NCLEX RN· Physiological Adaptation · NCLEX RN Client Needs Physiological Adaptation
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
The ED nurse receives a client who is bleeding profusely from a gunshot wound. Which action by the nurse will best help this client avoid complications of extreme blood loss?
Expert Explanatory Rationale
Correct Answer: administer type O blood
Which assessment finding in a client with chronic kidney disease indicates late-stage symptoms?
Expert Explanatory Rationale
Correct Answer: oliguria
The nurse is caring for a client who is HIV positive and gave birth to a full-term infant. The nurse is teaching the client about infections in HIV-positive infants. Which infection does the nurse understand is the most common opportunistic infection in children and infants with HIV?
Expert Explanatory Rationale
Correct Answer: Pneumocystis jiroveci pneumonia
The nurse is caring for a client with a sacral wound. The wound is full thickness, measures 4 cm X 6 cm with irregular borders, and is covered by a layer of black collagen. Which is this wound stage?
Expert Explanatory Rationale
Correct Answer: unstageable
The nurse is preparing to administer cefazolin to a client who is allergic to penicillin. The client states that penicillin causes him to itch and be slightly short of breath. Which response by the nurse is correct?
Expert Explanatory Rationale
Correct Answer: hold the medication and notify the health care provider
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