Physiological Adaptation NCLEX PN Questions

Extract:

Question 1 of 5

A nurse is performing a screening on a patient that has been casted recently on the left lower extremity. Which of the following statements should the nurse be most concerned about?

Correct Answer: B

Rationale: Pain may be indicating neurovascular complication.

Question 2 of 5

Appropriate nursing strategies to assist a client in maintaining a sense of self include:

A. using the client's first name when addressing the client B. treating the client with dignity C. explaining procedures only if the client is attentive D. discouraging the use of personal items

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 3 of 5

Elderly persons with pernicious anemia should be instructed:

A. to increase their dietary intake of foods high in B12. B. that they do not need to return for follow-up for at least a month after initiation of treatment. C. that oral B12 is safer and less expensive than parenteral replacement. D. that diarrhea can be a transient side effect of B12 injections.

Correct Answer: D

Rationale: Pernicious anemia is a megaloblastic, macrocytic, normochronic anemia caused by a deficiency of the intrinsic factor produced by the stomach. This results in malabsorption of vitamin B12, which is necessary for DNA synthesis and maturation of RBC. Education should include side effects of Vitamin B12, which can include pain and burning at the injection site, peripheral vascular thrombosis, and transient diarrhea.

Question 4 of 5

Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. The nurse who was not promoted tells a friend, 'Oh, well, I really didn't want the job anyway.' This is an example of:

A. rationalization. B. denial. C. projection. D. compensation.

Correct Answer: A

Rationale: This is called the sour grapes form of rationalization. Rationalization is an unconscious form of self-deception in which excuses are made.

Question 5 of 5

Which statement about chemotherapy is true?

A. It is a local treatment affecting only tumor cells. B. It is a systemic treatment affecting both tumor and normal cells. C. It has not yet been proved an effective treatment for cancer. D. It is often the drug of choice because it causes few, if any, side effects.

Correct Answer: B

Rationale: 5-FU is an antineoplastic, antimetabolic drug that inhibits DNA synthesis and interferes with cell replication. It is given intravenously and acts systemically. It affects all rapidly growing cells, both malignant and normal. It is used as adjuvant therapy for treating cancer of the colon, rectum, stomach, breast, and pancreas. This drug has many side effects, including bone marrow depression, anorexia, stomatitis, nausea, and vomiting.

Physiological Adaptation NCLEX PN Questions | Nurselytic

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