Rasmussen College. NUR 2407. NCLEX-RN: Physiological Integrity: Physiological Adaptation Practice Questions (GRADE A)

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NCLEX-RN Practice Test Questions with Rationales Physiological Integrity: Physiological Adaptation Practice Questions 1. Your client is receiving brachytherapy. What nursing intervention sho... uld you implement for this client? A. Exclude pregnant visitors from the client’s room. B. Place the client in a negative pressure room. C. Have all visitors wear protective masks and boots. D. All of the above 2. Which of the following is an adverse effect to therapeutic radiation therapy? A. Fibrosis B. Alopecia C. Oral dryness D. Xerostomia 3. Your client is receiving phototherapy. What nursing intervention would you implement for this client? A. Placing the client in the Trendelenburg position B. Monitoring the color of the stools C. Using a Hoyer lift for patient transfers D. Monitoring the arterial blood gases 4. Select the risk factor that is accurately paired with its disorder. A. Hypokalemia: Hypermagnesemia B. Hyponatremia: Dehydration C. Hyperkalemia: Ketoacidosis D. Hypercalcemia: Hypoparathyroidism 5. Select the risk factor that is accurately paired with its disorder. A. Hypernatremia: Hepatic failure B. Hypocalcemia: Vitamin A de ciency C. Hypermagnesemia: Cushing’s disease D. Hypomagnesemia: Crohn’s disease 6. Select the electrolyte that is accurately paired with its normal level. A. Phosphate: From 0.81 to 1.45 mmol/L. B. Chloride: From 60 to 110 mEq/L. C. Calcium: From 6.5 - 10.6 mg/dL. D. Potassium: From 3.7 to 7.2 mEq/L. 7. Identify this cardiac rhythm strip. Fill in the blank. (https://www.registerednursing.org/wp- content/uploads/2016/07/Sinus-Bradycardia.jpg) A. Idioventricular Rhythm B. Bundle Branch Block C. Sinus bradycardia D. Atrial Flutter 8. Identify this cardiac rhythm strip. Fill in the blank. (https://www.registerednursing.org/wp- content/uploads/2016/07/Atrial-Flutter.png) A. Asystole B. Atrial Kutter C. Supraventricular Tachycardia D. Premature Atrial Contractions 9. Identify this cardiac rhythm strip. Fill in the blank. (https://www.registerednursing.org/wp- content/uploads/2016/07/Supraventricular-Tachycardia.jpg) A. Torsades de Pointes B. Accelerated Idioventricular Arrhythmia C. First Degree Atrioventricular Heart Block D. Supraventricular tachycardia 10. Identify this cardiac rhythm strip. Fill in the blank. (https://www.registerednursing.org/wp- content/uploads/2016/07/Ventricular-Fibrillation.png) SHARES A. Third Degree Heart Block B. Second-Degree Atrioventricular Block, Type II C. Ventricular brillation D. Premature Atrial Contractions 11. You are going to perform gastric lavage for your adult client who was accidentally poisoned. How many mLs of irrigating solution would you instill after each suctioning? A. 100 mLs B. 250 mLs C. 400 mLs D. 500 mLs 12. Your client has superior vena cava syndrome. The client’s wife asks you what this is. How should you respond to the client’s wife? You should explain that superior vena cava syndrome is: A. The compression of the renal medulla. B. Syncope and dizziness of unknown origin. C. Pressure on the vena cava which is a major vein in the body. D. Pressure on the vena cava which is the largest artery in the body. 13. Your client has presented in the emergency department with a sudden onset of shortness of breath, dysphagia, dyspnea, coughing, and pain in the chest, arms, neck, and back. Which of the following would you most likely suspect? A. Hypovolemic shock B. Septic shock C. A dissected thoracic aortic aneurysm 14. Intussusception occurs when: A. Part of the intestine slides into another part of the intestine. B. The appendix ruptures. C. An ileostomy stoma retracts below the abdominal surface. D. Lungs are in ltrated. SHARES 15. Which intervention would you expect to render to the client in a sickle cell anemia crisis? A. The administration of a thrombolytic medication B. The administration of hyroxyurea C. Placing the client in the Trendelenburg position D. Placing the client in the lithotomy position 16. You are having a nice dinner in a fancy restaurant. As you are eating, you hear the gentleman eating at the next table start to bang the table, hold his throat and forceably cough. What should you do? A. Perform the Valsalva maneuver B. Encourage the person to continue coughing C. Perform the Heimlich maneuver D. Begin CPR and prepare for ACLS measures SHARES 17. Pelvic in ammatory disease is most often caused by: A. Trichomoniasis B. E. coli C. Staphylococcus aureus D. Neisseria gonorrhoeae 18. What type of immunity occurs when a person has an infectious, communicable disease like the measles? A. Adaptive immunity B. Passive natural immunity C. Active natural immunity D. Active artiGcial immunity 19. Your client is experiencing general malaise. Which stage of infection is this client in? A. The incubation stage B. The illness stage C. The prodromal stage D. The convalescence stage 20. Which statement about automated external de brillators is accurate? A. They are not as e ective as regular de brillators. B. They are replacing regular deEbrillators in acute care settings. C. Only BLS certi ed people in the community should use them. D. They can be easily used by people with no healthcare experience. SHARES 21. Which of the following is a nursing diagnosis that re ects some unexpected response to a therapy? A. Episiotomy extension related to a forceps delivery B. Respiratory depression related to NSAIDs C. Hemothorax related to a latex allergy D. All of the above [Show More]

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