NCLEX-PN
Physiological Adaptation NCLEX Questions
Extract:
Question 1 of 5
If a client is suffering from thyroid storm, the PN can expect to find on assessment:
Correct Answer: A
Rationale: In thyroid storm, excessive thyroxine causes increased metabolic rate, leading to tachycardia, hyperthermia, and other signs of hyperthyroidism such as atrial fibrillation.
Question 2 of 5
A violation of a patient's confidentiality occurs if two nurses are discussing client information in which of the following scenarios?
Correct Answer: D
Rationale: Hallway discussions should not occur, because you do not know who is listening, even though it may be a professional discussion.
Question 3 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.
Question 4 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 5 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.