NCLEX-RN NGN Physiological Adaptation
Latest 2025 Update
Question 1:
What is the most appropriate position for decreasing abdominal tension in a client?
A) Lying on the back with legs straight
B) Lying on side with legs bent
C) Sitting upright with legs straight
D) Lying flat on the stomach
Answer:
B) Lying on side with legs bent
Explanation: This position helps decrease abdominal tension by providing more support and
comfort to the body, especially for individuals who may be experiencing abdominal discomfort.
Question 2:
Which of the following can precipitate acute glomerulonephritis?
A) Infection
B) Skin infection
C) Throat infection
D) All of the above
Answer:
D) All of the above
Explanation: Acute glomerulonephritis can be precipitated by infections, including skin and
throat infections, as well as conditions like SLE, cirrhosis, sickle cell disease, and infective
endocarditis.
Question 3:
What is the most appropriate diet for a client with acute glomerulonephritis?
A) High-calorie, high-protein
B) Low-calorie, low-protein
C) High-calorie, low-protein
D) Low-calorie, high-protein
Answer:
C) High-calorie, low-protein
, Explanation: A high-calorie, low-protein diet is recommended for clients with acute
glomerulonephritis to manage fluid and waste buildup while ensuring adequate nutrition.
Question 4:
The home care nurse visits a client after a prostatectomy with urinary incontinence. The
client reports that he is changing incontinence pads every 2 hours. Which of the following
actions by the nurse is MOST appropriate?
A) Encourage the client to drink 1000 mL per day
B) Instruct the client to use artificial sweetener
C) Instruct the client to do pelvic muscle strengthening exercises
D) Administer terazosin (Hytrin) 1 mg orally
Answer:
C) Instruct the client to do pelvic muscle strengthening exercises
Explanation: Pelvic muscle strengthening exercises (Kegel exercises) are appropriate to help
improve bladder control and manage urinary incontinence after prostatectomy.
Question 5:
What is the primary risk factor for breast cancer?
A) Age > 30 years
B) Having children before age 30
C) Family history (mother, sister, or grandmother with breast cancer)
D) Previous history of breast cancer
Answer:
C) Family history (mother, sister, or grandmother with breast cancer)
Explanation: A family history of breast cancer, especially in close relatives such as a mother,
sister, or grandmother, is a significant risk factor for the development of breast cancer.
Question 6:
Which of the following statements by a client with peripheral vascular disease (PVD)
indicates the need for further teaching?
A) "I should not smoke since it makes my symptoms worse."
B) "I should exercise, even if it causes pain."
C) "I should use warm packs if my hands and feet get cold."
D) "I should stay inside during extreme weather."
Answer:
C) "I should use warm packs if my hands and feet get cold."
Latest 2025 Update
Question 1:
What is the most appropriate position for decreasing abdominal tension in a client?
A) Lying on the back with legs straight
B) Lying on side with legs bent
C) Sitting upright with legs straight
D) Lying flat on the stomach
Answer:
B) Lying on side with legs bent
Explanation: This position helps decrease abdominal tension by providing more support and
comfort to the body, especially for individuals who may be experiencing abdominal discomfort.
Question 2:
Which of the following can precipitate acute glomerulonephritis?
A) Infection
B) Skin infection
C) Throat infection
D) All of the above
Answer:
D) All of the above
Explanation: Acute glomerulonephritis can be precipitated by infections, including skin and
throat infections, as well as conditions like SLE, cirrhosis, sickle cell disease, and infective
endocarditis.
Question 3:
What is the most appropriate diet for a client with acute glomerulonephritis?
A) High-calorie, high-protein
B) Low-calorie, low-protein
C) High-calorie, low-protein
D) Low-calorie, high-protein
Answer:
C) High-calorie, low-protein
, Explanation: A high-calorie, low-protein diet is recommended for clients with acute
glomerulonephritis to manage fluid and waste buildup while ensuring adequate nutrition.
Question 4:
The home care nurse visits a client after a prostatectomy with urinary incontinence. The
client reports that he is changing incontinence pads every 2 hours. Which of the following
actions by the nurse is MOST appropriate?
A) Encourage the client to drink 1000 mL per day
B) Instruct the client to use artificial sweetener
C) Instruct the client to do pelvic muscle strengthening exercises
D) Administer terazosin (Hytrin) 1 mg orally
Answer:
C) Instruct the client to do pelvic muscle strengthening exercises
Explanation: Pelvic muscle strengthening exercises (Kegel exercises) are appropriate to help
improve bladder control and manage urinary incontinence after prostatectomy.
Question 5:
What is the primary risk factor for breast cancer?
A) Age > 30 years
B) Having children before age 30
C) Family history (mother, sister, or grandmother with breast cancer)
D) Previous history of breast cancer
Answer:
C) Family history (mother, sister, or grandmother with breast cancer)
Explanation: A family history of breast cancer, especially in close relatives such as a mother,
sister, or grandmother, is a significant risk factor for the development of breast cancer.
Question 6:
Which of the following statements by a client with peripheral vascular disease (PVD)
indicates the need for further teaching?
A) "I should not smoke since it makes my symptoms worse."
B) "I should exercise, even if it causes pain."
C) "I should use warm packs if my hands and feet get cold."
D) "I should stay inside during extreme weather."
Answer:
C) "I should use warm packs if my hands and feet get cold."
