,COMPREHENSIVE NCLEX RN PHYSIOLOGICAL
ADAPTATION QUESTIONS AND ANSWERS GRADED A+
● Safe and Effective Care Environment. Answer: 28%-40% of the exam
● Psychosocial Integrity. Answer: 9%-15% of the exam
● Health Promotion and Maintenance. Answer: 6%-12% of the exam
● Basic Care and Comfort. Answer: Questions related to daily living
activities, hygiene, nutrition, elimination, and non-pharmacological
comfort interventions.
● Pharmacological Therapies. Answer: Covers medication
administration, adverse effects, expected effects, and dosage
calculations.
● Reduction of Risk Potential. Answer: Focuses on minimizing patient
harm, including laboratory values, vital signs, and monitoring for
complications.
● Physiological Adaptation. Answer: Assesses ability to provide care for
patients with acute, chronic, or life-threatening conditions like shock,
respiratory failure, or fluid and electrolyte imbalances.
● Study Prioritization. Answer: Effective preparation involves
allocating more study time to high-weight areas.
,● Next Generation NCLEX. Answer: Focuses on applying clinical
judgment to prioritize care.
● High-weight areas. Answer: Key to passing the exam.
● Clinical Judgment. Answer: Core focus of the Next Generation
NCLEX.
● The nurse cares for a client diagnosed with spinal cord injury at the
level of T1. The nurse notes profuse sweating, and the client
complains of a pounding headache and nasal stuffiness. Arrange the
following actions in the proper sequence from FIRST to LAST. All
options must be used immediately.
Instruct the client about how to prevent autonomic dysreflexia: instruct
about signs/symptoms and causes (full bladder, impaction, pressure on
skin, cool draft)
Place the client in a sitting position: lowers blood pressure immediately
Check the Foley catheter tubing for kinks or obstruction: most common
cause is distended bladder or constipation
Label the chart with a visible note about the risk for autonomic
dysreflexia: ensures that staff is aware of risk
, Monitor the blood pressure every 10-15 minutes: if emptying the bladder
or removing the fecal mass does not decrease blood pressure,
hydralazine hydrochloride (Apres Answer: Strategy:
Determine how best to decrease client's blood pressure.
(1) Place the client in a sitting position: lowers blood pressure
immediately
(2) Check the Foley catheter tubing for kinks or obstruction: most
common cause is distended bladder or constipation
(3) Monitor the blood pressure every 10-15 minutes: if emptying the
bladder or removing the fecal mass does not decrease blood pressure,
hydralazine hydrochloride (Apresoline) is administered IV
(4) Label the chart with a visible note about the risk for autonomic
dysreflexia: ensures that staff is aware of risk
(5) Instruct the client about how to prevent autonomic dysreflexia:
instruct about signs/symptoms and causes (full bladder, impaction,
pressure on skin, cool draft)
● To measure the pulse during adult cardiopulmonary resuscitation
(CPR), the LPN/LVN should use which of the following arteries?
1. The femoral artery.
2. The radial artery.
3. The carotid artery.
ADAPTATION QUESTIONS AND ANSWERS GRADED A+
● Safe and Effective Care Environment. Answer: 28%-40% of the exam
● Psychosocial Integrity. Answer: 9%-15% of the exam
● Health Promotion and Maintenance. Answer: 6%-12% of the exam
● Basic Care and Comfort. Answer: Questions related to daily living
activities, hygiene, nutrition, elimination, and non-pharmacological
comfort interventions.
● Pharmacological Therapies. Answer: Covers medication
administration, adverse effects, expected effects, and dosage
calculations.
● Reduction of Risk Potential. Answer: Focuses on minimizing patient
harm, including laboratory values, vital signs, and monitoring for
complications.
● Physiological Adaptation. Answer: Assesses ability to provide care for
patients with acute, chronic, or life-threatening conditions like shock,
respiratory failure, or fluid and electrolyte imbalances.
● Study Prioritization. Answer: Effective preparation involves
allocating more study time to high-weight areas.
,● Next Generation NCLEX. Answer: Focuses on applying clinical
judgment to prioritize care.
● High-weight areas. Answer: Key to passing the exam.
● Clinical Judgment. Answer: Core focus of the Next Generation
NCLEX.
● The nurse cares for a client diagnosed with spinal cord injury at the
level of T1. The nurse notes profuse sweating, and the client
complains of a pounding headache and nasal stuffiness. Arrange the
following actions in the proper sequence from FIRST to LAST. All
options must be used immediately.
Instruct the client about how to prevent autonomic dysreflexia: instruct
about signs/symptoms and causes (full bladder, impaction, pressure on
skin, cool draft)
Place the client in a sitting position: lowers blood pressure immediately
Check the Foley catheter tubing for kinks or obstruction: most common
cause is distended bladder or constipation
Label the chart with a visible note about the risk for autonomic
dysreflexia: ensures that staff is aware of risk
, Monitor the blood pressure every 10-15 minutes: if emptying the bladder
or removing the fecal mass does not decrease blood pressure,
hydralazine hydrochloride (Apres Answer: Strategy:
Determine how best to decrease client's blood pressure.
(1) Place the client in a sitting position: lowers blood pressure
immediately
(2) Check the Foley catheter tubing for kinks or obstruction: most
common cause is distended bladder or constipation
(3) Monitor the blood pressure every 10-15 minutes: if emptying the
bladder or removing the fecal mass does not decrease blood pressure,
hydralazine hydrochloride (Apresoline) is administered IV
(4) Label the chart with a visible note about the risk for autonomic
dysreflexia: ensures that staff is aware of risk
(5) Instruct the client about how to prevent autonomic dysreflexia:
instruct about signs/symptoms and causes (full bladder, impaction,
pressure on skin, cool draft)
● To measure the pulse during adult cardiopulmonary resuscitation
(CPR), the LPN/LVN should use which of the following arteries?
1. The femoral artery.
2. The radial artery.
3. The carotid artery.
