NCLEX Practice Exam for Physiological Adaptation

Practice Mode

Welcome to your NCLEX Practice Exam for Physiological Adaptation! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

βœ” Exam Details

  • Number of Questions: 20 items
  • Mode: Practice Mode

βœ” Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

βœ” Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

πŸ’‘ Hint

A comminuted fracture refers to a break or splinter of the bone into more than two fragments, indicating that the bone has suffered considerable force and has been crushed or splintered.

1 / 20

1. Nurse Theo is caring for an adult client with a comminuted fracture of the ulnar bone. When the client inquires about the nature of a comminuted fracture, Nurse Theo's explanation will be based on which of the following understandings?

πŸ’‘ Hint

Think about the mechanics of the water-seal chamber. What would cause bubbling, and how should it be addressed in the context of a postoperative patient with a chest tube?

2 / 20

2. Nurse Rebecca is monitoring a patient who recently underwent a right upper lobectomy and now has a chest tube in place. She observes bubbling in the water-seal chamber of the chest tube system. Assessing her understanding of the chest tube mechanics and the postoperative expectations, she determines the significance of the bubbling. What does the bubbling represent, and what is the appropriate action for Nurse Rebecca to take?

πŸ’‘ Hint

Burns involving the face and neck carry a risk of airway compromise. Immediate assessment and intervention to ensure a patent airway are critical in burn care.

3 / 20

3. Nurse Sam is caring for a client admitted with first and second degree burns on the face, neck, anterior chest, and hands. Recognizing the potential complications associated with burns in these areas, the nurse's primary focus should be on which of the following?

πŸ’‘ Hint

In chronic renal failure, the kidneys' capacity to produce erythropoietin, vital for red blood cell production, is compromised. This often results in anemia due to decreased red blood cell synthesis in the bone marrow.

4 / 20

4. Nurse Lila is caring for an adult with chronic renal failure undergoing peritoneal dialysis. Given the patient's current laboratory values, with a hemoglobin of 9.2 and a hematocrit of 30, she considers the underlying causes for his anemia. Which of the following is the most probable reason for the anemia in this patient?

πŸ’‘ Hint

"To avoid lung collapse and infection's onslaught, take deep breaths with a device that's often sought." Can you guess the answer? Hint: it involves taking some deep breaths πŸ˜‰.

5 / 20

5. Nurse Martin is caring for a patient diagnosed with amyotrophic lateral sclerosis (ALS) and is implementing interventions to prevent complications like atelectasis and pneumonia, which are common in individuals with reduced respiratory muscle strength. Which of the following orders specifically addresses the prevention of these pulmonary complications in a client with ALS?

πŸ’‘ Hint

Consider the relationship between the liver's blood flow and the development of esophageal varices due to increased pressure in specific vessels.

6 / 20

6. Nurse Oliver is overseeing the care of Mr. Bennett, a client diagnosed with cirrhosis of the liver, who has now developed esophageal varices. As Nurse Oliver updates the care plan, he revisits his understanding of the primary mechanism behind the development of esophageal varices in cirrhosis patients. Which of the following is the most accurate explanation for the formation of esophageal varices in this context?

πŸ’‘ Hint

Among the various side effects of opioid medications, there's a particular gastrointestinal effect that is frequently observed and may require intervention. Consider how opioids impact bowel motility.

7 / 20

7. Nurse Taylor is overseeing the care of a 73-year-old patient who has been experiencing chronic pain and is on opioid therapy. When assessing potential side effects of long-term opioid use, Nurse Taylor keeps in mind a common gastrointestinal complication associated with these medications. What is this complication?

πŸ’‘ Hint

Consider the treatment that directly addresses the thick and sticky mucus secretions common in cystic fibrosis, helping to clear the airways and improve lung function.

8 / 20

8. Nurse Danielle is caring for a teenager with cystic fibrosis (CF) and is preparing an educational session about the essential pulmonary treatments for CF. Recognizing the primary respiratory complications experienced by CF patients, which of the following treatments is of utmost importance in managing cystic fibrosis-related pulmonary issues?

πŸ’‘ Hint

Focus on the classic respiratory sounds associated with narrowed airways during an asthma attack.

9 / 20

9. Nurse Maria is urgently called to attend to 9-year-old Noah, who was rushed into the emergency room with an asthma attack. As she approaches the young patient, Nurse Maria reviews the potential clinical manifestations she might encounter. Which of the following signs and symptoms is most indicative of an asthma attack in children?

πŸ’‘ Hint

Think about the most immediate risk for the client post-vasectomy and the potential implications if the guidance is not followed. The assurance of sterility is paramount to avoid unintended pregnancies.

10 / 20

10. Nurse Eva is providing discharge instructions to a client who has just undergone a vasectomy in an outpatient clinic. Recognizing the primary concerns and misconceptions regarding the procedure, which of the following points is the most crucial for the nurse to emphasize to ensure the patient's understanding and safety?

πŸ’‘ Hint

Think about the sudden and severe complications associated with hypertension, especially those related to cerebrovascular events, which may signal a potential life-threatening emergency like a stroke.

11 / 20

11. Nurse Elena is overseeing a client with uncontrolled hypertension. Recognizing potential complications associated with hypertension, which of the following clinical manifestations requires immediate nursing attention due to its serious implications?

πŸ’‘ Hint

Consider the heart sound that is commonly heard in the early diastolic phase and is indicative of increased left ventricular filling pressures, which are typical in CHF. This sound resembles the rhythm of "Ken-tuc-ky".

12 / 20

12. Nurse Katherine is conducting a cardiovascular assessment on a client diagnosed with congestive heart failure (CHF). Keeping in mind the common pathophysiological changes and findings associated with CHF, which heart sound is most characteristic of this condition upon auscultation?

πŸ’‘ Hint

"Ketoacidosis can turn your skin from smooth to red, so check for that color before hitting the bed."

13 / 20

13. Nurse Isabel is evaluating a client admitted with ketoacidosis, a serious complication of diabetes characterized by high blood sugar levels and the presence of ketones in the urine. When assessing the client's skin, Nurse Isabel can anticipate the skin to be:

πŸ’‘ Hint

Consider the primary renal complication that results in the loss of a crucial blood component in nephrotic syndrome.

14 / 20

14. While in the pediatric nephrology unit, Nurse Amelia is approached by Mrs. Green, who is worried about her two-and-a-half-year-old son, Evan. Evan had previously been diagnosed with nephrotic syndrome, and his mother recently noticed swelling around his eyes, suggesting a possible recurrence. To help validate Mrs. Green's concerns, Nurse Amelia reviews potential associated symptoms. Which additional symptom would help confirm a recurrence of Evan's nephrotic syndrome?

πŸ’‘ Hint

Think about which symptom doesn't align with the primary effects of fluid buildup associated with CHF.

15 / 20

15. During her shift in the pediatric cardiology unit, Nurse Christine is caring for 7-year-old Lila, who has been diagnosed with congestive heart failure (CHF). Nurse Christine wants to ensure she understands the typical clinical manifestations of CHF in children. Which of the following signs or symptoms would Lila be least likely to exhibit due to her condition?

πŸ’‘ Hint

Think about the physical manifestations of decreased hemoglobin levels and how it would affect the coloration of highly vascular areas, such as the mucosa. Pale mucous membranes are a classic sign of anemia.

16 / 20

16. Nurse Lydia is assessing a 10-month-old infant for potential anemia. Recognizing the clinical signs and laboratory values associated with pediatric anemia, which of the following findings would be most indicative of anemia in this infant?

πŸ’‘ Hint

"When a pulse disappears, keep the momentum going with compressions and breaths as peers."

17 / 20

17. Nurse Sarah is performing CPR on an adult who experienced cardiopulmonary arrest. Nurse Rachel rushes into the room to assist. After quickly verifying the client's pulse and respiration status, what should be the primary responsibility of Nurse Rachel?

πŸ’‘ Hint

The progression of inflammation and potential complications like abscess formation in epididymitis can be indicated by changes in the skin over the testicle. Assessing for redness, warmth, and swelling is vital for early intervention.

18 / 20

18. Nurse Jasper receives a call from a man diagnosed with epididymitis two days prior. Recognizing the potential complications and common symptoms associated with this condition, what is the most crucial information for Nurse Jasper to inquire about at this time?

πŸ’‘ Hint

Think about the dietary and positional recommendations to decrease acid reflux or the backflow of stomach contents into the esophagus. Eating smaller, more frequent meals can aid in this effort.

19 / 20

19. Nurse Adrian has recently provided education to a patient regarding the management of gastroesophageal reflux disease (GERD). To assess the patient's understanding of the teachings, Nurse Adrian listens intently to the patient's statements. Which of the following remarks by the patient indicates that they have comprehended the recommendations for GERD management?

πŸ’‘ Hint

After a closed head injury, consider how brain tissue's response might influence thermoregulation and other vital functions.

20 / 20

20. Nurse Jordan is monitoring Mr. Turner, a client who has sustained a closed head injury. Upon analyzing his vital signs - T 103Β°F rectally; pulse 100; respirations 24; B.P. 110/84 - and noting an hourly urine output of 200 ml/hr, Nurse Jordan considers the underlying pathophysiology to understand the root cause of these observations. Which of the following offers the most plausible explanation for Mr. Turner's clinical findings?

Exam Mode

Welcome to your NCLEX Practice Exam for Physiological Adaptation! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

βœ” Exam Details

  • Number of Questions: 20 items
  • Mode: Exam Mode

βœ” Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 30 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

βœ” Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 30 minutes in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 20

1. Nurse Isabel is evaluating a client admitted with ketoacidosis, a serious complication of diabetes characterized by high blood sugar levels and the presence of ketones in the urine. When assessing the client's skin, Nurse Isabel can anticipate the skin to be:

2 / 20

2. Nurse Rebecca is monitoring a patient who recently underwent a right upper lobectomy and now has a chest tube in place. She observes bubbling in the water-seal chamber of the chest tube system. Assessing her understanding of the chest tube mechanics and the postoperative expectations, she determines the significance of the bubbling. What does the bubbling represent, and what is the appropriate action for Nurse Rebecca to take?

3 / 20

3. Nurse Danielle is caring for a teenager with cystic fibrosis (CF) and is preparing an educational session about the essential pulmonary treatments for CF. Recognizing the primary respiratory complications experienced by CF patients, which of the following treatments is of utmost importance in managing cystic fibrosis-related pulmonary issues?

4 / 20

4. Nurse Taylor is overseeing the care of a 73-year-old patient who has been experiencing chronic pain and is on opioid therapy. When assessing potential side effects of long-term opioid use, Nurse Taylor keeps in mind a common gastrointestinal complication associated with these medications. What is this complication?

5 / 20

5. Nurse Jordan is monitoring Mr. Turner, a client who has sustained a closed head injury. Upon analyzing his vital signs - T 103Β°F rectally; pulse 100; respirations 24; B.P. 110/84 - and noting an hourly urine output of 200 ml/hr, Nurse Jordan considers the underlying pathophysiology to understand the root cause of these observations. Which of the following offers the most plausible explanation for Mr. Turner's clinical findings?

6 / 20

6. Nurse Sam is caring for a client admitted with first and second degree burns on the face, neck, anterior chest, and hands. Recognizing the potential complications associated with burns in these areas, the nurse's primary focus should be on which of the following?

7 / 20

7. Nurse Katherine is conducting a cardiovascular assessment on a client diagnosed with congestive heart failure (CHF). Keeping in mind the common pathophysiological changes and findings associated with CHF, which heart sound is most characteristic of this condition upon auscultation?

8 / 20

8. During her shift in the pediatric cardiology unit, Nurse Christine is caring for 7-year-old Lila, who has been diagnosed with congestive heart failure (CHF). Nurse Christine wants to ensure she understands the typical clinical manifestations of CHF in children. Which of the following signs or symptoms would Lila be least likely to exhibit due to her condition?

9 / 20

9. Nurse Lydia is assessing a 10-month-old infant for potential anemia. Recognizing the clinical signs and laboratory values associated with pediatric anemia, which of the following findings would be most indicative of anemia in this infant?

10 / 20

10. Nurse Eva is providing discharge instructions to a client who has just undergone a vasectomy in an outpatient clinic. Recognizing the primary concerns and misconceptions regarding the procedure, which of the following points is the most crucial for the nurse to emphasize to ensure the patient's understanding and safety?

11 / 20

11. Nurse Martin is caring for a patient diagnosed with amyotrophic lateral sclerosis (ALS) and is implementing interventions to prevent complications like atelectasis and pneumonia, which are common in individuals with reduced respiratory muscle strength. Which of the following orders specifically addresses the prevention of these pulmonary complications in a client with ALS?

12 / 20

12. Nurse Maria is urgently called to attend to 9-year-old Noah, who was rushed into the emergency room with an asthma attack. As she approaches the young patient, Nurse Maria reviews the potential clinical manifestations she might encounter. Which of the following signs and symptoms is most indicative of an asthma attack in children?

13 / 20

13. Nurse Theo is caring for an adult client with a comminuted fracture of the ulnar bone. When the client inquires about the nature of a comminuted fracture, Nurse Theo's explanation will be based on which of the following understandings?

14 / 20

14. Nurse Adrian has recently provided education to a patient regarding the management of gastroesophageal reflux disease (GERD). To assess the patient's understanding of the teachings, Nurse Adrian listens intently to the patient's statements. Which of the following remarks by the patient indicates that they have comprehended the recommendations for GERD management?

15 / 20

15. Nurse Elena is overseeing a client with uncontrolled hypertension. Recognizing potential complications associated with hypertension, which of the following clinical manifestations requires immediate nursing attention due to its serious implications?

16 / 20

16. Nurse Jasper receives a call from a man diagnosed with epididymitis two days prior. Recognizing the potential complications and common symptoms associated with this condition, what is the most crucial information for Nurse Jasper to inquire about at this time?

17 / 20

17. Nurse Lila is caring for an adult with chronic renal failure undergoing peritoneal dialysis. Given the patient's current laboratory values, with a hemoglobin of 9.2 and a hematocrit of 30, she considers the underlying causes for his anemia. Which of the following is the most probable reason for the anemia in this patient?

18 / 20

18. Nurse Sarah is performing CPR on an adult who experienced cardiopulmonary arrest. Nurse Rachel rushes into the room to assist. After quickly verifying the client's pulse and respiration status, what should be the primary responsibility of Nurse Rachel?

19 / 20

19. While in the pediatric nephrology unit, Nurse Amelia is approached by Mrs. Green, who is worried about her two-and-a-half-year-old son, Evan. Evan had previously been diagnosed with nephrotic syndrome, and his mother recently noticed swelling around his eyes, suggesting a possible recurrence. To help validate Mrs. Green's concerns, Nurse Amelia reviews potential associated symptoms. Which additional symptom would help confirm a recurrence of Evan's nephrotic syndrome?

20 / 20

20. Nurse Oliver is overseeing the care of Mr. Bennett, a client diagnosed with cirrhosis of the liver, who has now developed esophageal varices. As Nurse Oliver updates the care plan, he revisits his understanding of the primary mechanism behind the development of esophageal varices in cirrhosis patients. Which of the following is the most accurate explanation for the formation of esophageal varices in this context?