NCLEX-PN
Physiological Adaptation NCLEX Questions Questions
Extract:
Question 1 of 5
The PN is caring for a client with diabetes insipidus. The nurse can expect the lab work to show:
Correct Answer: D
Rationale: In diabetes insipidus, the pituitary releases too much antidiuretic hormone (ADH) causing the client to produce a large amount of dilute (decreased osmolarity) urine and causing dehydration (elevated serum osmolarity).
Choice 3 might be seen in a client with SIADH (syndrome of inappropriate ADH).
Choices 1 and 2 generally don't occur- urine and serum osmolarity typically move in opposite directions.
Question 2 of 5
A batterer is usually someone who:
Correct Answer: C
Rationale: Many batterers report having been abused as children.
Question 3 of 5
Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley's level of anxiety as:
Correct Answer: C
Rationale: The person whose anxiety is assessed as severe is unable to solve problems and has a poor grasp of what's happening in his or her environment. Somatic symptoms such as those described by Ashley are usually present. Vital sign changes are observed. The individual with mild anxiety might report being mildly uncomfortable and might even find performance enhanced. The individual with moderate anxiety grasps less information about the situation, has some difficulty problem-solving, and might have mild changes in vital signs. The individual in panic demonstrates markedly disturbed behavior and might lose touch with reality.
Question 4 of 5
What significant event occurs in the orientation phase of a nurse-client relationship?
Correct Answer: B
Rationale: Transference phenomena are intensified in relationships with authority, such as physicians and nurses. Common positive transferences include desire for affection and gratification of dependency needs. Common negative transferences include hostility and competitiveness. These transferences must be recognized and resolved before growth and positive change can be undertaken in the working stage.
Question 5 of 5
Legal protection of confidentiality:
Correct Answer: D
Rationale: Legal protection of confidentiality extends to both written and verbal information identifiable as individual private health information.