NCLEX-RN
Physiological Integrity NCLEX RN Questions Questions
Question 1 of 5
The nurse comes upon a client in the clinic who appears to have experienced a sudden cardiac arrest. After retrieving the automated external defibrillator (AED), the nurse knows to use the equipment in the following manner, as per the American Red Cross. List the steps in order. Use all the steps.
Order the Items
Source Container
Correct Answer: E,B,C,D,A,G
Rationale: Turn on AED (E), prepare chest (
B), attach pads (
C), analyze rhythm (
D), clear client (
A), shock (G), then resume CPR per American Red Cross guidelines.
Question 2 of 5
The nurse notes irritability, microcephaly, and short palpebral fissures in a newborn in the nursery. The nurse suspects which diagnosis for this infant?
Correct Answer: D
Rationale: Irritability, microcephaly, and short palpebral fissures are classic signs of fetal alcohol syndrome (
D). Syphilis (
A) causes rash/bone defects, TORCH (
B) varies by infection, and brachial plexus injury (
C) affects arm movement.
Question 3 of 5
The oncology nurse is assessing a client diagnosed with cancer of the tongue. Upon examination, which signs and symptoms would the nurse expect to find? Select all that apply.
Correct Answer: D,E,F
Rationale:
Tongue cancer causes difficulty swallowing (
D), non-healing/bleeding sores (E), and chewing pain (F). Weight gain (
A), well-fitting dentures (
B), and black hairy tongue (
C) are unrelated.
Question 4 of 5
The nurse is caring for a client who presents to the ED with the following arterial blood gas (ABG) results: pH 7.32, PaCO2 47 mm Hg, HCO3 24 mEq/L, PaO2 91 mm Hg. Which clinical manifestation would the nurse anticipate, based on these findings?
Correct Answer: A
Rationale: The ABG results (pH 7.32, PaCO2 47) indicate uncompensated respiratory acidosis. Confusion (
A) is a common symptom due to CO2 retention. Deep, rapid respirations (
C) are compensatory for metabolic acidosis, not respiratory. Nausea (
B) and hypoventilation (
D) are less specific.
Question 5 of 5
The nurse is assessing a client with Parkinson's disease. Which sign of primary motor symptom involvement would the nurse expect to observe?
Correct Answer: A
Rationale: Resting tremor (
A) is a primary motor symptom of Parkinson's. Sleep disturbance (
B), constipation (
C), and fatigue (
D) are non-motor symptoms.