NCLEX-Style Practice Questions: Physiological
Adaptation & Holistic Nursing Care (Best overall –
directly aligns with the NCLEX category that
dominated your questions)
1. A 2-year-old toddler is learning to walk and frequently falls. The
parent asks how to best support development. Which statement
shows understanding?
A. Prevent all falls by holding the child constantly
B. Allow safe exploration with close supervision
C. Restrict play to soft surfaces only
D. Use a walker at all times
Answer: B Toddlers need exploration for motor and cognitive growth;
minor falls are normal when safety is maintained.
2. For a toddler with recent minor falls, the nurse teaches injury
prevention. Which is most important?
A. Install gates at stairs
B. Teach advanced swimming
C. Avoid all outdoor play
D. Use adult-sized furniture
Answer: A Stair gates address a common high-risk area for falls in active
toddlers.
3. Before administering an enteral feeding via NG tube, the priority
action is:
,NCLEX-Style Practice Questions: Physiological
Adaptation & Holistic Nursing Care (Best overall –
directly aligns with the NCLEX category that
dominated your questions)
A. Warm the formula
B. Verify tube placement
C. Check residual volume
D. Elevate head of bed
Answer: B Confirming placement prevents life-threatening aspiration or
misplacement.
4. A post-stroke patient with dysphagia has an NG tube. Which
method best confirms placement before feeding?
A. Auscultation of air
B. pH testing of aspirate
C. Visual inspection only
D. Flushing with water
Answer: B pH ≤5.5 indicates gastric placement; unreliable methods like
auscultation are avoided.
5. During potassium chloride infusion in a CKD patient, which ECG
change requires immediate discontinuation?
A. Flattened T waves
B. Peaked T waves
C. Prominent U waves
, NCLEX-Style Practice Questions: Physiological
Adaptation & Holistic Nursing Care (Best overall –
directly aligns with the NCLEX category that
dominated your questions)
D. Shortened QT interval
Answer: B Peaked T waves are an early sign of hyperkalemia; stop
infusion to prevent arrhythmias.
6. A patient on potassium replacement shows prominent U waves on
ECG. The nurse should:
A. Stop the infusion immediately
B. Continue and monitor closely
C. Increase the infusion rate
D. Switch to oral potassium
Answer: B U waves indicate hypokalemia; continue supplementation
under monitoring.
7. In a patient with serum K+ 3.5 mEq/L receiving IV potassium,
which finding is most concerning?
A. Peaked T waves
B. Prolonged PR interval
C. Inverted T waves
D. ST elevation
Answer: A Peaked T waves signal rising potassium, especially risky in
CKD.
Adaptation & Holistic Nursing Care (Best overall –
directly aligns with the NCLEX category that
dominated your questions)
1. A 2-year-old toddler is learning to walk and frequently falls. The
parent asks how to best support development. Which statement
shows understanding?
A. Prevent all falls by holding the child constantly
B. Allow safe exploration with close supervision
C. Restrict play to soft surfaces only
D. Use a walker at all times
Answer: B Toddlers need exploration for motor and cognitive growth;
minor falls are normal when safety is maintained.
2. For a toddler with recent minor falls, the nurse teaches injury
prevention. Which is most important?
A. Install gates at stairs
B. Teach advanced swimming
C. Avoid all outdoor play
D. Use adult-sized furniture
Answer: A Stair gates address a common high-risk area for falls in active
toddlers.
3. Before administering an enteral feeding via NG tube, the priority
action is:
,NCLEX-Style Practice Questions: Physiological
Adaptation & Holistic Nursing Care (Best overall –
directly aligns with the NCLEX category that
dominated your questions)
A. Warm the formula
B. Verify tube placement
C. Check residual volume
D. Elevate head of bed
Answer: B Confirming placement prevents life-threatening aspiration or
misplacement.
4. A post-stroke patient with dysphagia has an NG tube. Which
method best confirms placement before feeding?
A. Auscultation of air
B. pH testing of aspirate
C. Visual inspection only
D. Flushing with water
Answer: B pH ≤5.5 indicates gastric placement; unreliable methods like
auscultation are avoided.
5. During potassium chloride infusion in a CKD patient, which ECG
change requires immediate discontinuation?
A. Flattened T waves
B. Peaked T waves
C. Prominent U waves
, NCLEX-Style Practice Questions: Physiological
Adaptation & Holistic Nursing Care (Best overall –
directly aligns with the NCLEX category that
dominated your questions)
D. Shortened QT interval
Answer: B Peaked T waves are an early sign of hyperkalemia; stop
infusion to prevent arrhythmias.
6. A patient on potassium replacement shows prominent U waves on
ECG. The nurse should:
A. Stop the infusion immediately
B. Continue and monitor closely
C. Increase the infusion rate
D. Switch to oral potassium
Answer: B U waves indicate hypokalemia; continue supplementation
under monitoring.
7. In a patient with serum K+ 3.5 mEq/L receiving IV potassium,
which finding is most concerning?
A. Peaked T waves
B. Prolonged PR interval
C. Inverted T waves
D. ST elevation
Answer: A Peaked T waves signal rising potassium, especially risky in
CKD.
