NCLEX PHYSIOLOGICAL INTEGRITY
COMPLETE REVISION QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED
During an assessment of a patient experiencing acute hemorrhage , the healthcare provider would most
likely expect to find - Answer: TACHYCARDIA.
An unresponsive patient with diabetes is brought to the emergency department with slow, deep respirations. Additional findings include: blood glucose 450 mg/dL (24.9 mmol/L), arterial pH 7.2, and urinalysis showing presence of ketones and glucose. Which of the following statements best describes the underlying cause of this patient's presentation? - Answer: LACK OF INSULIN CAUSES INCREASED
COUNTERREGULATORY HORMONES AND KETONE RELEASE
When assessing a patient diagnosed with osteoarthritis (OA), the healthcare provider looks for which
characteristic of this condition? - Answer: JOINT CREPITUS
A patient presents to the emergency department with a blood pressure of 180/130 mmHg, headache, and confusion. Which additional finding is consistent with a diagnosis of hypertensive emergency? -
Answer: RETINOPATHY
A patient diagnosed with ulcerative colitis is admitted to the medical unit. When assessing the patient, which of these findings would be of the most concern? - Answer: REBOUND TENDERNESS A patient with a diagnosis of lung cancer is receiving chemotherapy and reports nausea and loss of appetite resulting in decreased food intake. What should the healthcare provider recommend to promote adequate nutrition? Advise the patient to - Answer: EAT SMALL MEALS THROUGHOUT THE DAY.When evaluating the arterial blood gases (ABGs) of a patient with a 20 year history of chronic bronchitis, which of these would the healthcare provider expect? - Answer: RESPIRATORY ACIDOSIS,
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The healthcare provider prepares to administer a corticosteroid to a patient with a diagnosis of asthma.What is the rationale for administering this drug to this patient? - Answer: DECREASE AIRWAY SWELLING The healthcare provider is seeing four patients at the neighborhood clinic. Which of these patients should the healthcare provider identify to be most at risk for iron-deficiency anemia? - Answer: THE
WOMAN OF CHILDBEARING AGE REPORTING A CRAVING FOR ICE
What assessment finding should the healthcare provider expect to identify as an early clinical
characteristic of multiple sclerosis (MS)? - Answer: VISION LOSS
The healthcare provider is caring for a patient who has septic shock. Which of these should the healthcare provider administer to the patient first? - Answer: IV FLUIDS TO INCREASE INTRAVASCULAR
VOLUME
A patient who is diagnosed with Parkinson's disease (PD) states, I can't tie my shoelaces anymore." The healthcare provider recognizes that this patient's problem is due to a deficiency in which of these
neurotransmitters? - Answer: DOPAMINE
The healthcare provider is caring for a patient on a ventilator with an endotracheal tube in place. What assessment data indicate the tube has migrated too far down the trachea? - Answer: DECREASED
BREATH SOUNDS ON THE LEFT SIDE OF THE CHEST
When caring for a patient with a cardiac dysrhythmia, which laboratory value is a priority for the
healthcare provider to monitor? - Answer: SODIUM, POTASSIUM, AND CALCIUM
When a drug's effect is increased after a second drug is given, this interaction is called - Answer:
POTENTIATION.
Before administering two units of whole blood, what type of intravenous (IV) device should be used? - Answer: A LARGE BORE CATHETER TO ALLOW BLOOD CELLS TO PASS EASILY INTO THE PATIENT
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