NCLEX-RN
NCLEX RN Physiological Adaptation Questions
Extract:
Question 1 of 5
The nurse is reviewing labs on a client with second- and third-degree burns from a house fire. Which abnormal lab value would the nurse expect to find with this client?
Correct Answer: D
Rationale: Burns cause cell damage, releasing potassium, leading to hyperkalemia (5.9 mEq/L,
D). pH 7.41 (
A), albumin 3.9 (
B), and hemoglobin 15 (
C) are within normal ranges.
Question 2 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 3 of 5
The nurse is caring for a client with left-sided heart failure. Which assessment findings does the nurse anticipate for this client? Select all that apply.
Correct Answer: A,C,F
Rationale: Left-sided heart failure causes pulmonary congestion, leading to dyspnea (
A), dependent edema (
C), and crackles/wheezes (F). Spleen engorgement (
B), jugular vein distention (
D), and weak pulses (E) are more typical of right-sided failure.
Question 4 of 5
A client is 2 hours post-op for a right total knee replacement. Upon assessment by the nurse, which information requires notification of the doctor?
Correct Answer: A
Rationale: Hemoglobin of 10.2 g/L (
A) indicates significant blood loss requiring notification. Minor bleeding (
B), low-grade fever (
C), and expected pain (
D) are less urgent.
Question 5 of 5
The nurse is reviewing labs on a client with second- and third-degree burns from a house fire. Which abnormal lab value would the nurse expect to find with this client?
Correct Answer: D
Rationale: Burns cause cell damage, releasing potassium, leading to hyperkalemia (5.9 mEq/L,
D). pH 7.41 (
A), albumin 3.9 (
B), and hemoglobin 15 (
C) are within normal ranges.