Physiological Adaptation NCLEX PN Questions

Extract:

Question 1 of 5

The kind of man who beats a woman is:

Correct Answer: D

Rationale: Batterers cannot be predicted by demographic features related to age, ethnicity, race, religious denomination, education, socioeconomic status, or class. Ninety-five percent of domestic abuse cases involve male perpetrators and female victims.

Question 2 of 5

A nurse is instructing a person who had a left CVA and right lower extremity hemiparesis to use a quad cane. Which of the following is the most appropriate gait sequence?

A. Place the cane in the patient's left upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence. B. Place the cane in the patient's left upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence. C. Place the cane in the patient's right upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence. D. Place the cane in the patient's right upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.

Correct Answer: A

Rationale: The cane should be placed in the patient's strong upper extremity (left), and the sequence should coordinate the weak side (right leg) with the cane for support, followed by the strong side (left leg).

Question 3 of 5

A client with a diagnosis of Schizophrenia has been released from an acute care setting. The client had a prolonged recovery from relapse. One of the parents says to the discharge nurse, 'I do not understand what is going on. The hospital said she was better, but all she does is sit around all day and smoke. We cannot get her to go to the vocational training you arranged.' The nurse recognizes that more teaching is needed about:

A. the pathophysiology and acting out behaviors of schizophrenia. B. support groups that can help the parents release their feelings of frustration. C. the prolonged recovery time and depressive effects of medicines to prevent relapse. D. motivational techniques that are effective in clients with schizophrenia.

Correct Answer: C

Rationale: The nurse conducting discharge teaching must stress the lengthy recuperation process with emphasis on the sedative qualities of the medication used to prevent relapse. Support groups are useful for caregivers. The emphasis during recuperation is on maintaining nutrition and hygiene.

Question 4 of 5

A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child. The nurse should assess the client for further signs of:

A. General anxiety disorder B. Schizophrenia C. Post-traumatic stress disorder D. Bipolar disorder

Correct Answer: C

Rationale: Childhood sexual abuse is strongly associated with post-traumatic stress disorder (PTS
D), characterized by nightmares, insomnia, and concentration difficulties.

Question 5 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.

Physiological Adaptation NCLEX PN Questions | Nurselytic

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