1 | Page
EDAPT: NCLEX Readiness: Physiological
Adaptation Part 3 Questions and Answers
Latest Update
The nurse in the emergency department (ED) is caring for a 24-year-old
male client.
The client is at highest risk for acute development of __________. Ans:
Hemothorax
Review the electronic health record (EHR). For each potential nursing
intervention, specify whether the intervention is indicated or
contraindicated in the client's care plan. Ans: Indicated:
Prepare the client for sterile chest tube insertion.
Administer intravenous pain medication as prescribed.
Request an order to increase the oxygen flow rate.
Contraindicated:
Prepare the client for defibrillation.
Place the client in supine position.
The nurse is planning care for the client post-chest tube insertion. Which
nursing actions should be included in the client's care? Select all that apply.
Ans: Provide pharmacological and nonpharmacological pain management.
Monitor chest tube drainage level per agency policy.
© 2025 All rights reserved
, 2 | Page
Encourage use of incentive spirometry every hour while awake.
Assess breath sounds at given intervals per agency policy.
Observe for crepitus around chest tube insertion site.
The nurse is caring for a set of clients who had arterial blood gases (ABG)
collected. Which result would require immediate follow-up by the nurse?
Ans: pH: 7.5, PaCO2: 30, HCO3-: 24
The nurse is planning a staff education program about ventilator care for
critical care nurses. What information should the nurse include? Select all
that apply. Ans: "Ensure the client is receiving adequate nutrition while
ventilated."
"Perform oral care with chlorhexidine daily."
"Consistently assess the client's pain and sedation needs."
"Provide daily sedation vacations while assessing readiness for extubation."
"Hyperoxygenate the client before and after suctioning is performed."
The nurse is caring for a group of clients. Which client has the highest risk
of developing respiratory complications? Ans: 6-month-old client with
aplastic anemia and seizures
The nurse is caring for a pediatric client with asthma. The nurse
understands this disease causes __________ that is characterized by
__________. Ans: Intermittent reversible airway obstruction
Airway inflammation, bronchospasm, and increased mucus production
The nurse is caring for an older adult client who recently underwent
anesthesia for a bronchoscopy with a biopsy. Complete the sentence by
choosing from the list of options.
© 2025 All rights reserved
EDAPT: NCLEX Readiness: Physiological
Adaptation Part 3 Questions and Answers
Latest Update
The nurse in the emergency department (ED) is caring for a 24-year-old
male client.
The client is at highest risk for acute development of __________. Ans:
Hemothorax
Review the electronic health record (EHR). For each potential nursing
intervention, specify whether the intervention is indicated or
contraindicated in the client's care plan. Ans: Indicated:
Prepare the client for sterile chest tube insertion.
Administer intravenous pain medication as prescribed.
Request an order to increase the oxygen flow rate.
Contraindicated:
Prepare the client for defibrillation.
Place the client in supine position.
The nurse is planning care for the client post-chest tube insertion. Which
nursing actions should be included in the client's care? Select all that apply.
Ans: Provide pharmacological and nonpharmacological pain management.
Monitor chest tube drainage level per agency policy.
© 2025 All rights reserved
, 2 | Page
Encourage use of incentive spirometry every hour while awake.
Assess breath sounds at given intervals per agency policy.
Observe for crepitus around chest tube insertion site.
The nurse is caring for a set of clients who had arterial blood gases (ABG)
collected. Which result would require immediate follow-up by the nurse?
Ans: pH: 7.5, PaCO2: 30, HCO3-: 24
The nurse is planning a staff education program about ventilator care for
critical care nurses. What information should the nurse include? Select all
that apply. Ans: "Ensure the client is receiving adequate nutrition while
ventilated."
"Perform oral care with chlorhexidine daily."
"Consistently assess the client's pain and sedation needs."
"Provide daily sedation vacations while assessing readiness for extubation."
"Hyperoxygenate the client before and after suctioning is performed."
The nurse is caring for a group of clients. Which client has the highest risk
of developing respiratory complications? Ans: 6-month-old client with
aplastic anemia and seizures
The nurse is caring for a pediatric client with asthma. The nurse
understands this disease causes __________ that is characterized by
__________. Ans: Intermittent reversible airway obstruction
Airway inflammation, bronchospasm, and increased mucus production
The nurse is caring for an older adult client who recently underwent
anesthesia for a bronchoscopy with a biopsy. Complete the sentence by
choosing from the list of options.
© 2025 All rights reserved
