PN Domain 6: Physiological Adaptation (Quiz 2) Welcome to your NCLEX-PN Practice Quizzes. Note: We designed Two (2) sets of practice quizzes for this Domain. Each set has 25 questions. Domain 6 (Quiz 2): Physiological Adaptation. (25 questions) Please click NEXT to start your Free NCLEX-PN Practice Quizzes right away. Best of Luck! 1. PN Physiological Adaptation,NCLEX-PN When assessing a patient diagnosed with osteoarthritis (OA), the healthcare provider looks for which characteristic of this condition? A. Joint crepitus B. Bilateral joint swelling C. Waddling gait D. Decreased grip strength None 2. PN Physiological Adaptation,NCLEX-PN Following application of a short leg cast for a fractured ankle, which discharge instruction by the nurse is correct? A. You can cut and smooth the edges of the cast once it has dried B. Use pillows to elevate the cast above your heart for 24 hours C. Burning and tingling sensations under the cast are normal D. Start walking on the cast as soon as it dries so you can adapt None 3. PN Physiological Adaptation,NCLEX-PN A nurse in the Emergency Department assesses a client for a possible fractured rib. Which of the following characteristics will support the suspected diagnosis? A. Pain on inspiration, with deep, rapid respirations B. Pain on inspiration, with shallow, guarded respirations C. Pain on expiration, with deep, rapid respirations D. Pain on expiration, with shallow, guarded respirations None 4. PN Physiological Adaptation,NCLEX-PN Which of these assessment findings should the healthcare provider expect to identify as an early clinical characteristic of multiple sclerosis (MS)? A. Dementia B. Clonus C. Vision loss D. Muscle atrophy None 5. PN Physiological Adaptation,NCLEX-PN The healthcare provider is caring for a patient on a ventilator with an endotracheal tube in place. What assessment data indicate the tube has migrated too far down the trachea? A. Increased crackles auscultation bilaterally B. Low-pressure alarm sounds C. High-pressure alarm sounds D. Decreased breath sounds on the left side of the chest None 6. PN Physiological Adaptation,NCLEX-PN What is the safest method of changing a patient's tracheostomy ties? A. Ask the doctor to suture the tracheostomy in place B. Apply the new ties before removing the old ones C. Never attempt to change ties alone D. Change ties as soon as possible after the patient has eaten None 7. PN Physiological Adaptation,NCLEX-PN A client complains of a stabbing pain on one side of the face. The nurse suspects tic douloureux, which is caused by which cranial nerve? A. VI B. IV C. V D. VII None 8. PN Physiological Adaptation,NCLEX-PN A client with a known history of asthma comes to the surgicenter for a minor procedure. The nurse measures the client's pre-procedure peak flow at 520 liters/minute. Following the procedure, the client complains of "a tight chest" and their peak flow is 250 liters/minute. What is the nurse's PRIORITY action? A. Notify the health care provider (HCP) B. Repeat the peak flow reading in 15 minutes C. Apply oxygen at 2LPM via nasal cannula D. Administer a PRN dose of albuterol None 9. PN Physiological Adaptation,NCLEX-PN Which atrioventricular (AV) heart block is called Mobitz II? A. First-degree AV heart block B. Third-degree AV heart block C. Second-degree AV heart block D. Complete AV heart block None 10. PN Physiological Adaptation,NCLEX-PN Scopolamine and atropine are two examples of anticholinergic medications. All of the following are frequent side effects of anticholinergic drugs EXCEPT A. urinary retention B. cognitive changes C. pupil constriction D. dry mouth None 11. PN Physiological Adaptation,NCLEX-PN A client with a history of chronic cirrhosis of the liver was admitted two days ago to treat an infection. Today, during the initial shift assessment, the nurse notes that the client appears lethargic and their breath has a sweet, musty odor. Which assessment should the nurse perform NEXT? A. Obtain a full set of vital signs B. Review recent serum bilirubin result C. Measure client's abdominal girth D. Observe for flapping hand tremors None 12. PN Physiological Adaptation,NCLEX-PN A patient diagnosed with ulcerative colitis is admitted to the medical unit. When a nurse is assessing the patient, which of these findings would be of the most concern? A. Borborygmi B. Oral temperature of 99.0 °F (37.2 °C) C. Bloody diarrhea D. Rebound tenderness None 13. PN Physiological Adaptation,NCLEX-PN The nurse is teaching a client with a diagnosis of chronic obstructive pulmonary disease (COPD) how to do pursed-lip breathing. The client asks why it's important to learn this technique. What is the nurse's BEST response? A. It will soon become your natural way to breathe B. It helps release the air that's trapped in your lungs C. It will let you resume any activities you wish D. It reduces exhalation time so you can breathe faster. None 14. PN Physiological Adaptation,NCLEX-PN Which of the following statements about global aphasia is FALSE? A. The client's intellectual capability is damaged B. The client is unable to say recognizable words C. The client can neither read nor write D. The client is unable to comprehend spoken language None 15. PN Physiological Adaptation,NCLEX-PN During a routine physical, a nurse assesses a 12-year-old child with a diagnosis of juvenile idiopathic arthritis (JIA). Which of the following complaints by the child is the FIRST priority? A. I'm afraid I'll fall down in gym class B. I have a hard time doing even simple things C. I hate that I'm different from my friends D. My hands and knees really hurt all the time None 16. PN Physiological Adaptation,NCLEX-PN A healthcare provider is caring for a 3month-old infant diagnosed with infectious gastroenteritis. The infant is lethargic, and the mucous membranes are dry. Which additional finding would support a diagnosis of moderate dehydration? A. Increased capillary refill B. Anuria C. Increased thirst D. Sunken fontanelle None 17. PN Physiological Adaptation,NCLEX-PN When caring for a patient who has a pneumothorax, which of these actions should the healthcare provider include in the patient's plan of care? A. Change the insertion site dressing daily using aseptic technique B. Encourage the patient to breathe deeply and cough regularly C. Empty the drainage chamber during every shift and record the amount D. Vigorously massage the tube every 2 hours to promote drainage None 18. PN Physiological Adaptation,NCLEX-PN Following a prostatectomy, the client is receiving continuous bladder irrigation (CBI) via a three-way Foley catheter. The provider has prescribed that the irrigation solution be titrated to maintain a drainage of which color? A. Pale yellow B. Dark yellow C. Sanguineous D. Colorless None 19. PN Physiological Adaptation,NCLEX-PN When reading an electrocardiogram strip, what occurs during the QRS waveform? A. Atrial depolarization and AV node stimulation B. Repolarization of Bundle of His and Purkinje fiber system C. Repolarization of right and left ventricles D. Ventricle depolarization and atrial repolarization None 20. PN Physiological Adaptation,NCLEX-PN A 30-year-old patient with a congenital atrial septal defect has lived with the defect without significant problems until now. Which of the following is an indication that the patient is becoming hemodynamically symptomatic? A. Blood pressure 140/90 B. Bronchoconstriction and wheezing C. Intermittent claudication D. Exertional dyspnea None 21. PN Physiological Adaptation,NCLEX-PN A 22-year-old female with a history of type 1 diabetes is brought to the emergency department. Which respiratory pattern would indicate diabetic ketoacidosis (DKA)? A. Shallow respirations with irregular long expirations B. Short inspirations and expirations C. Regular respiratory pattern, but frequent pauses D. Deep, rapid respiration rate with long expirations None 22. PN Physiological Adaptation,NCLEX-PN Parents bring their 9-month-old infant to the Emergency Department, reporting that their baby has been irritable and lethargic for two days. The nurse observes poor skin turgor and tachycardia. To obtain more information, what is the BEST question that the nurse should ask the parents? A. How many wet diapers has your baby had in the last 24 hours? B. Have you made any changes to your baby's diet recently? C. Does your baby wake up frequently during the night? D. Are all your baby's vaccinations up to date? None 23. PN Physiological Adaptation,NCLEX-PN A patient with pancreatic cancer has undergone a Whipple procedure. During the Whipple procedure, the surgeon removed the A. esophagus and jejunum B. stomach and duodenum C. proximal third section of the small intestine D. pancreas head and gallbladder None 24. PN Physiological Adaptation,NCLEX-PN The nurse receives a client in the coronary care unit (CCU) after a coronary artery bypass graft (CABG). At the end of the first hour, the client's mediastinal chest drainage was 90 mL. At the end of the second hour, the drainage was 15 mL. Which of the following is the MOST likely reason for the drop? A. This is a normal post-operative finding B. There is no more fluid in the mediastinal space C. The client should cough and deep breathe D. The drainage tube might be occluded None 25. PN Physiological Adaptation,NCLEX-PN A 32-year-old client with a diagnosis of type 1 diabetes calls the clinic to report that they have gastroenteritis. To prevent dehydration during the illness, which of the following should the nurse advise the client to do? A. Avoid all liquids until 4 hours after vomiting has stopped B. Drink 8 to 10 ounces of various fluids every hour while awake C. Remain on clear liquids for 3 to 5 days before returning to solid food D. Drink only water as tolerated until all vomiting ceases None 1 out of 25 Time is Up! Time's up
