NCLEX-RN
MSC NCLEX Physiological Integrity Questions
Question 1 of 5
The nurse is caring for a client who has been diagnosed with pulseless electrical activity (PEA). Following effective CPR and administration of epinephrine, which is the next priority nursing action?
Correct Answer: A
Rationale: After CPR and epinephrine for PEA, checking for a pulse (
A) assesses return of circulation. Shocking (
C) is not indicated for PEA, and catheter insertion (
B) or bicarbonate (
D) are not priorities.
Question 2 of 5
The nurse is caring for a client in the cardiac unit who has a systolic murmur. Which assessment finding would the nurse expect when auscultating this client's heart sounds?
Correct Answer: D
Rationale: Systolic murmurs occur during systole, between S1 and S2 (
D). Other options (A, B,
C) do not align with cardiac cycle timing.
Question 3 of 5
The nurse is caring for a client with a T-tube following a cholecystectomy. Which statement is correct regarding management of these tubes? Select all that apply.
Correct Answer: B,D,E
Rationale: Report foul odor/purulent drainage (
B), avoid clamping/irrigation without orders (
D), and clamp before meals to assess tolerance (E) are correct. Drainage system should be below the incision (
A), and removal (
C) is physician-ordered.
Question 4 of 5
The nurse is performing discharge teaching to a client diagnosed with chronic pancreatitis. Which statement by the client indicates an understanding of home management of the condition? Select all that apply.
Correct Answer: A,D
Rationale: Avoiding large meals (
A) and smoking/caffeine (
D) reduces pancreatic stress. Alcohol (
B) worsens pancreatitis, jogging (
C) depends on condition, and spices (E) may irritate.
Question 5 of 5
A nurse is employed on an oncology unit. A 62-year-old client is admitted for surgical treatment of a meningioma. The nurse would anticipate modifying the environment for which symptom?
Correct Answer: B
Rationale: Meningiomas commonly cause seizures (
B), requiring environmental modifications like padded rails. Swallowing (
A), concentration (
C), and mobility (
D) are less typical.