, COMPREHENSIVE NCLEX RN PHYSIOLOGICAL ADAPTATION
QUESTIONS AND ANSWERS GRADED A+
QUESTIONS AND ANSWERS GRADED A+
● A client is brought to the emergency department with suspected
croup. Which assessment finding reflects increasing respiratory
distress? Answer: intercostal retractions
● When the nurse is assessing a 34-year-old multigravid client at 34
weeks' gestation experiencing moderate vaginal bleeding, which
symptom would most likely alert the nurse that placenta previa is
present? Answer: painless vaginal bleeding
● A client diagnosed with ulcerative colitis also experiences obsessive
compulsive anxiety disorder (OCD). In helping the client understand
her illness, the nurse should respond with which statement? Answer:
"It's possible that your desire to have everything be perfect has caused
stress that may have worsened your colitis, but there is no proof that
either disorder caused the other."
● A nurse is caring for a child with intussusception. Which of the
following is an expected client outcome related to the nursing
diagnosis Acute pain related to cramping, which might be made for
this child?
Answer: The child exhibits no manifestations of discomfort.
● An adolescent client scheduled for an emergency appendectomy is to
be transferred directly from the emergency department to the
operating room. Which statement by the client should the nurse
interpret as most significant? Answer: "All of a sudden it does not
hurt at all."
QUESTIONS AND ANSWERS GRADED A+
QUESTIONS AND ANSWERS GRADED A+
● A client is brought to the emergency department with suspected
croup. Which assessment finding reflects increasing respiratory
distress? Answer: intercostal retractions
● When the nurse is assessing a 34-year-old multigravid client at 34
weeks' gestation experiencing moderate vaginal bleeding, which
symptom would most likely alert the nurse that placenta previa is
present? Answer: painless vaginal bleeding
● A client diagnosed with ulcerative colitis also experiences obsessive
compulsive anxiety disorder (OCD). In helping the client understand
her illness, the nurse should respond with which statement? Answer:
"It's possible that your desire to have everything be perfect has caused
stress that may have worsened your colitis, but there is no proof that
either disorder caused the other."
● A nurse is caring for a child with intussusception. Which of the
following is an expected client outcome related to the nursing
diagnosis Acute pain related to cramping, which might be made for
this child?
Answer: The child exhibits no manifestations of discomfort.
● An adolescent client scheduled for an emergency appendectomy is to
be transferred directly from the emergency department to the
operating room. Which statement by the client should the nurse
interpret as most significant? Answer: "All of a sudden it does not
hurt at all."
