Physiological Adaptation NCLEX Rn Practice Test (Exam Mode) By Rnpedia.Com

5 Questions | Total Attempts: 2158

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Physiological Adaptation NCLEX Rn Practice Test (Exam Mode) By Rnpedia.Com

Mark the letter of the letter of choice then click on the next button. Score will be posted as soon as the you are done with the quiz. You got 25 minutes to finish the exam. Good luck!


Questions and Answers
  • 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