NCLEX-PN
Physiological Adaptation NCLEX PN Questions Questions
Extract:
Question 1 of 5
A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child. The nurse should assess the client for further signs of:
Correct Answer: C
Rationale: Childhood sexual abuse is strongly associated with post-traumatic stress disorder (PTS
D), characterized by nightmares, insomnia, and concentration difficulties.
Question 2 of 5
The nurse is working with families who have been displaced by a fire in an apartment complex. What is the priority intervention during the initial assessment?
Correct Answer: A
Rationale: After physical needs of housing, clothing and food are met, the nurse should focus on assisting clients to manage the psychological effects of loss.
Question 3 of 5
Appropriate nursing strategies to assist a client in maintaining a sense of self include:
Correct Answer: B
Rationale: Treating the client with dignity respects their individuality and fosters a sense of self, unlike the other options, which may undermine autonomy or engagement.
Question 4 of 5
The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex. This behavior exemplifies:
Correct Answer: A
Rationale: Displacement involves redirecting emotions (anger about not being promoted) to a less threatening target (slamming doors), a common reaction to frustration.
Question 5 of 5
With a breech presentation, the nurse must be particularly alert for which of the following?
Correct Answer: D
Rationale: Prolapsed umbilical cord is the descent of the umbilical cord into the vagina before the fetal presenting part and compression of the cord between the presenting part and the maternal pelvis, compromising or completely cutting off fetoplacental perfusion. This is an emergency situation; immediate delivery should be attempted to save the fetus.