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NCLEX RN· Physiological Integrity · NCLEX RN Exam Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a 36-year-old patient with pancreatic cancer. Which nursing action is the highest priority?

A. Offer psychological support for depression.
B. Offer high-calorie, high-protein dietary choices.
C. Administer prescribed opioids to relieve pain as needed.
D. Teach about the need to avoid scratching any pruritic areas.

Expert Explanatory Rationale

Correct Answer: Administer prescribed opioids to relieve pain as needed.

Question 2 of 5

Which of the following interventions should the nurse use when working with a Jackson-Pratt drain?

A. Strip the tubing to remove clots by milking the tubing back toward the client
B. Empty the drain when the amount of fluid reaches 25 cc
C. Strip the tubing to remove clots by milking the tubing away from the client
D. Maintain the level of the drain above the client's incision

Expert Explanatory Rationale

Correct Answer: Strip the tubing to remove clots by milking the tubing away from the client

Question 3 of 5

The nurse is caring for a 73-year-old man with cirrhosis. Which data obtained by the nurse during the assessment will be of most concern?

A. The patient complains of right upper-quadrant pain upon palpation.
B. The patient's hands flap back and forth when the arms are extended.
C. The patient has ascites and a 2-kg weight gain from the previous day.
D. The patient's skin has multiple spider-shaped blood vessels on the abdomen.

Expert Explanatory Rationale

Correct Answer: The patient's hands flap back and forth when the arms are extended.

Question 4 of 5

The healthcare professional in the Emergency Room is treating a patient suspected to have a Peptic Ulcer. On assessing lab results, the healthcare professional finds that the patient's blood pressure is 95/60, pulse is 110 beats per minute, and the patient reports epigastric pain. What is the PRIORITY intervention?

A. Start a large-bore IV in the patient's arm
B. Ask the patient for a stool sample
C. Prepare to insert an NG Tube
D. Administer intramuscular morphine sulfate as ordered

Expert Explanatory Rationale

Correct Answer: Start a large-bore IV in the patient's arm

Question 5 of 5

A child has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate?

A. The child has a poor chance of recovery without joint deformity.
B. Most children progress to adult rheumatoid arthritis.
C. Nonsteroidal anti-inflammatory drugs are the first choice in treatment.
D. Physical activity should be minimized.

Expert Explanatory Rationale

Correct Answer: Nonsteroidal anti-inflammatory drugs are the first choice in treatment.

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