NCLEX-RN
Physiological Integrity NCLEX RN Questions
Extract:
Question 1 of 5
A client presents to the ED with complaints of sweating, heart palpitations, vertigo, and the urge to lay down shortly after eating. The nurse anticipates which diagnosis for this client?
Correct Answer: D
Rationale: Postprandial sweating, palpitations, vertigo, and urge to lie down suggest dumping syndrome (
D), common after gastric surgery. Appendicitis (
A), cholecystitis (
B), and ulcerative colitis (
C) present differently.
Question 2 of 5
The nurse is caring for a two-year-old client who presented to the ER with vomiting, currant jelly-like stools, and abdominal pain that causes the child to draw the knees up to the abdomen in a fetal position. Which interventions does the nurse anticipate for this client?
Correct Answer: C,D,E,F
Rationale: Symptoms suggest intussusception. Anticipated interventions include monitoring for normal stool (
C), preparing for barium enema (
D), NG tube (E), and monitoring fever/BP (F). Respiratory distress (
A) and soft diet (
B) are not priorities.
Question 3 of 5
A client presents to the ED with complaints of sweating, heart palpitations, vertigo, and the urge to lay down shortly after eating. The nurse anticipates which diagnosis for this client?
Correct Answer: D
Rationale: Postprandial sweating, palpitations, vertigo, and urge to lie down suggest dumping syndrome (
D), common after gastric surgery. Appendicitis (
A), cholecystitis (
B), and ulcerative colitis (
C) present differently.
Question 4 of 5
A client has arterial blood gases drawn. The results are as follows: pH, 7.58; PaCO2, 48 mm Hg; HCO3, 44 mEq/L, Base Excess, +13 mEq/L. Which condition is indicated?
Correct Answer: C
Rationale: pH 7.58, HCO3 44, and base excess +13 indicate metabolic alkalosis (
C). PaCO2 48 is slightly elevated but not compensatory for respiratory conditions (A, B,
D).
Question 5 of 5
The nurse is caring for a client at risk for postpartum hemorrhage. Which early sign of hemorrhage should the nurse monitor for this client?
Correct Answer: C
Rationale: Restlessness (
C) is an early sign of hemorrhage due to decreased oxygen delivery. Coma (
A) and hypotension (
B) are late signs, and cool, clammy skin (
D) is less specific early on.