NCLEX-RN
Physiological NCLEX RN Questions Questions
Question 1 of 5
The nurse is caring for a client with vitamin B12 deficiency anemia. Which physical assessment finding would the nurse expect to note in this client?
Correct Answer: B
Rationale: Vitamin B12 deficiency causes neurological symptoms like paresthesias (
B). Glossitis (
A) and weakness/pallor (
C) occur but are less specific, and cyanosis (
D) is unrelated.
Question 2 of 5
A nurse is reviewing the laboratory reports prior to physician rounds. The serum calcium level of a client with hyperparathyroidism is 14.6 mg/dL. Which treatment should the nurse anticipate?
Correct Answer: C
Rationale: Calcitonin (
C) rapidly lowers severe hypercalcemia (14.6 mg/dL) in hyperparathyroidism. Corticosteroids (
A) are for specific causes, dialysis (
B) is for kidney failure, and bisphosphonates (
D) are slower-acting.
Question 3 of 5
The nurse is providing dietary teaching to the parents of a 7-year-old child with celiac disease. Which statement by the parents indicate that dietary teaching was successful?
Correct Answer: A
Rationale: Rice (
A) is gluten-free and safe for celiac disease. Pretzels (
B), rye bread (
C), and some oats (
D) may contain gluten, which is harmful.
Question 4 of 5
The nurse is caring for a client with a gastric ulcer. Which menu choice by the client indicates an understanding of the nurse's dietary teaching?
Correct Answer: A
Rationale: Yogurt with berries (
A) is bland and non-irritating for gastric ulcers.
Toast/water (
B) is bland but less nutritious, and coffee (
C) and cheese/milk (
D) irritate ulcers.
Question 5 of 5
The nurse is caring for a client with abdominal aortic aneurysm. Which observation by the nurse indicates the need for immediate intervention?
Correct Answer: D
Rationale: Sudden, severe back pain and shortness of breath (
D) suggest aneurysm rupture, requiring immediate intervention. Yellow vision (
A) is unrelated, frothy sputum (
B) indicates pulmonary edema, and 75 mL/hr urine (
C) is normal.