NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?
Correct Answer: C
Rationale: Daily measurement of abdominal girth is the most sensitive method to detect early ascites by tracking subtle increases in abdominal size.
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 scheduled for disc surgery tells the nurse that she frequently uses the herbal supplement kava-kava (piper methysticum). The nurse should notify the doctor because kava-kava:
Correct Answer: A
Rationale: Kava-kava can potentiate the effects of anesthetics and analgesics, increasing the risk of oversedation or prolonged recovery, necessitating physician notification.
Question 4 of 5
An elderly client has a stage II pressure ulcer on her sacrum. During assessment of the client's skin, the nurse would expect to find:
Correct Answer: B
Rationale: A stage II pressure ulcer involves partial-thickness skin loss, appearing as a shallow crater with a nonpainful wound base.
Question 5 of 5
The nurse is performing discharge teaching for a client after a cardiac catheterization. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Applying an ice bag for bleeding is incorrect; direct pressure should be applied, and the physician notified. This statement indicates a need for further teaching.