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NCLEX RN· Physiological Adaptation · Physiological Adaptation NCLEX RN Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which nursing action is most appropriate to initially relieve pain related to a recent soft tissue injury?

A. administer an over-the-counter (OTC) medication for pain
B. apply heat
C. massage the area
D. apply ice pack

Expert Explanatory Rationale

Correct Answer: apply ice pack

Question 2 of 5

The nurse is caring for a client who just had a bone marrow biopsy. The nurse understands that which statement is the nursing priority for this client?

A. keeping the client NPO for 2 hours
B. avoiding contact sports for 24 hours
C. monitoring the client for excessive bleeding
D. applying alcohol to the site every 4 hours to prevent infection

Expert Explanatory Rationale

Correct Answer: monitoring the client for excessive bleeding

Question 3 of 5

The nurse is teaching a client about peritoneal dialysis. Which complication of this treatment would the nurse instruct the client to report?

A. bone pain
B. confusion
C. muscle cramps
D. cloudy outflow

Expert Explanatory Rationale

Correct Answer: cloudy outflow

Question 4 of 5

The nurse is precepting a student nurse. The primary nurse asks the student nurse to figure the client's intake and output for the shift. Which statement by the student nurse indicates an understanding of this procedure?

A. Wound drainage is not included in output measurement.
B. I only need to count urinary output for my output total.
C. I don't need to count the client's emesis since it was a small amount.
D. I will include all IV fluids, liquids the client drank, IV flushes, and IV antibiotics in my intake total.

Expert Explanatory Rationale

Correct Answer: I will include all IV fluids, liquids the client drank, IV flushes, and IV antibiotics in my intake total.

Question 5 of 5

The nurse is caring for a client who had an inguinal hernia repair. Which interventions by the nurse are appropriate for this client? Select all that apply.

A. encouraging fluid intake
B. relieving urinary retention
C. applying heat to the scrotum
D. teaching turning, coughing, and deep breathing
E. keeping the client on bed rest for the first 12 hours after surgery
F. teaching the client to avoid lifting more than 20 pounds until approved by the health care provider

Expert Explanatory Rationale

Correct Answer:

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