1 | Page
EDAPT: NCLEX Readiness: Physiological
Adaptation Part 2 Questions and Answers
Latest Update
The nurse is caring for a client with heart failure. Upon assessment, the
nurse notes dyspnea and crackles bilaterally. For each additional
assessment finding, indicate if the finding is related to fluid volume
overload or not related. Ans: Related:
Tachycardia
Peripheral edema
Hemoglobin decreased
Not Related:
Hypotension
Weak, thready pulses
The nurse is caring for a client with a serum potassium level of 6.2 mEq/L.
Which changes should the nurse monitor on the electrocardiogram (ECG)
because of this laboratory value? Select all that apply. Ans: Tall, peaked T
wave
Prolonged PR interval
Widened QRS complex
© 2025 All rights reserved
, 2 | Page
The nurse recognizes that a client with __________ is most at risk for
hypokalemia due to __________. Ans: Nasogastric suctioning
Increased loss of potassium
The nurse is caring for a client with hypothyroidism and hypocalcemia.
Highlight the assessment findings that relate to the diagnosis. Ans:
Confusion
Weakness
Paresthesia of the extremities
Trousseau's sign is present
BP 92/63
The nurse is caring for a client with hypothyroidism and hypocalcemia. The
client has clinical manifestations consistent with hypocalcemia caused by
__________ and placing the client at greatest risk for __________. Ans:
Hypothyroidism
Seizures
The nurse is caring for a client with hypothyroidism and hypocalcemia. The
nurse is providing education to the client about prescribed oral calcium
supplements 1000 mg daily. Match each statement made by the nurse to the
corresponding rationale. Ans: "Take calcium 1000 mg daily, divided into
two doses."
Increases intestinal absorption
"Take calcium supplements with food."
Stomach acid is needed to dissolve supplement
"Take a vitamin D supplement."
© 2025 All rights reserved
EDAPT: NCLEX Readiness: Physiological
Adaptation Part 2 Questions and Answers
Latest Update
The nurse is caring for a client with heart failure. Upon assessment, the
nurse notes dyspnea and crackles bilaterally. For each additional
assessment finding, indicate if the finding is related to fluid volume
overload or not related. Ans: Related:
Tachycardia
Peripheral edema
Hemoglobin decreased
Not Related:
Hypotension
Weak, thready pulses
The nurse is caring for a client with a serum potassium level of 6.2 mEq/L.
Which changes should the nurse monitor on the electrocardiogram (ECG)
because of this laboratory value? Select all that apply. Ans: Tall, peaked T
wave
Prolonged PR interval
Widened QRS complex
© 2025 All rights reserved
, 2 | Page
The nurse recognizes that a client with __________ is most at risk for
hypokalemia due to __________. Ans: Nasogastric suctioning
Increased loss of potassium
The nurse is caring for a client with hypothyroidism and hypocalcemia.
Highlight the assessment findings that relate to the diagnosis. Ans:
Confusion
Weakness
Paresthesia of the extremities
Trousseau's sign is present
BP 92/63
The nurse is caring for a client with hypothyroidism and hypocalcemia. The
client has clinical manifestations consistent with hypocalcemia caused by
__________ and placing the client at greatest risk for __________. Ans:
Hypothyroidism
Seizures
The nurse is caring for a client with hypothyroidism and hypocalcemia. The
nurse is providing education to the client about prescribed oral calcium
supplements 1000 mg daily. Match each statement made by the nurse to the
corresponding rationale. Ans: "Take calcium 1000 mg daily, divided into
two doses."
Increases intestinal absorption
"Take calcium supplements with food."
Stomach acid is needed to dissolve supplement
"Take a vitamin D supplement."
© 2025 All rights reserved
