Category Archives: 112

Physiological Adaptation Q 31

A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed?         A. The patient is somnolent with decreased response to the family.      B. The patient suddenly complains of chest pain and shortness of breath.      C. The patient has… Read More »

Physiological Adaptation Q 32

A male client is admitted to the emergency department following an accident. What are the first nursing actions of the nurse?         A. Check respiration, circulation, neurological response      B. Align the spine, check pupils, and check for hemorrhage      C. Check respirations, stabilize the spine, and check the circulation      D. Assess level of consciousness and… Read More »

Physiological Adaptation Q 33

Francis with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron-deficiency anemia?         A. Nights sweats, weight loss, and diarrhea      B. Dyspnea, tachycardia, and pallor      C. Nausea, vomiting, and anorexia      D. Itching, rash, and jaundice           Correct Answer: B. Dyspnea, tachycardia, and pallor… Read More »

Physiological Adaptation Q 34

In which of the following types of cardiomyopathy does cardiac output remain normal?         A. Obliterative      B. Restrictive      C. Dilated      D. Hypertrophic           Correct Answer: D. Hypertrophic Hypertrophic cardiomyopathy (HCM) is a condition in which there is severe ventricular hypertrophy and poor diastolic filling. It is an autosomal dominant… Read More »

Physiological Adaptation Q 36

A client has 15% blood loss. Which of the following nursing assessment findings indicates hypovolemic shock?         A. Systolic blood pressure less than 90mm Hg      B. Pupils unequally dilated      C. Respiratory rate of 4 breath/min      D. Pulse rate less than 60 bpm           Correct Answer: A. Systolic blood pressure… Read More »

Physiological Adaptation Q 37

The nurse is performing a neurological assessment on a client post right cerebrovascular accident. Which finding, if observed by the nurse, would warrant immediate attention?         A. Decrease in the level of consciousness      B. Loss of bladder control      C. Altered sensation to stimuli      D. Emotional lability           Correct Answer: A. Decrease… Read More »

Physiological Adaptation Q 38

Which of the following conditions most commonly results in CAD?         A. Atherosclerosis      B. DM      C. MI      D. Renal failure           Correct Answer: A. Atherosclerosis Atherosclerosis, or plaque formation, is the leading cause of CAD. Option B: DM is a risk factor for CAD but isn’t the most common cause. Near-normal glycemic… Read More »

Physiological Adaptation Q 39

The term “blue bloater” refers to a male client which of the following conditions?         A. Adult respiratory distress syndrome (ARDS)      B. Asthma      C. Chronic obstructive bronchitis      D. Emphysema           Correct Answer: C. Chronic obstructive bronchitis Clients with chronic obstructive bronchitis appear bloated; they have large barrel chest and… Read More »

Physiological Adaptation Q 40

Which of the following interventions should be your first priority when treating a patient experiencing chest pain while walking?         A. Have the patient sit down.      B. Get the patient back to bed.      C. Obtain an ECG.      D. Administer sublingual nitroglycerin.           Correct Answer: A. Have the patient sit down. The… Read More »