NCLEX-PN
Physiological Adaptation NCLEX PN Questions Questions
Extract:
Question 1 of 5
The nurse is working with families who have been displaced by a fire in an apartment complex. What is the priority intervention during the initial assessment?
Correct Answer: A
Rationale: After physical needs of housing, clothing and food are met, the nurse should focus on assisting clients to manage the psychological effects of loss.
Question 2 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:
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 3 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?
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 4 of 5
Support-system enhancement includes all of the following except:
Correct Answer: C
Rationale: The exploration of life problems of support-team members is not necessary to enhance the support system.
Choices 1, 2, and 4 are all enhancements for a support system.
Question 5 of 5
The difference between spirituality and religion is that spirituality is:
Correct Answer: B
Rationale: Religion can be considered a system of beliefs, practices, and ethical values about a divine or superhuman power or powers worshipped as the creator(s) and ruler(s) of the universe. Spirituality is a belief in or relationship with some higher power, creative force, driving being, or infinite source of energy.