Physiological Adaptation NCLEX PN Questions

Extract:

Question 1 of 5

The nurse should make which of the following responses when questioned by a client about the role of leptin in the body?

Correct Answer: D

Rationale: Leptin (recessive obesity gene-protein hormone) is expressed in fat cell coding for the protein that reacts to the percentage of fat cells in the body. Leptin is associated with increased energy expenditure and decreased food intake via hypothalamic control. Obese clients might have insensitivity or resistance to the effects of leptin. Leptin can affect other body hormones such as insulin. Genetic factors include leptin, uncoupling proteins, and the amount of brown/white fat in the body.

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 12-year-old male is brought to his primary care provider to determine whether sexual abuse has occurred. The mother states, 'Because there is no permanent physical damage, he does not need any more treatment.' The nurse's response should be based on which of the following pieces of information?

A. Male victims of sexual abuse seldom have long-term psychological problems. B. Survivors of male sexual abuse might become confused about their sexual identity. C. Unless treated, all male sex abuse survivors grow up to abuse other children. D. All children who have been sexually abused have the same needs, regardless of gender.

Correct Answer: B

Rationale: Male children are sexually abused nearly as often as female children. Perpetrators are usually men but can be women. Needs of male children who have been sexually abused might be different from the needs of female survivors. Male survivors might respond in anger, question their sexuality, use alcohol and other drugs, and might try to prove their masculinity by performing daring acts.

Question 4 of 5

The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?

A. How did you get those bruises?' B. Did someone grab you by your arms?' C. Do you fall often?' D. What did you bump against?'

Correct Answer: B

Rationale: Using a direct approach is best when asking about suspected abuse. Clients are reluctant to report abuse because of shame and fear of reprisal.

Question 5 of 5

A woman asks, 'How much alcohol can I safely drink while pregnant?' The nurse's best response is:

A. The amount of alcohol that is safe during pregnancy is unknown.' B. Consuming one or two beers or glasses of wine a day is considered safe for a healthy pregnant woman.' C. Drinking three or more drinks on any given occasion is the only harmful type of drinking during pregnancy.' D. You can have a drink to help you relax and get to sleep at night.'

Correct Answer: A

Rationale: The amount of alcohol that is safe during pregnancy is unknown. Fetal alcohol syndrome is a combination of mental and physical abnormalities present in infants born to mothers who have consumed alcohol during pregnancy.

Physiological Adaptation NCLEX PN Questions | Nurselytic

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