NCLEX-PN
Physiological Adaptation NCLEX Questions Questions
Extract:
Question 1 of 5
A 21-year-old college student has just learned that she contracted genital herpes from her sexual partner. After completing the initial history and assessment, the nurse has data concerning areas pertinent to the disease. The data is likely to include all but which of the following?
Correct Answer: D
Rationale: The other choices are common reasons for which clients with herpes seek care.
Question 2 of 5
A client is 36 hours post-op a TKR surgery, 270 cc's of sero-sanguinous accumulates in the surgical drains. What action should the nurse take?
Correct Answer: A
Rationale: The physician should be notified if excessive drainage is noted from the surgical site.
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
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 5 of 5
The nurse should consider which of the following as a possible cause for the symptoms experienced by the client in Question 28?
Correct Answer: A
Rationale: Due to her symptoms of fatigue, shortness of breath, lightheadedness, her gender, and her fad dieting, the cause is most likely iron deficiency.