NCLEX-PN
Physiological Adaptation NCLEX Questions
Extract:
Question 1 of 5
A client with urinary tract calculi needs to avoid which of the following foods?
Correct Answer: B
Rationale: The client with urinary tract calculi needs to avoid cheese, which has high calcium content. The other foods do not.
Question 2 of 5
What are the implications for a client with renal insufficiency who wants to start a low-carbohydrate (CHO) diet?
Correct Answer: B
Rationale: A client with renal insufficiency should not start a low CHO diet because it could result in an increased renal solute load. Clients who have renal disease (renal failure, endstage renal disease [ESRD], dialysis, and transplant) or liver disease (liver failure, hepatic encephalopathy, cirrhosis, transplant, and hepatitis) require some form of protein control in dietary patterns to prevent complications from an inability to handle protein solute load. Proteins used in the diet must be of high biologic value, and protein intake is usually weight based, starting at 0.8 g/kg of dry weight, depending on the client's underlying clinical condition. Protein levels may be increased as necessary to account for metabolic response to dialysis and regeneration of liver tissue (1.5-2.0 g/kg/day). A minimum level of CHOs are needed in the diet (50-100 g/day) to spare protein. Vitamin and mineral supplements might be indicated with clients who have liver failure. The dietician is instrumental in calculating specific nutrient requirements for these clients and reviewing fluid intake and output, medication profile, and daily weight to monitor client outcomes in conjunction with dialysis technicians and nurses.
Question 3 of 5
A nurse is screening patients for immunizations. Which of following is not a contraindication for immunization?
Correct Answer: D
Rationale: Chronic conditions are not considered a contraindication for immunization.
Question 4 of 5
The nurse is caring for a client who is dying. While assessing the client for signs of impending death, the nurse observes the client for:
Correct Answer: B
Rationale: Cheyne-Stokes respirations are rhythmic waxing and waning of respirations from very deep breathing to very shallow breathing with periods of temporary apnea, often associated with cardiac failure. This can be a sign of impending death.
Question 5 of 5
A client is admitted with a diagnosis of Multiple Drug Use. The nurse should plan care based on knowledge that:
Correct Answer: B
Rationale: Multiple drug use is common to enhance effects or relieve withdrawal symptoms, complicating assessment and intervention due to varied drug interactions.