Physiological Adaptation NCLEX Rn Practice Test (Exam Mode) By Rnpedia.Com
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- 1.An adult with chronic renal failure is receiving peritoneal dialysis. His acid-base balance and electrolyte levels are now within normal limits. His hemoglobin is 9.2 and his hematocrit is 30. The most likely cause of his anemia is:
- A.
Hemodilution secondary to fluid retention.
- B.
Eating insufficient protein due to taste changes that occur with dialysis.
- C.
Failure of his kidneys to produce the hormone necessary to stimulate bone marrow to produce red blood cells.
- D.
Hemolysis of red blood cells as they move past the membrane containing the dialysis solution.
- 2.An adult client has a comminuted fracture of the ulnar bone. He asks the nurse what type of fracture this is. The nurse’s response is based on which of these understandings?
- A.
The ulnar bone has been crushed and broken in several places.
- B.
The two ends of the fractured ulnar bone are pulled apart and separated from each other.
- C.
The ulnar bone has been broken in two and one end of the bone broke through the skin.
- D.
Only one side of the ulnar bone is broken.
- 3.The nurse is assessing a client admitted in ketoacidosis. The nurse can expect the client’s skin to be:
- A.
Clammy
- B.
Flushed
- C.
Diaphoretic
- D.
Silky
- 4.A child has been brought to the emergency room with an asthma attack. What signs and symptoms would the nurse expect to see?
- A.
A prolonged inspiratory time and a short expiratory time.
- B.
Frequent productive coughing of clear, frothy, thin mucus progressing to thick, tenacious mucus heard only on auscultation.
- C.
Hypoinflation of the alveoli with resulting poor gas exchange from increasingly shallow inspirations.
- D.
Swelling of the bronchial mucosa, with wheezes starting on expiration and spreading to continuous.
- 5.The nurse is assisting a child with congestive heart failure. Which of the following would the child be least likely to manifest?
- A.
Weakness and fatigue.
- B.
Dyspnea
- C.
Tachycardia
- D.
Oliguria
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