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NCLEX RN· Physiological Adaptation · NCLEX RN Physiological Adaptation

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client who is HIV-positive. The nurse understands which of the following to be true regarding HIV and AIDS?

A. Viral load testing monitors disease progression and evaluates effectiveness of treatment.
B. The Western blot test is positive if antibodies to at least three major HIV antigens are present.
C. Patients with AIDS present with a white blood cell (WBC) count between 5,000 and 10,000 cells/mm³.
D. An enzyme-linked immunosorbent assay (ELISA) test can detect the presence of antibodies within 2 weeks of exposure.

Expert Explanatory Rationale

Correct Answer: Viral load testing monitors disease progression and evaluates effectiveness of treatment.

Question 2 of 5

The nurse is caring for a client in the ICU who has an arterial line for hemodynamic monitoring. Which action will the nurse take in caring for this client?

A. position the client with the transducer at the level of the right atrium
B. position the client with the transducer at the level of the left ventricle
C. position the client with the transducer at the level of the right clavicle
D. position the client with the transducer at the level of the right ventricle

Expert Explanatory Rationale

Correct Answer: position the client with the transducer at the level of the right atrium

Question 3 of 5

The nurse is performing the Glasgow coma scale on a client. The assessment is as follows: eye opening, to pain; motor response, localizes pain; verbal response, inappropriate words. The nurse interprets which score is correct for this client?

A. 9
B. 10
C. 11
D. 12

Expert Explanatory Rationale

Correct Answer: 9

Question 4 of 5

Which of the following is not a recommended preparation for electroconvulsive therapy (ECT)?

A. premedication with an anticholinergic agent
B. morning bath, NPO after midnight
C. informed consent in writing
D. administration of an anticonvulsant 30 minutes before ECT

Expert Explanatory Rationale

Correct Answer: administration of an anticonvulsant 30 minutes before ECT

Question 5 of 5

A client is 2 hours post-op for a right total knee replacement. Upon assessment by the nurse, which information requires notification of the doctor?

A. hemoglobin is 10.2 grams per liter
B. bleeding on the dressing of 2 cm
C. oral temperature of 100.4°F
D. complaint of pain at incision site

Expert Explanatory Rationale

Correct Answer: hemoglobin is 10.2 grams per liter

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