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NCLEX RN· Physiological Adaptation · MSC NCLEX Physiological Integrity

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client in the cardiac unit who has a systolic murmur. Which assessment finding would the nurse expect when auscultating this client's heart sounds?

A. The murmur can be heard between S3 and S4.
B. The murmur can be heard between S4 and S1.
C. The murmur can be heard between S2 and S1.
D. The murmur can be heard between S1 and S2.

Expert Explanatory Rationale

Correct Answer: The murmur can be heard between S1 and S2.

Question 2 of 5

The nurse is caring for a client who has been diagnosed with pulseless electrical activity (PEA). Following effective CPR and administration of epinephrine, which is the next priority nursing action?

A. check for a pulse
B. insert a urinary catheter
C. prepare to shock the client
D. administer a bolus of sodium bicarbonate

Expert Explanatory Rationale

Correct Answer: check for a pulse

Question 3 of 5

A nurse is employed on an oncology unit. A 62-year-old client is admitted for surgical treatment of a meningioma. The nurse would anticipate modifying the environment for which symptom?

A. difficulty swallowing
B. seizures
C. poor concentration
D. impaired mobility

Expert Explanatory Rationale

Correct Answer: seizures

Question 4 of 5

The nurse is performing discharge teaching to a client diagnosed with chronic pancreatitis. Which statement by the client indicates an understanding of home management of the condition? Select all that apply.

A. I should avoid large, heavy meals.
B. I can have an occasional glass of red wine.
C. I can resume my daily jogging once I get home.
D. I should avoid smoking and caffeinated beverages.
E. I should add extra spices to my food to make it taste better.

Expert Explanatory Rationale

Correct Answer:

Question 5 of 5

The nurse is caring for a client with a T-tube following a cholecystectomy. Which statement is correct regarding management of these tubes? Select all that apply.

A. keep the drainage system at the level of the heart
B. report foul odor and purulent drainage to the health care provider
C. remove the tube when drainage slows to less than 50 mL every 8 hours
D. do not clamp or irrigate the T-tube without orders from the health care provider
E. clamp the tube before meals and observe the client for abdominal distention or discomfort

Expert Explanatory Rationale

Correct Answer:

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