has an Advance Directive in his records indicating that he does not want intravenous fluids or other invasive procedures, but the client's physician has ordered IV fluids. Which of the following initial actions by the nurse is most appropriate?
Correct Answer: B
Rationale: The nurse should first inform the physician of the Advance Directive (
B) to ensure the client's wishes are followed, as this is a legal document. Administering fluids (
C) violates the directive, and notifying the bioethics committee (
A) or supervisor (
D) is secondary.
Question 5 of 5
The nurse is teaching a client with rheumatoid arthritis about joint protection techniques. Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: B
Rationale: using large joints for tasks reduces stress on smaller joints, which is a key principle in joint protection