NCLEX-PN
Physiological Adaptation NCLEX Questions Questions
Question 1 of 5
Which of the following lab values would indicate symptomatic AIDS in the medical chart? (T4 cell count per deciliter)
Correct Answer: D
Rationale: A T4 cell count less than 200 cells per deciliter indicates symptomatic AIDS, as it reflects severe immunosuppression.
Question 2 of 5
During the work phase of the nurse-client relationship, the client says to her primary nurse, 'You think that I could walk if I wanted to, don't you?' What is the best response by the nurse?
Correct Answer: D
Rationale: This response answers the question honestly and nonjudgmentally and helps to preserve the client's self-esteem.
Choice 1 is an open and candid response but diminishes the client's self-esteem.
Choice 2 doesn't answer the client's question and is not helpful.
Choice 3 increases the client's anxiety because her inability to walk might be directly related to an unconscious psychological conflict that has not been resolved.
Question 3 of 5
In alcoholics with anemia:
Correct Answer: B
Rationale: The ingestion of nonfood substances (alcohol) can lead to a clinical iron deficiency and might actually be the first sign of a problem. The client might substitute alcohol for a nutrition program that fosters a positive health habit.
Question 4 of 5
Which intervention should the nurse take first to assist a woman who states that she feels incompetent as the mother of a teenage daughter?
Correct Answer: C
Rationale: The intervention priority with a mother who feels incompetent to parent a teenage daughter is to assist the mother to identify what she feels her crisis events are and to help her develop better coping skills and improve her mothering skills. With a teenager, the growth and development parameters have to be concentrated on self as well as acquiring an added event.
Choices 1, 2, and 4 do not directly address the mother's feelings of inadequacy.
Question 5 of 5
A patient is complaining of severe chest pain during a stress test. Which of the following medications is the most appropriate to relieve this discomfort?
Correct Answer: C
Rationale: Procardia can provide the quickest relief of ischemic chest pain that is severe in this case.