NCLEX-PN
NCLEX Client Needs Physiologic Adaptation Questions
Extract:
Question 1 of 5
What is the reason for a contract between nurse and client?
Correct Answer: D
Rationale: A contract emphasizes that the nurse works with the client, rather than doing something for the client. Working with suggests that each party is expected to participate and share responsibility for outcomes. Contracts do not, however, stipulate roles or feeling tone, nor is premature termination expressly forbidden.
Question 2 of 5
A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
Correct Answer: A
Rationale: The nurse must first examine their own cultural biases to avoid imposing personal beliefs, ensuring culturally sensitive care. The other options assume or impose external standards without prioritizing self-awareness.
Question 3 of 5
A female client complains to the nurse at the health department that she has fatigue, shortness of breath, and lightheadedness. Her history reveals no significant medical problems. She states that she is always on a fad diet without any vitamin supplements. Which tests should the nurse expect the client to have first?
Correct Answer: B
Rationale: The initial tests to determine the basis for her symptoms (considering her fad dieting) should be a complete blood count, urinalysis, blood sugar, and other tests. The decision about further testing is then made based on these results, her history, and other factors.
Question 4 of 5
A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:
Correct Answer: B
Rationale: Children who are shaken are frequently grasped by both upper arms. Symptoms of brain injury associated with shaking include decreased level of consciousness.
Question 5 of 5
A nurse is reviewing a patient's medical record. The record indicates the patient has limited shoulder flexion on the left. Which plane of movement is limited?
Correct Answer: B
Rationale: Sagittal motion occurs in the midline plane of the body.