NCLEX Physiological Adaptation Practice Test 2026

A nurse is providing care for a 49 year old male patient who has been diagnosed with Hodgkin’s Lymphoma. He is admitted to the unit after undergoing a bone-marrow transplant and for continued monitoring for complications. His lab results reveal: Hgb: 7.2, Hct: 25%, Platelets: 50,000, WBCs: 5,000. Based on these lab results, the nurse must:

A nurse is providing care for a 74 year old female patient who has been admitted following a CVA. The patient has had an NG tube placed for nutrition and is NPO. She is alert, oriented to self only, lung sounds are diminished in the bases, and has left sided paralysis secondary to her CVA. Her vital signs are as follows: T-102.3, P-98, R-20, BP-135/65, Sp02-90% on room air. What should be the initial action performed by the nurse?

Which of the following is classified as a prerenal condition that affects urinary elimination?

A client is having difficulties reading an educational pamphlet. He cannot find his glasses. In order to read the words, he must hold the pamphlet at arm’s length, which allows him to read the information. Which vision deficit does this client most likely suffer from?

A client with an enlarged prostate is having trouble starting his flow of urine when using the bathroom. Another name for this condition is:

Which of the following statements best describes substance P?

Preload refers to:

The term, “Afferent Nerve,” means:

The medical term, “basophilia,” refers to:

A patient has been told to monitor her LH levels. Which of the following potential conditions might the patient be suffering from?

A nurse is providing dismissal instructions for a child who was admitted for rotavirus. Which of the following statements by the parent indicates the need for further teaching?

You are caring for a patient with newly diagnosed multiple sclerosis. Discharge instructions will likely include all of the following EXCEPT:

The BRAT diet is often prescribed for patients with gastroenteritis. This acronym stands for:

The family of a patient who is receiving therapeutic hypothermia states they do not understand why the patient is being kept so cold. What objective information can you provide to help address their concerns?

Which of the following nursing interventions is appropriate for a client who is suffering from a fever?

A client has started sweating profusely due to intense heat. His overall fluid volume is low and he has developed electrolyte imbalance. This client is most likely suffering from:

Mr. N is a client who entered the hospital with a diagnosis of diabetic ketoacidosis. The nurse enters his room to check his vital signs and finds him breathing at a rate of 32 times per minute; his respirations are deep and regular. Which type of respiratory pattern is Mr. N most likely exhibiting?

A nurse is assessing a client with right-sided heart failure. Which of the following symptoms would the nurse most likely see in this client?

A nurse is educating a client about her cholesterol. Which of the following statements from the client indicates the need for further teaching?

Which of the following situations might warrant a laboratory magnesium level?

A client with asthma is being admitted for breathing difficulties. His arterial blood gas results are pH 7.26, PCO2 49, PaO2 90, and HCO3- 21. Which of the following best describes this condition?

Mrs. O is seen for follow-up after an episode of acute pancreatitis. Her physician orders a serum amylase level and the result is 200 U/L. Which of the following is a potential cause of this result?

Which of the following situations warrants a measurement for orthostatic hypotension?

A nurse is caring for a client who has a sodium level of 126 mEq/L. Which of the following symptoms should the nurse expect to see with this client?

A 58-year old client is being tested for rheumatoid arthritis. Her physician orders an erythrocyte sedimentation rate (ESR). Which of the following results is most likely to be associated with arthritis?

Which of the following statements best describes compartment syndrome?

Mrs. G is seen for follow-up after testing for chronically high blood glucose levels. Her physician diagnoses her with type 1 diabetes. Which of the following information is part of this client’s education about this condition?

Mrs. F has been diagnosed with hyperparathyroidism. Which of the following complications is Mrs. F at highest risk of developing?

A client has entered disseminated intravascular coagulation (DIC) after becoming extremely ill after surgery. Which of the following laboratory findings would the nurse expect to see with this client?

A client is admitted to a nursing unit with a remittent fever. Which statement best describes this pattern of fever?

Which of the following components is associated with hypertonic dehydration?

Your patient has been diagnosed with herpes simplex virus 2. Which of the following would NOT be included in your teaching of this patient?

Sinusitis is caused by a:

A local sign of infection is which of the following?

A systemic sign of infection is _________.

A complication of osteoporosis is __________.

A nurse finds one of her clients unresponsive in his room. He is not breathing and does not have a pulse. After calling for help, what is the next action of the nurse?

A nurse is caring for a client with severe mitral regurgitation and decreased cardiac output. The nurse assesses the client for mental status changes. What is the rationale for this intervention?

Which of the following interventions must the nurse implement while a client is having a grand mal seizure?

You have measured the urinary output of your resident at the end of your 8 hour shift. The output is 25 ounces. You should do what next?