NCLEX-RN
NCLEX RN Physiological Integrity Questions
Extract:
Question 1 of 5
A client is brought to the ED following a drowning event. The nurse assigned to the client understands that which is true regarding drowning?
Correct Answer: C
Rationale: Determining the cause of drowning (
C) identifies underlying conditions like seizures for follow-up. Cold water may improve outcomes (
A), aspiration reduces surfactant (
B), and contaminants worsen lung injury (
D).
Question 2 of 5
The nurse is providing teaching to a client newly diagnosed with type 2 diabetes. Which should the nurse include in her teaching?
Correct Answer: A
Rationale: Checking feet daily (
A) prevents complications from neuropathy in type 2 diabetes. Eye exams are annual (
B), heating pads (
C) risk burns, and insulin (
D) is not standard for type 2.
Question 3 of 5
While in a restaurant the nurse notices a woman clutching her throat. The woman is unable to speak. The nurse asks the woman if she's choking, and she indicates yes. Which response by the nurse should be done first?
Correct Answer: D
Rationale: The Heimlich maneuver (
D) is the first action for choking to dislodge the obstruction. Chin tilt (
A) and breaths (
C) are for unconscious patients, and chest compressions (
B) are for cardiac arrest.
Question 4 of 5
The nurse is performing hemodialysis on a client, with the understanding that air embolus is a complication of this treatment. Which assessment findings by the nurse indicate an air embolus?
Correct Answer: B
Rationale: Air embolus during hemodialysis causes chest pain and anxiety (
B) due to air blocking pulmonary circulation. Cold intolerance (
A), decreased respirations (
C), and hypertension (
D) are not typical signs.
Question 5 of 5
The nurse is reviewing morning labs for a client. Which lab value requires immediate intervention by the nurse?
Correct Answer: D
Rationale: Potassium 3.1 mEq/L (
D) indicates hypokalemia, requiring immediate intervention due to risk of arrhythmias. Calcium (
A), sodium (
B), and chloride (
C) are within normal ranges.