NCLEX-PN
Physiological Adaptation NCLEX Questions
Extract:
Question 1 of 5
A nurse is caring for a client with an elevated cortisol level. The nurse can expect the client to exhibit symptoms of:
Correct Answer: C
Rationale: High levels of cortisol can produce sodium and fluid retention and potassium deficit, thus creating urinary deficit.
Question 2 of 5
The three universal spiritual needs include all of the following except:
Correct Answer: D
Rationale: Religious teachings help to present a meaningful philosophy and system of practices within a system of social controls having specific values, norms, and ethics. God is the center of many religions (major), but not all.
Question 3 of 5
A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:
Correct Answer: D
Rationale: If there are indications of a body image disturbance, the nursing care plan should include body disturbances, related to a functional or physical problem. The disturbance might be an anticipated one - that is, weight gain and pregnancy. Stressors can include a change in physical appearance, sexuality concerns, or an unrealistic ideal self.
Question 4 of 5
A client receives a cervical intracavity radium implant as part of her therapy. A common side effect of a cervical implant is:
Correct Answer: A
Rationale: Creamy, pink-tinged vaginal drainage persists for 1 to 2 months after removal of a cervical implant.
Question 5 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.