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NCLEX RN· Physiological Adaptation · Physiological Integrity NCLEX RN

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client presents to the ED with complaints of sweating, heart palpitations, vertigo, and the urge to lay down shortly after eating. The nurse anticipates which diagnosis for this client?

A. appendicitis
B. cholecystitis
C. ulcerative colitis
D. dumping syndrome

Expert Explanatory Rationale

Correct Answer: dumping syndrome

Question 2 of 5

The nurse is caring for a client with a diagnosis of upper GI bleeding. Which findings on physical assessment are consistent with this diagnosis?

A. increased heart rate
B. decreased heart rate
C. increased hemoglobin
D. bounding peripheral pulses

Expert Explanatory Rationale

Correct Answer: increased heart rate

Question 3 of 5

A client has arterial blood gases drawn. The results are as follows: pH, 7.58; PaCO2, 48 mm Hg; HCO3, 44 mEq/L, Base Excess, +13 mEq/L. Which condition is indicated?

A. respiratory alkalosis
B. respiratory acidosis
C. metabolic alkalosis
D. metabolic acidosis

Expert Explanatory Rationale

Correct Answer: metabolic alkalosis

Question 4 of 5

The nurse is caring for a client at risk for postpartum hemorrhage. Which early sign of hemorrhage should the nurse monitor for this client?

A. coma
B. hypotension
C. restlessness
D. cool, clammy skin

Expert Explanatory Rationale

Correct Answer: restlessness

Question 5 of 5

The nurse is discussing various oxygen delivery systems with a newly graduated nurse who has just begun working on the medical floor. Which statement by the student nurse indicates an understanding of the different oxygen delivery systems?

A. A tracheostomy collar requires a flow rate of at least 6 L/minute to be effective.
B. High-flow oxygen delivery systems include the venturi mask, face tent, and non-rebreather masks.
C. The non-rebreather mask should receive a high enough flow rate to keep the reservoir bag completely full.
D. Nasal cannulas, non-rebreather masks, simple face masks, and partial rebreather masks are examples of low-flow oxygen delivery systems.

Expert Explanatory Rationale

Correct Answer: The non-rebreather mask should receive a high enough flow rate to keep the reservoir bag completely full.

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