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NCLEX RN· Physiological Adaptation · Physiological Integrity NCLEX RN Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse notes irritability, microcephaly, and short palpebral fissures in a newborn in the nursery. The nurse suspects which diagnosis for this infant?

A. syphilis
B. TORCH syndrome
C. brachial plexus injury
D. fetal alcohol syndrome (FAS)

Expert Explanatory Rationale

Correct Answer: fetal alcohol syndrome (FAS)

Question 2 of 5

The nurse is caring for a client who presents to the ED with the following arterial blood gas (ABG) results: pH 7.32, PaCO2 47 mm Hg, HCO3 24 mEq/L, PaO2 91 mm Hg. Which clinical manifestation would the nurse anticipate, based on these findings?

A. confusion
B. nausea and vomiting
C. deep, rapid respirations
D. hypoventilation with hypoxia

Expert Explanatory Rationale

Correct Answer: confusion

Question 3 of 5

The nurse is assessing a client with Parkinson's disease. Which sign of primary motor symptom involvement would the nurse expect to observe?

A. resting tremor
B. sleep disturbance
C. constipation
D. fatigue

Expert Explanatory Rationale

Correct Answer: resting tremor

Question 4 of 5

The oncology nurse is assessing a client diagnosed with cancer of the tongue. Upon examination, which signs and symptoms would the nurse expect to find? Select all that apply.

A. weight gain
B. well-fitting dentures
C. a black, hairy tongue
D. difficulty swallowing
E. a sore that bleeds or does not heal
F. difficulty chewing or pain with chewing

Expert Explanatory Rationale

Correct Answer:

Question 5 of 5

A nurse is providing pre-op teaching to a client who will be undergoing a coronary artery bypass graft. Which of the following should the nurse include in the teaching? Select all that apply.

A. Your medications will be changed after surgery.
B. You will be on strict bed rest for the first 48 hours.
C. You will be using a bedpan after surgery to urinate.
D. You will need to splint the chest incision when you cough or breathe deeply.
E. You will be on the ventilator after surgery and have one or more chest tubes.

Expert Explanatory Rationale

Correct Answer:

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