Adult Health Proctored Exam 2019 100 Questions and Answers

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1. A nurse is providing discharge teaching for a client who has HIV. Which of the following information is the priority for the nurse to review with the client? a. Describe your daily medication sc... hedule b. Name a few things you will change about your diet c. List some ways you can cope with the stress of your illness d. Tell me why it’s important to have your CD4+ count checked 2. A nurse is caring for a client who has an endotracheal tube. Which of the following actions should the nurse take to verify tube placement? a. Deflate the cuff to check for tube placement b. Place the client’s head and neck in a flexed position c. Document the tube length where it passes the chin d. Observe for symmetry of chest expansion 3. A nurse in an emergency department is caring for a client who is receiving treatment for excessive ingestion of antacids. The nurse should identify that this client is at risk for which of the following acid-base imbalances? a. Metabolic acidosis b. Respiratory acidosis c. Respiratory alkalosis d. Metabolic alkalosis 4. A nurse is assessing a client for a positive Chvostek’s sign following a thyroidectomy. Which of the following areas on the client’s head should the nurse tap to assess the client for tetany? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) Facial nerve in front of ear for Chvostek’s sign; look for square sign in front of man’s ear 5. A nurse is caring for a client who has advanced liver disease. Which of the following laboratory results should the nurse monitor when assessing this client? a. Phosphate level b. Serum troponin c. Serum ammonia d. Glucose level 6. A nurse is preparing to administer thrombolytic therapy to a client who had an ischemic stroke. Which of the following is an appropriate nursing action? a. Start the therapy within 8 hr b. Insert an indwelling urinary catheter after therapy begins c. Monitor blood pressure every 30 min during the infusion d. Elevate the head of bed between 25 and 30 7. A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching? a. Place hands on the upper abdomen during inhalation b. Exhale slowly through pursed lips c. Hold breaths about 3 to 5 seconds before exhaling d. Position the mouthpiece 2.5 cm (1 in) from the mouth 8. A nurse is assessing a client who is 12 hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Hgb 8.2 g/dL c. Gastric pH of 3.0 d. Absent bowel sounds 9. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Regular insulin b. Furosemide c. Desmopressin d. Lithium carbonate 10. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following tests should the nurse monitor? a. Stool for occult blood b. Urine for white blood cells c. Fasting blood glucose d. Serum calcium 11. A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.) a. Obtain a sputum sample for culture b. Prepare the client for a chest x-ray c. Initiate airborne precautions d. Administer ondansetron 12. A nurse is contacting the provider of a client who has cancer and is experiencing breakthrough pain. Which of the following prescriptions should the nurse anticipate? a. Intravenous dexamethasone b. Transmucosal fentanyl c. Oral acetaminophen d. Intramuscular meperidine 13. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of the following should the nurse analyze to determine whether the client is experiencing a myocardial infarction? a. QRS duration b. ST segment c. T wave d. PR interval 14. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which of the following instructions should the nurse include? a. Apply over-the-counter moisturizer to the radiation site b. Cover the radiation site loosely with a gauze wrap before dressing c. Use a soft washcloth to clean the area around the radiation site d. Pat the skin on the radiation site to dry it 15. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications? a. Acetaminophen b. Furosemide c. Diphenhydramine d. Pantoprazole 16. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of hypomagnesemia. Which of the following findings indicates effectiveness of the medication? a. Lungs clear b. Hyperactive bowel sounds c. Blood pressure 90/50 mm Hg d. Apical pulse 82/min 17. A nurse is preparing a client for a lumbar puncture. Which of the following images indicates the position the nurse should assist the client into for this procedure? Answer is exhibit “C” – picture shows pt lying in side-lying left position 18. A nurse is reviewing a client’s ABG results: pH 7.42, PaCO2 30 mm Hg, and HCO3- 21 mEq/L. The nurse should recognize these findings as an indication of which of the following conditions? a. Compensated respiratory alkalosis b. Uncompensated respiratory acidosis c. Metabolic acidosis d. Metabolic alkalosis 19. A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold? a. Metoprolol b. Metformin c. Fluticasone d. Valproic acid 20. A nurse is planning care for a client who is experiencing seizures secondary to meningitis. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) a. Assist the client to ambulate every 4 hr b. Place a tongue blade at the bedside c. Have suction equipment at the bedside d. Dim the overhead lights e. Apply a warming blanket 21. A nurse is caring for a client who has a pressure ulcer with necrotic tissue and requires wet- to-damp dressing changes daily. Which of the following types of debridement should the nurse include in the plan of care? a. Enzymatic b. Surgical c. Autolytic d. Mechanical 22. A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect? a. Elevated platelet count b. Decreased total bilirubin c. Generalized rash d. Hypertension 23. A nurse is preparing to administer a medication for a client through a non-tunneled percutaneous central catheter. Which of the following actions should the nurse take? a. Close the inline clamp b. Apply a local anesthetic to the skin c. Don sterile gloves d. Flush the catheter with 10 mL of 0.9% sodium chloride 24. A nurse is caring for a client who was admitted with nausea, vomiting, and a possible bowel obstruction. An NG tube is placed and set to low intermittent suction. Which of the following findings should the nurse report to the provider? a. The client reports being extremely thirsty with a sore throat b. The drainage is bright green in color with brown fecal material c. The amount of drainage is gradually decreasing d. The client’s abdomen becomes distended and firm 25. A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings should the nurse expect? a. Elevated blood pressure b. Hypothermia c. Urine specific gravity 1.001 d. BUN 15 mg/dL 26. A nurse is caring for a client who has hyperthyroidism and develops thyroid storm. Which of the following instructions should the nurse give to the client regarding management of thyroid storm? a. You will need to begin taking an ACE inhibitor medication b. You will need a pacemaker to increase your heart rate c. You will need a cooling blanket to lower your body temperature d. You will need additional thyroid supplementation 27. A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results? a. Uric acid b. Intrinsic factor c. Creatinine kinase d. Chloride level 28. A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions should the nurse take? a. Use clean technique to access the catheter b. Chill the dialysate before administration c. Hang the drainage bag below the client’s abdomen d. Place the client in high-Fowler’s position 29. A nurse in the emergency department is caring for a client who has deep partial-thickness burns over 30% of his body, including his upper chest and abdomen. Which of the following actions is the nurse’s priority? a. Insert an 18-gauge IV catheter b. Administer tetanus toxoid c. Check the client’s mouth for black particles d. Remove the client’s burned clothing 30. A nurse is presenting an in-service program about Parkinson’s disease (PD). Which of the following statements should the nurse include in the teaching? a. PD results from a decreased amount of dopamine in the client’s brain b. PD causes clients to have an increased sympathetic nervous system response c. PD results in the development of neurofibrillary tangles within the client’s brain d. PD manifestations worsen due to the client’s decreased production of acetylcholine 31. A nurse is caring for a client who has a serum sodium level of 150 mEq/L. Which of the following actions should the nurse take? a. Increase sodium in the client’s diet b. Administer hypotonic IV fluids to the client c. Restrict the client’s oral fluid intake d. Administer a beta blocker 32. A nurse is caring for a client who takes Lisinopril for hypertension. Which of the following client statements indicates an adverse effect of the medication? a. I seem to be bruising more easily b. I have a nagging, dry cough c. I have a heightened sense of taste d. I have to urinate frequently 33. A nurse is providing discharge teaching to a client following a modified left radical mastectomy with breast expander. Which of the following statements by the client indicates an understanding of the teaching? a. I will perform strength-building arm exercises using a 15-pound weight b. I should expect less than 25 mL of secretions per day in the drainage devices c. I will keep my left arm flexed at the elbow as much as possible d. I will have to wait 2 months before additional saline can be added to my breast expander 34. A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control? a. Oral glucose tolerance test results b. Fasting blood glucose level c. Glycosylated hemoglobin level d. Postprandial blood glucose level 35. A nurse is providing discharge teaching to a client who has chronic urinary tract infections. The client has a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the nurse include in the teaching? a. Take a laxative to prevent constipation b. Drink 2 to 3 L of fluids daily c. Take an antacid 30 min before taking the medication d. Monitor heart rate once daily [Show More]

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