WorksheetsNCLEX - Physiological Adaptation Day1 (Part 2)
Total questions: 9
Worksheet time: 9mins
Name
Class
Date
1.
A client experiencing an outbreak of genital herpes makes the following statement. Which indicates a need for further teaching?
a)
I will be sure we use condoms during intercourse as long as I have lesions.
b)
I will not touch the lesions to prevent spreading the virus to other parts of my body.
c)
I will use a hair dryer on a cool setting to dry the lesions after showering.
d)
I will use warm running water and mild soap without perfumes to wash the area.
e)
–
2.
A client with pinworm infection is being assessed. Which findings would the nurse expect?
a)
Vomiting
b)
Constipation
c)
Restlessness
d)
Perianal itching
e)
Disturbed sleep
3.
The home health nurse is caring for an 85-year-old client. Which report requires immediate follow-up?
a)
A painful red area on the buttocks
b)
New onset dependent edema of the feet
c)
Progressive loss of central vision
d)
No memory of activities performed yesterday
e)
–
4.
A client being evaluated for suspected ectopic pregnancy reports sudden severe abdominal pain and dizziness. Which findings suggest rupture?
a)
Blood pressure 82/64 mm Hg
b)
Crackles on auscultation
c)
Distended jugular veins
d)
Pulse 120/min
e)
Shoulder pain
5.
The nurse in the emergency department is caring for a client with hypothyroidism and decreased consciousness. What action should be taken first?
a)
Administer IV levothyroxine
b)
Place a warming blanket
c)
Prepare for endotracheal intubation
d)
Obtain TSH, T3, T4 blood panel
e)
–
6.
A laboring client experiences rupture of membranes followed by abrupt fetal heart rate change. What should the nurse do first?
a)
Administer IV fluid bolus
b)
Assess for umbilical cord prolapse
c)
Notify the health care provider
d)
Prepare for emergency cesarean birth
e)
–
7.
During an obstetrical emergency simulation for uterine inversion, which nurse statement requires correction?
a)
I will administer IV oxytocin before the uterus is corrected.
b)
I will establish a second IV line with an 18-gauge catheter.
c)
I will initiate blood pressure monitoring every 3–5 minutes.
d)
I will notify anesthesia and operating room staff immediately.
e)
–
8.
A hypothermic client arrives at the emergency department. What additional intervention is a priority?
a)
Attach cardiac monitor
b)
Cover the client's head
c)
Draw blood for electrolytes and glucose
d)
Place an additional large-bore IV catheter
e)
–
9.
The nurse cares for a client who had a seizure 10 minutes ago and is now confused with a headache. Which seizure phase is the client experiencing?
a)
Ictal phase
b)
Aural phase
c)
Postictal phase
d)
Prodromal phase
e)
–
100 %
