Physiological Adaptation questions make up approximately 10% of the questions on the NCLEX-PN and 14% of the questions on the NCLEX-RN. These questions are about providing care for clients who have acute, chronic, or life-threatening health conditions. Some of the topics covered include fluid imbalances, pathophysiology, medical emergencies, and unexpected responses to therapies. Our free NCLEX Physiological Adaptation practice questions will help with your test prep review.
NCLEX Physiological Questions
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Question 1 of 32
A nurse is teaching a patient with type one diabetes about measures to prevent long-term complications of the disease. The nurse should include which of the following instructions?CorrectIncorrect
Question 2 of 32
A patient begins hyperventilating due to a panic attack. The registered nurse knows that the correct intervention is to:CorrectIncorrect
Question 3 of 32
The lab results are now available for a nurse caring for a patient with Addison’s disease. Which of the following results are UNEXPECTED in this patient?CorrectIncorrect
Question 4 of 32
A patient at the outpatient clinic describes leg pain that occurs while walking and is relieved with rest. The patient asks why this happens to him. The nurse knows that the pain is related to:CorrectIncorrect
Question 5 of 32
The nurse in the outpatient clinic reviews the history of a client recently diagnosed with essential hypertension. The nurse is MOST concerned if the client states which of the following?CorrectIncorrect
Question 6 of 32
After a female patient has completed six months of multidisciplinary treatment for anorexia nervosa, the nurse evaluates whether the patient has met the goal of balanced nutrition sufficient to meet metabolic demands. Which of the following is the BEST indicator that the goal has been met?CorrectIncorrect
Question 7 of 32
The nurse cares for a client who suffered a severe eye injury related to an acid splash. The nurse administers proparacaine hydrochloride (Ophthaine) before each eye examination. It is MOST important for the nurse to take which of the following actions?CorrectIncorrect
Question 8 of 32
The nurse cares for a patient with myasthenia gravis. Which of the following is a symptom that is NOT typically part of the disease?CorrectIncorrect
Question 9 of 32
A patient with glaucoma asks the nurse what he can do to improve his vision. The nurse knows that:CorrectIncorrect
Question 10 of 32
A patient is brought to the ER by family members. The patient states that yesterday evening, she was having tingling and numbness in the toes of both feet. Today, she complains of bilateral muscle weakness in her legs. Which of the following pieces of information, if found in the patient’s history, are most relevant to her condition?CorrectIncorrect
Question 11 of 32
The nurse knows that care for a patient with Bell’s palsy will include which of the following?CorrectIncorrect
Question 12 of 32
When caring for a patient who experienced a head injury in a car accident, the nurse observes a bruised section behind the patient’s ear. The nurse knows that this type of marking is known as:CorrectIncorrect
Question 13 of 32
A nurse cares for a patient with a head injury after a boating accident. The nurse knows that which of the following is an EARLY sign of increased ICP?CorrectIncorrect
Question 14 of 32
A nurse working on a neurology unit cares for a patient diagnosed with CVA. The patient is experiencing difficulty in talking but can understand everything the nurse says. The nurse suspects damage to what part of the patient’s brain?CorrectIncorrect
Question 15 of 32
A patient has been admitted with symptoms of BPH. Which of the following complaints, if observed by the nurse, requires follow-up?CorrectIncorrect
Question 16 of 32
You are a nurse on a medical/surgical unit who is caring for a patient with Grave’s Disease. The patient has just returned from a thyroidectomy. Which of the following statements from the patient would require further assessment by the nurse?CorrectIncorrect
Question 17 of 32
A patient with lung cancer is admitted to the ER for crackles in the lungs, sudden onset of confusion, and decreased urine output. Which of the following lab results is consistent with this complication?CorrectIncorrect
Question 18 of 32
A nurse is reviewing the laboratory test results for all four of her diabetic clients. Which of the following, if reported by the lab, indicates poor diabetic control?CorrectIncorrect
Question 19 of 32
A patient post-Biliroth II asks the nurse how to prevent dumping syndrome. Which advice, given by the nurse to the patient, would be considered correct?CorrectIncorrect
Question 20 of 32
A patient comes into the ER complaining of chest pain and shortness of breath. What action does the nurse perform FIRST?CorrectIncorrect
Question 21 of 32
The nurse collects a urine sample from a patient with urolithiasis. The nurse knows that urolithiasis is the presence of _____ stuck in the genitourinary system.CorrectIncorrect
Question 22 of 32
The patient below has just been admitted to the ER following a motor vehicle accident. Describe the positioning of this patient with the most specific term.CorrectIncorrect
Question 23 of 32
Which of the following statements apply to the proper use of a cane?
SELECT ALL THAT APPLY:CorrectIncorrect
Question 24 of 32
The home care nurse visits a patient two days after cataract extraction and implant. Which of the following statements, if made by the patient, requires further teaching?CorrectIncorrect
Question 25 of 32
A client with jaundice is experiencing pruritus. Which nursing intervention would be included in the care plan for the client?CorrectIncorrect
Question 26 of 32
Spironolactone (Aldactone) is prescribed for a client with chronic cirrhosis and ascites. The nurse should monitor the client for which of the following medication-related side effects?CorrectIncorrect
Question 27 of 32
The physician has determined that a client in respiratory distress requires intubation. Organize the following steps in preparing to assist the physician with rapid-sequence intubation in chronological order (with 1 being the first step in this procedure):
Obtain a baseline assessment.
Monitor the client's ECG and pulse oximeter readings.
Auscultate breath sounds bilaterally.
Apply cricoid pressure if needed.
Preoxygenate with 100% oxygen.
Question 28 of 32
A 16-year-old client was brought to the emergency department after a vehicular accident. The client’s blood pressure is 105/58 mmHg, and further physical assessment reveals a ruptured spleen. With all this information, the nurse should assess the client for an early sign of decreased arterial pressure, such as?CorrectIncorrect
Question 29 of 32
A patient with Addison’s disease knows to eat foods that are high in sodium but are low in _____.CorrectIncorrect
Question 30 of 32
A patient is admitted to the cardiac intensive care unit following diagnosis of a myocardial infarction. Please order the following actions from first to last.
Initiate thrombolytic therapy.
Connect the patient to continuous cardiac monitoring equipment.
Initiate an intravenous catheter.
Administer oxygen at 2L.
Provide the patient with water.
Question 31 of 32
A male patient has the following lab values: Arterial HCO3 of 25, Hemoglobin of 15.5, Phosphate of 1.5, Calcium of 8.0, TSH of 2.9. Which of the above is a critical result and must be reported to the physician immediately?CorrectIncorrect
Question 32 of 32
A nurse is assisting the physician with a lumbar puncture on a patient suspected of having meningitis. During the procedure, the nurse notes the patient is experiencing cold, clammy skin, tachypnea, and an increased pulse rate. The nurse should:CorrectIncorrect