NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is performing a physical assessment on a newly admitted client. The last step in the physical assessment is:
Correct Answer: D
Rationale: Palpation is the last step in a physical assessment, following inspection, auscultation, and percussion, to avoid altering findings with touch.
Question 2 of 5
The nurse is caring for a client with irritable bowel syndrome. Irritable bowel syndrome is characterized by:
Correct Answer: B
Rationale: IBS is characterized by alternating constipation and diarrhea, often triggered by stress or diet, without structural abnormalities.
Question 3 of 5
A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?
Correct Answer: A
Rationale: Pancreatic cancer often leads to malnutrition due to impaired digestion and absorption, making alteration in nutrition the primary concern.
Question 4 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.
Question 5 of 5
The nurse is caring for a client on a ventilator that is set on intermittent mandatory ventilation (IMV). Assessment on the ventilator is IMV mode of 8 breaths per minute. The nurse assesses the client's respiratory rate of 13 per minute. These findings indicate that:
Correct Answer: D
Rationale: IMV delivers a set number of breaths (8 per minute), but the client can breathe spontaneously. A respiratory rate of 13 indicates the client is taking 5 additional spontaneous breaths (13 - 8 = 5).