Best Solutions All Correct Answers with Explanation (Graded A+) Physiological Integrity Practice Test 1 (NCLEX-RN) – for Registered Nurses

Best Solutions All Correct Answers with Explanation (Graded A ) Physiological Integrity Practice Test 1 (NCLEX-RN) – for Registered Nurses National Council Licensing Examination (NCLEX-RN) – for Registered Nurses Physiological Integrity Practice Test 1 1. 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 2. Which atrio-ventricular (A-V) heart block is called Mobitz II? 3. 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? 4. 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? 5. Following the death of a client, the hospice nurse and the client's son reposition the client. The son tells the nurse that his father seemed to breathe when they moved him. What is the nurse's most appropriate response? 6. Parents of a 9-year-old girl with a new diagnosis of type 1 diabetes (T1D) ask the nurse what caused their daughter's disease. The nurse knows the pathology is 7. During an assessment of a patient experiencing acute hemorrhage, the healthcare provider would most likely expect to find 8. The pediatric nurse is caring for a 9-year-old girl with a diagnosis of medulloblastoma. Which of the following should the nurse report to the child's provider? 9. When assessing a patient diagnosed with osteoarthritis (OA), the healthcare provider looks for which characteristic of this condition? 10. A patient present 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? 11. When caring for a patient with a cardiac dysrhythmia, which laboratory value is a priority for the healthcare provider to monitor? 12. 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? 13. The safest method of changing a patient's tracheotomy ties is to 14. Which of these assessment findings should the healthcare provider expect to identify as an early clinical characteristic of multiple sclerosis (MS)? 15. Before administering two units of whole blood, what type of intravenous (IV) device should be used? 16. When a drug's effect is increased after a second drug is given, this interaction is called 17. The nurse is preparing a patient for a total colectomy and the placement of an ileostomy. The patient asks where the stoma will be located. The nurse identifies which of the following areas as the correct stoma site? 18. The healthcare provider is caring for a patient who has septic shock. Which of these should the healthcare provider administer to the patient first? 19. Which opportunistic disease is an HIV/AIDS client at risk for? 20. The nurse is preparing a client for a radical neck dissection. Which is the FIRST question the nurse should ask the client? 21. The wound care nurse is assessing a new client with a coccygeal pressure ulcer that is 4 cm x 7 cm. The nurse observes partial-thickness loss of dermis, a pink/red wound surface, and no slough. What wound stage is the pressure ulcer? 22. A female patient complains of abdominal discomfort. Watery stool has been leaking from her rectum. This could be a sign of 23. 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? 24. 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? 25. During a routine physical exam, the nurse auscultates the lungs of a client. What type of lung sounds will be auscultated in a healthy client when listening over the area indicated by the red X below? 26. 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? 27. 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? 28. A patient with chronic hepatitis C is scheduled for a liver biopsy. Before the procedure, the nurse checks the most recent lab results. Which of the following laboratory tests does NOT assess coagulation? 29. The pediatric nurse is educating the parents of a child with a new diagnosis of asthma about recognizing food triggers. Of the following, which is MOST likely to cause an allergic reaction? 30. During an arteriogram (angiogram), the patient suddenly says, “I’m feeling really hot.” Which is the best response?