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NCLEX RN· Physiological Integrity · NCLEX RN Exam Review Answers

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is caring for a patient after a coronary angiogram. Which of these actions taken by the nursing assistant would most require the nurse's immediate intervention?

A. The nursing assistant fills the patient's pitcher with ice-cold drinking water

B. The nursing assistant elevates the head of the bed to 60 degrees for a meal

C. The nursing assistant refills the ice pack placed on the insertion site

D. The nursing assistant places an extra pillow under the patient's head upon request

Expert Explanatory Rationale

Correct Answer: The nursing assistant elevates the head of the bed to 60 degrees for a meal

Question 2 of 5

A 7-year-old child is seen in a clinic, and the pediatrician documents a diagnosis of nighttime (nocturnal) enuresis. What information should the nurse provide to the parents?

A. Nighttime (nocturnal) enuresis does not respond to treatment.

B. Nighttime (nocturnal) enuresis is caused by a psychiatric problem.

C. Nighttime (nocturnal) enuresis requires surgical intervention to improve the problem.

D. Nighttime (nocturnal) enuresis is usually outgrown without therapeutic intervention.

Expert Explanatory Rationale

Correct Answer: Nighttime (nocturnal) enuresis is usually outgrown without therapeutic intervention.

Question 3 of 5

A 23-year-old woman is admitted to the infusion clinic after a Multiple Sclerosis exacerbation. The physician orders methylprednisolone infusions (Solu-Medrol). The nurse would expect which of the following outcomes after administration of this medication?

A. A decrease in muscle spasticity and involuntary movements

B. A slowed progression of Multiple Sclerosis-related plaques

C. A decrease in the length of the exacerbation

D. A stabilization of mood and sleep

Expert Explanatory Rationale

Correct Answer: A decrease in the length of the exacerbation

Question 4 of 5

Which clinical manifestations are recognized in nephrotic syndrome?

A. Hematuria, bacteriuria, weight gain

B. Gross hematuria, albuminuria, fever

C. Hypertension, weight loss, proteinuria

D. Massive proteinuria, hypoalbuminemia, edema

Expert Explanatory Rationale

Correct Answer: Massive proteinuria, hypoalbuminemia, edema

Question 5 of 5

Why should a 30-year-old Caucasian woman who works the night shift take Vitamin D supplements?

A. It's a standard part of the overall nutritional treatment for the prevention of osteomalacia.

B. It helps your intestines absorb calcium, which is important for bone formation.

C. It stimulates skin cells to produce calcium, which is then released into the bloodstream to be used for bone formation.

D. Vitamin D supplements should not be taken by someone of your age.

Expert Explanatory Rationale

Correct Answer: It helps your intestines absorb calcium, which is important for bone formation.

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