NCLEX-RN
Physiological Adaptation NCLEX RN Questions Questions
Question 1 of 5
The nurse is precepting a student nurse. The primary nurse asks the student nurse to figure the client's intake and output for the shift. Which statement by the student nurse indicates an understanding of this procedure?
Correct Answer: D
Rationale: All IV fluids, oral intake, flushes, and antibiotics (
D) are included in intake. Wound drainage (
A), urine (
B), and emesis (
C) must be counted as output, regardless of amount.
Question 2 of 5
The nurse is caring for a client who had an inguinal hernia repair. Which interventions by the nurse are appropriate for this client? Select all that apply.
Correct Answer: A,B,D,F
Rationale: Fluid intake (
A), relieving urinary retention (
B), teaching coughing/deep breathing (
D), and avoiding heavy lifting (F) support recovery. Heat (
C) is not standard, and bed rest (E) is not typically required.
Question 3 of 5
The nurse is teaching a client about peritoneal dialysis. Which complication of this treatment would the nurse instruct the client to report?
Correct Answer: D
Rationale: Cloudy outflow (
D) indicates possible peritonitis, a serious complication of peritoneal dialysis requiring immediate reporting. Bone pain (
A), confusion (
B), and muscle cramps (
C) are less specific.
Question 4 of 5
The nurse is caring for a client who just had a bone marrow biopsy. The nurse understands that which statement is the nursing priority for this client?
Correct Answer: C
Rationale: Monitoring for excessive bleeding (
C) is the priority post-bone marrow biopsy due to risk of hematoma. NPO (
A) is unnecessary, contact sports (
B) is secondary, and alcohol application (
D) is not standard.
Question 5 of 5
Which nursing action is most appropriate to initially relieve pain related to a recent soft tissue injury?
Correct Answer: D
Rationale: Ice pack (
D) reduces swelling and pain in acute soft tissue injuries. OTC medication (
A) is secondary, heat (
B) is used later, and massage (
C) may worsen swelling.