Nclex-Rn Practice Questions-Physıologıcal Integrıty-Physiological Adaptation Part 2
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Question 1 |
Which encephalitis is found predominantly west of the Mississippi River and occurs most often during the months of June and July?
A | Eastern equine encephalitis. |
B | St. Louis encephalitis. |
C | Venezuelan equine encephalitis. |
D | Western equine encephalitis. |
Question 2 |
Anxiety elicits changes in the neurohumoral release patterns involving the neurotransmitters, including:
A | Acetylcholine. |
B | Epinephrine. |
C | Insulin. |
D | Sodium. |
Question 3 |
The nurse cares for a client diagnosed with angina. Which type of angina is caused by coronary artery spasm?
A | Variant angina. |
B | Silent angina. |
C | Stable angina. |
D | Unstable angina. |
Question 4 |
A client experiences a nosebleed. The nurse documents this as:
A | Epistaxis. |
B | Miosis. |
C | Hematoma. |
D | Myalgia. |
Question 5 |
A client presents with a right tension pneumothorax. The nurse expects to find which sign and symptom?
A | Diminished breath sounds on the left. |
B | Hypertension. |
C | Hypoxia. |
D | Tracheal deviation to the right. |
Question 6 |
A client is involved in a horseback riding accident. The client complains of right upper quadrant pain and radiation to the right shoulder. With which injury is this most compatible?
A | Diaphragmatic hernia. |
B | Liver injury. |
C | Pancreatic injury. |
D | Splenic injury. |
Question 7 |
A client suffers from a right radial fracture. The client now complains of severe pain in the right arm accompanied with edema in the fingers. The nurse suspects:
A | Carpal tunnel syndrome. |
B | Compartment syndrome. |
C | Subsequent ulnar fracture. |
D | Ulnar nerve palsy. |
Question 8 |
Which skin condition is characterized by erythematous plaques with an adherent silvery scale usually appearing over the extensor surfaces of the extremities, including lesions on the palms, soles, scalp, umbilicus, and genital areas?
A | Impetigo. |
B | Molluscum contagiosum. |
C | Pityriasis rosea. |
D | Psoriasis. |
Question 9 |
Which tinea is best described by an annular erythematous patch on the body, hands, or face?
A | Tinea capitus. |
B | Tinea corporis. |
C | Tinea cruris. |
D | Tinea pedis. |
Question 10 |
Which condition is caused by arterial bleeding from tears in the distal esophagus or promixal stomach?
A | Appendicitis. |
B | Gastritis. |
C | Ischemic colitis. |
D | Mallory-Weiss syndrome. |
Question 11 |
A client complains of acute onset of periumbilical pain that is well localized over McBurney’s point. This pain is accompanied by a low-grade fever. As the client is triaged, the nurse palpates the left lower quadrant, causing the client to complain of right lower quadrant pain. Which sign does this best describe?
A | Homans’ sign. |
B | Kernig’s sign. |
C | Ludwig’s sign. |
D | Rovsing’s sign. |
Question 12 |
Which type of shock is known for decreased intravascular volume resulting from loss of blood or plasma?
A | Cardiogenic shock. |
B | Hypovolemic shock. |
C | Neurogenic shock. |
D | Obstructive shock. |
Question 13 |
A client is using a leaf blower near an old campfire. Glass debris from a broken bottle flies everywhere. The client comes to the emergency room complaining of a foreign body sensation in his right eye, watery eyes, and photophobia. Which nursing action takes priority?
A | Evert eyelid and examine for foreign body. |
B | Measure visual acuity. |
C | Notify immediately for transfer. |
D | Place an eye shield over eye. |
Question 14 |
A client complains of being stung by a yellow jacket which caused “whelps” on the skin and light-headedness. The nurse knows first-line treatment consists of:
A | Cool compresses. |
B | Intravenous access. |
C | Supplemental oxygen therapy. |
D | Tetanus injection. |
Question 15 |
Which aerobic gram-negative bacillus is the most common pathogen for all manifestations of urinary tract infection in all groups of clients?
A | Escherichia coli. |
B | Klebsiella. |
C | Pseudomonas aeruginosa. |
D | Staphylococcus aureus. |
Question 16 |
Which hepatitis virus is most likely to be transmitted through the fecal–oral route?
A | Hepatitis A. |
B | Hepatitis B. |
C | Hepatitis C. |
D | Hepatitis D. |
Question 17 |
Many persons with active tuberculosis (TB) often first present in ambulatory care settings. What is the first action that should be taken in caring for a client with symptoms of tuberculosis?
A | Identify and evaluate the client promptly. |
B | Instruct the client to cover the mouth and nose with tissues when sneezing or coughing. |
C | Isolate the client in a negative pressure room. |
D | Place a surgical mask on the client. |
Question 18 |
A nurse is caring for a client who complains of fatigue, weight loss, afternoon fevers, night sweats, cough, and hemoptysis. The nurse immediately puts the client in isolation. The nurses suspects that the client is suffering from which condition?
A | Bronchitis. |
B | Pneumonia. |
C | Pneumothorax. |
D | Tuberculosis. |
Question 19 |
A newly recognized coronavirus has been identified as the causative agent of which disease?
A | Bronchitis. |
B | Influenza. |
C | Pneumonia. |
D | SARS. |
Question 20 |
The nurse asks the client to say “EEE” and hears “AYE” over an area of consolidation. Which term is used to describe this phenomenon?
A | Egophony. |
B | Percussion. |
C | Tactile fremitus. |
D | Whispered pectroliliquy. |
Question 21 |
A virus exists that has the potential to cause significant morbidity and mortality globally; killing more Americans every year than any other infectious disease, including AIDS. This virus causes acute viral respiratory illness which is usually self-limited. Which virus does this describe?
A | Adenovirus. |
B | Enterovirus. |
C | Influenza. |
D | Paramyxoviruses. |
Question 22 |
Clostridium tetani is an anaerobic, gram-positive bacillus that forms spores. It is found in soil, dust, rust, and the feces of animals and humans. These spores are highly resilient to extremes in temperatures, moisture, and chemical substances. Once exposed to anaerobic conditions, such as the environment associated with wounds, tissue necrosis, or foreign bodies, the spores can germinate. Which organism is this?
A | Folliculitis. |
B | Osteomyelitis. |
C | Rabies. |
D | Tetanus. |
Question 23 |
A client comes to the emergency department following a motor vehicle collision with questionable loss of consciousness. To quickly rule out a serious injury, the nurse should first:
A | Assess airway patency, breathing, and circulation. |
B | Assess level of consciousness. |
C | Measure vital signs. |
D | Stabilize neck and check for signs of neck injury. |
Question 24 |
A client complains of crushing chest pain 3 hours prior to arrival in the emergency department. Initial vital signs show hypotension; a weak, thready pulse; cool, clammy skin; and confusion. Which intervention should the nurse perform first?
A | Airway management. |
B | Intravenous access. |
C | Obtaining an EKG. |
D | Preparing for intra-aortic balloon pump. |
Question 25 |
A client complains of wheezing, cough, and chest tightness. The client has a history of asthma, but has been out of medications for this condition for the past 3 weeks. Which is a priority nursing intervention?
A | Prepare to administer an inhaled corticosteroid. |
B | Prepare to administer an oral steroid. |
C | Prepare to administer a parenteral steroid. |
D | Prepare to administer a short-acting bronchodilator. |
Question 26 |
The nurse is caring for a client with an opportunistic infection of the central nervous system. The nurse knows that opportunistic infections affecting the central nervous system are extremely likely once the CD4 count drops below which level?
A | < 50/mm3. |
B | < 75/mm3. |
C | > 200/mm3. |
D | > 200/mm3. |
Question 27 |
To which groups of clients should the live intranasal vaccine be administered?
A | Clients undergoing chemotherapy. |
B | Clients with HIV. |
C | Healthy people 5 to 49 years old. |
D | Pregnant women. |
Question 28 |
The live intranasal vaccine (FluMist) is indicated for use only in healthy people. For which age group is the vaccine appropriate?
A | 6 months to 5 years of age. |
B | 5 to 49 years of age. |
C | 49 to 65 years of age. |
D | 65 and older. |
Question 29 |
Which hepatitis virus has only one serotype, stimulates antibodies that are thought to result in lifelong immunity, has an incubation period of approximately 28 days, and can unknowingly be passed by the host?
A | Hepatitis A. |
B | Hepatitis B. |
C | Hepatitis C. |
D | Hepatitis D. |
Question 30 |
The nurse who works in the emergency department cares for a client who was bitten by a stray cat. Which gram-negative causative organism is found in 75% of cat bite wound infections?
A | Bacteroides. |
B | Fusobacterium. |
C | Pasteurella. |
D | Prevotella. |
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