NCLEX-RN
MSC NCLEX Physiological Integrity Questions
Extract:
Question 1 of 5
The nurse is caring for a client with veno-occlusive disease. Which manifestations of this condition would the nurse expect to find? Select all that apply.
Correct Answer: A,C,F
Rationale: Veno-occlusive disease causes jaundice (
A), weight gain from ascites (
C), and right upper quadrant pain (F) due to liver involvement. Weight loss (
B), right lower quadrant pain (
D), and splenomegaly (E) are less common.
Question 2 of 5
The nurse is performing discharge teaching to a client diagnosed with chronic pancreatitis. Which statement by the client indicates an understanding of home management of the condition? Select all that apply.
Correct Answer: A,D
Rationale: Avoiding large meals (
A) and smoking/caffeine (
D) reduces pancreatic stress. Alcohol (
B) worsens pancreatitis, jogging (
C) depends on condition, and spices (E) may irritate.
Question 3 of 5
The nurse is caring for a client with a T-tube following a cholecystectomy. Which statement is correct regarding management of these tubes? Select all that apply.
Correct Answer: B,D,E
Rationale: Report foul odor/purulent drainage (
B), avoid clamping/irrigation without orders (
D), and clamp before meals to assess tolerance (E) are correct. Drainage system should be below the incision (
A), and removal (
C) is physician-ordered.
Question 4 of 5
The nurse is caring for a client with veno-occlusive disease. Which manifestations of this condition would the nurse expect to find? Select all that apply.
Correct Answer: A,C,F
Rationale: Veno-occlusive disease causes jaundice (
A), weight gain from ascites (
C), and right upper quadrant pain (F) due to liver involvement. Weight loss (
B), right lower quadrant pain (
D), and splenomegaly (E) are less common.
Question 5 of 5
The nurse is caring for a client who has been diagnosed with pulseless electrical activity (PEA). Following effective CPR and administration of epinephrine, which is the next priority nursing action?
Correct Answer: A
Rationale: After CPR and epinephrine for PEA, checking for a pulse (
A) assesses return of circulation. Shocking (
C) is not indicated for PEA, and catheter insertion (
B) or bicarbonate (
D) are not priorities.