NCLEX-RN
NCLEX RN Physiological Adaptation Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is HIV-positive. The nurse understands which of the following to be true regarding HIV and AIDS?
Correct Answer: A
Rationale: Viral load testing (
A) monitors HIV progression and treatment efficacy. Western blot requires two antigens (
B), AIDS involves low CD4 counts, not WBC (
C), and ELISA detects antibodies after 3-12 weeks (
D).
Question 2 of 5
The nurse is performing the Glasgow coma scale on a client. The assessment is as follows: eye opening, to pain; motor response, localizes pain; verbal response, inappropriate words. The nurse interprets which score is correct for this client?
Correct Answer: A
Rationale: Glasgow Coma Scale: Eye opening to pain = 2, localizes pain = 5, inappropriate words = 2.
Total = 2 + 5 + 2 = 9 (
A).
Question 3 of 5
Which of the following is not a recommended preparation for electroconvulsive therapy (ECT)?
Correct Answer: D
Rationale: Anticonvulsants (
D) are not given before ECT, as seizures are therapeutic. Anticholinergics (
A), NPO/bath (
B), and consent (
C) are standard preparations.
Question 4 of 5
The nurse is caring for a client who is HIV-positive. The nurse understands which of the following to be true regarding HIV and AIDS?
Correct Answer: A
Rationale: Viral load testing (
A) monitors HIV progression and treatment efficacy. Western blot requires two antigens (
B), AIDS involves low CD4 counts, not WBC (
C), and ELISA detects antibodies after 3-12 weeks (
D).
Question 5 of 5
The nurse is caring for a client in the ICU who has an arterial line for hemodynamic monitoring. Which action will the nurse take in caring for this client?
Correct Answer: A
Rationale: The transducer at the right atrium level (
A) ensures accurate arterial line readings. Other positions (B, C,
D) lead to inaccurate measurements.