PN 1012_ Adult Health Nursing I_Winter_2025/26 | Answered Score for this quiz: 125 out of 125.

12/11/2024/2025; 1:11 PM EXAM 2 _PN 1012_ Adult Health Nursing I_Winter_2024/25 EXAM #2 Adult Health I • Due Dec 11 at 2:00pm • Points 125 • Questions 60 • Available Dec 11 at 10:30am – Dec 11 at 2:00pm • Time Limit 120 Minutes Instructions Please follow LVC test taking rules 125 Points 60 Questions 120 Minutes Attempt History Attempt Time Score LATEST Attempt 1 41 minutes 125 out of 125 Score for this quiz: 125 out of 125 Submitted Dec 11 at 1:11pm This attempt took 41 minutes. Question 1 1 / 1 pts The nurse explains to a patient that the drug Lasix reduces edema by drawing water from the interstitial space into the intravascular space. What is this process called? (Consider using furosemide instead of Lasix like NCLEX) Osmosis Homeostasis Filtration Diffusion Question 2 2 / 2 pts Which action is the purpose of the cilia? Warm and moisturize inhaled air Sweep debris toward nasal cavity Produce mucus Stimulate cough reflex Question 3 2 / 2 pts Which event happens when there is a decrease in the oxygen level in the blood? Pituitary stimulates the respiratory system to increase respiratory rate The parietal pleura increases the negative pressure The alveoli diffuse more oxygen into the blood Chemoreceptors in the carotid body and aortic body stimulate the respiratory centers to modify respiratory rates Question 4 5 / 5 pts The nurse assessing an 11-year-old who is having an asthma attack expects to hear which adventitious sounds? Absent breath sounds Crackles Friction rub Expiratory wheezes Question 5 2 / 2 pts How will the kidneys respond in respiratory acidosis? Concentrate the urine to conserve circulating fluid in the bloodstream Lower the pH by excretion of bicarbonate Excrete more urine to reduce potassium Retain bicarbonate to increase the pH   Question 6 2 / 2 pts An 83-year-old patient is admitted with a temperature of 102°F (38.8°C), chest pain, and fatigue. Which term describes the infected fluid that the health care provider removes from the pleural cavity? Sputum Emboli Empyema Emphysema Question 7 2 / 2 pts Which instruction by the nurse is inappropriate for teaching the proper technique for collection of a sputum specimen? Collect specimens after meals Send specimen to the lab without delay Rinse mouth with water before expectorating in specimen cup Bring the sputum up from the lungs Question 8 2 / 2 pts Which nursing intervention is for a patient, age 40, who is diagnosed with active tuberculosis? Maintain the patient in enteric isolation Place the patient in any Isolation Precautions Place the patient in drainage and secretion precautions Place the patient in acid-fast bacillus (AFB) Isolation Precautions Question 9 1 / 1 pts How should the newly diagnosed patient who has been prescribed isoniazid (INH) for the treatment of active tuberculosis (TB) be advised? Rise slowly to avoid dizziness Monitor renal function every several months  Be aware that the therapy is long term Report redness and swelling of extremities Question 10 2 / 2 pts A patient is on postoperative day 2 after undergoing a total hip replacement. The patient suddenly complains of chest pain and is coughing up blood-tinged sputum. Which action should be the nurse’s initial intervention? Report signs to the charge nurse Elevate head of bed and administer oxygen Prevent patient from excessive coughing Increase IV flow rate Question 11 1 / 1 pts In which manner would the nurse examining a patient with pleurisy document a low-pitched grating lung sound? Crackles Sonorous wheeze Coarse crackles Friction rub Question 12 2 / 2 pts Which important precaution should the nurse include when instructing a patient with emphysema on the use of home oxygen? Use oxygen only when extremely short of breath. Use home oxygen at night while sleeping. Keep the home oxygen regulator set on 6L. Limit to 1 to 2L oxygen flow. Question 13 1 / 1 pts The patient who had a bronchoscopy 1 hour ago asks when eating will be possible. Which response would be most helpful?   In 24 hours, but must take cold liquids for the rest of the day When the gag reflex returns If there is no blood in his sputum In 8 hours after a period of nothing by mouth Question 14 2 / 2 pts In which way should a patient be positioned after a thoracentesis is completed and the dressing applied? Side lying on unaffected side Semi-Fowler Prone High Fowler Question 15 3 / 3 pts Which patient assessment indicates the most severe respiratory distress? Nasal flaring, symmetrical chest wall expansion, SaO2 88% Substernal retraction, SaO2 84% Substernal retraction, SaO2 90% Abdominal breathing, SaO2 97% Question 16 1.5 / 1. 5 pts Which hormone from the posterior pituitary gland influences the amount of water that is eliminated with the urine? Renin hormone Pitocin Antidiuretic hormone (ADH) ACTH Question 17 2.5 / 2.5 pts   Which portion of the nephron is involved with filtration? Proximal convoluted tubule Distal convoluted tubule Glomerulus of the Bowman capsule Henle loop Question 18 1 / 1 pts The nurse is aware that as a person ages there is a loss of which mechanism of the kidney due to a decrease in blood supply to the kidneys and loss of nephrons? filtering reabsorption sterile water concentrating Question 19 1.5 / 1.5 pts A patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP) complains of “spasm-like” pain over his lower abdomen. Which step will be the initial intervention by the nurse? Decrease the continuous bladder irrigation flow. Inform the nurse in charge. Administer the prescribed analgesic. Check the catheter and drainage system for obstruction. Question 20 2.5 / 2.5 pts A 56-year-old patient with cancer of the bladder is recovering from a cystectomy with an ileal conduit. Which aspect is an important nursing intervention of the patient with an ileal conduit? Limiting acid-ash foods Maintaining skin integrity Instructing the patient to report mucus from the stoma Limiting oral intake to 1000 mL/day  Question 21 1 / 1 pts Which aspect of self-care will the nurse encourage, barring any other contraindication, when teaching a patient how to decrease the chance of further problems with urolithiasis? Take one baby aspirin daily. Restrict his protein intake. Increase his fluid intake. Increase intake of dairy products. Question 22 2 / 2 pts The nurse assessing a patient who is taking furosemide finds an irregular pulse. This is likely a sign of which disorder? hypomagnesemia. hypercalcemia. hypokalemia. hypernatremia. Question 23 2.5 / 2.5 pts In which way will the nurse instruct the patient to do before obtaining the urine specimen for a urine culture? Bring in an early morning specimen. Obtain a clean-catch specimen. Limit fluid intake to concentrate the urine. Collect the urine for a 24-hour period. Question 24 2 / 2 pts A male patient, age 71, is recovering from a trans-urethral prostatic resection (TURP). The health care provider requests removal of the indwelling catheter 2 days after the TURP procedure. Which occurrence might the patient experience after the catheter is removed? Coffee-colored urine Burning on urination   Dribbling of urine Passing of blood clots in the urine Question 25 2 / 2 pts A patient, age 69, is admitted to the hospital with gross hematuria and history of a 20-lb weight loss during the last 3 months. The health care provider suspects renal cancer. When assisting with data collection from this patient, the nurse recognizes which risk factor as significant for renal cancer? Use of artificial sweeteners Cigarette smoking Chronic cystitis High caffeine intake Question 26 2 / 2 pts A patient is receiving chlorothiazide a thiazide diuretic for hypertension. Which nursing action is important for prevention of complications? Measure output. Assess for hypernatremia. Assess for hypokalemia. Increase fluid intake. Question 27 3 / 3 pts A patient with cystitis is receiving phenazopyridine for pain and is voiding a bright redorange urine. Which action will the nurse take? Report this immediately. Collect a specimen. Increase fluid intake. Explain to the patient that this is normal. Question 28 2 / 2 pts   The home health nurse suggests the use of complementary and alternative therapies to prevent and/or treat urinary tract infections (UTIs). Which liquid is an example of such therapies? Grape juice Cranberry juice Tea Caffeine Question 29 2 / 2 pts Why are pediatric patients, especially girls, susceptible to urinary tract infections? Girls are more sexually active than males. Girls have a weakened musculature and sphincter tone. Females have a short and proximal urethra in relation to the vagina. Genetically females have a weaker immune system. Question 30 3 / 3 pts At which stage of life should a male be taught testicular self-examination (TSE)? Middle age adult Pre-adolescent Childhood Puberty Question 31 2 / 2 pts Which condition would prevent the use of a vaginal hysterectomy? Large uterine fibroids A woman with more than four pregnancies Women over the age of 50 Menorrhagia for over 6 months Question 32   2 / 2 pts On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas and abdominal distention. Which intervention would be most appropriate to stimulate a bowel movement? Administering a 1000-mL soapsuds enema Encouraging ambulation at least four times per day Offering carbonated beverages Applying an abdominal binder Question 33 2 / 2 pts For which reason will the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm? To reduce lymphedema. To stimulate appetite. To increase muscle tension. To reduce pain. Question 34 2 / 2 pts Which statement made by a patient who has been taught the technique of testicular self-examination indicates the need for further teaching? “The epididymis feels like a soft tube.” “The testes feel smooth and egg-shaped.” “I will examine my scrotum after every ejaculation.” “The best time to perform TSE is after a shower.” Question 35 2 / 2 pts A female patient, age 48, is undergoing a routine physical examination for the first time in 5 years. Which procedure would be included in this examination? Colposcopy Culdoscopy Cervical biopsy  Papanicolaou smear Question 36 2 / 2 pts Which situation does the diagnosis of secondary infertility refer to? Has never conceived. Has conceived but is now unable to do so. Is over the age of 38. Is infertile because of repeated infection. Question 37 1 / 1 pts Which instruction will a nurse give a patient with genital herpes who does not have lesions at the present? “Condoms should be used during all sexual activity to prevent transmission of the virus, even when lesions are not present.” “Recurrent genital herpes is promoted by any sexual stimulation.” “Continued use of acyclovir will prevent reinfection by the virus.” “Acyclovir ointment should be applied to the lesions to increase comfort and speed healing.” Question 38 2 / 2 pts A Gram stain smear of the patient’s discharge reveals the presence of Neisseria gonorrhoeae. He tells the nurse that he had sexual contact with a new girlfriend but does not think he was exposed to gonorrhea because she did not appear to have any disease. Which information will the nurse include in response to his comment? “Women do not develop gonorrhea infections but can serve as carriers to spread the disease to males.” “When gonorrhea infections occur in women, the disease affects only the ovaries and not the other genital organs.” “Women develop subclinical cases of gonorrhea that do not cause tissue damage or symptoms.” “Many women are not aware that they have gonorrhea because they often do not have symptoms of infection.”   Question 39 2 / 2 pts Why is a mammogram the most useful method of diagnosing breast cancer? It is inexpensive and covered by most medical insurance plans. It involves no radiation and takes only a few minutes. It involves no pain or discomfort and is readily available. It is the most reliable method of detecting breast cancer before it becomes palpable. Question 40 2.5 / 2.5 pts The patient, age 52, is recovering from a modified radical mastectomy. For which reason will the nurse ensure postoperative elevation of the patient’s arm after this procedure? To prevent vascular and lymph stasis, thus lymphedema. To prevent wound infection and dehiscence. To prevent drainage accumulation at the incisional site. To prevent pleural effusion and respiratory distress. Question 41 2.5 / 2.5 pts When should postmenopausal women be instructed to perform breast self-examination (BSE)? On the same date of their choice each month Every day, because they are at high risk for breast cancer Every 3 months Whenever they begin to take estrogen supplements Question 42 2.5 / 2.5 pts Which statement indicates that the patient who has had an abdominal hysterectomy needs further home teaching? “I understand I can lift as much as 20 lb.” “I’m leaving today to stay with my daughter, who lives 20 miles away. My husband plans to drive the family car.” “The health care provider said I can’t have sexual intercourse for 4 to 6 weeks.”  “I’m going to miss wearing my girdle or knee-high hose.” Question 43 2.5 / 2.5 pts A male patient, age 23, seeks care at the health clinic because he has developed a profuse, purulent urethral discharge, and urination is painful. When assisting with data collection from the patient, it is most important that the nurse gather information related which aspect of his history? Recent urinary infections. Contagious diseases like mumps. Present and past sexual partners and notify them to get treatment. Episodes of prostatitis. Question 44 2.5 / 2.5 pts What percentage of an adult’s body weight consists of water? 50% to 60% 30% to 40% 10% to 20% 70% to 80% Question 45 2.5 / 2.5 pts The nurse encourages a patient who has been vomiting to drink fluids because the body fluid lost daily must match the amount of fluid taken in to maintain homeostasis. What is the recommended daily amount of fluid for an adult? 1,000mL 2,500mL 1,500mL 2,050mL Question 46 2.5 / 2.5 pts The nurse must keep an accurate intake and output record to assess kidney efficiency. In order for the kidneys to remove waste, what is the least amount of hourly urine output the   kidneys must produce to remove waste? 40mL 10mL 20mL 30mL Question 47 2.5 / 2.5 pts What is the method by which inhaled oxygen is moved into the intravascular compartment called? Active transport Oxygenation Mass movement Passive transport Question 48 2.5 / 2.5 pts What does actively transporting electrolytes from an area of higher concentration to an area of lower concentration require? Hydrostatic pressure Blood pressure Pulse pressure Osmotic pressure Question 49 2.5 / 2.5 pts Sodium is the most abundant electrolyte in the body. The location of electrolytes is important for maintaining homeostasis. Sodium is the major electrolyte in which fluid compartment? Interstitial Intravascular Intracellular Extracellular  Question 50 2.5 / 2.5 pts A nurse assesses an edematous cardiac patient. The nurse is aware that this condition is a result of retained fluid. What is the patient considered to be? Hyponatremic Hypernatremic Hypokalemic Hypercalcemic Question 51 2.5 / 2.5 pts What is the nurse closely assessing for in a patient with hypokalemia? Muscle cramping Cardiac complications Impaired kidney function Systemic edema Question 52 2.5 / 2.5 pts When reading the laboratory report of a patient with excessive diarrhea, the nurse notes that the pH is 7.10, and the PaCO2 and the PaO2 are normal. What should the nurse recognize as this patient’s state from this information alone? Metabolic alkalosis Metabolic acidosis Respiratory acidosis Respiratory alkalosis Question 53 2.5 / 2.5 pts A patient admitted in a state of extreme anxiety has vital signs of T 98.6°F (37°C), P 81, BP 130/86, R 32. What will result if this hyperventilation continues? Metabolic acidosis Respiratory acidosis   Metabolic alkalosis Respiratory alkalosis Question 54 2.5 / 2.5 pts A patient began vomiting and continued to do so for several hours. What is the result of this loss of stomach contents? Metabolic alkalosis Respiratory alkalosis Respiratory acidosis Metabolic acidosis Question 55 2.5 / 2.5 pts Identify the purpose of chest drainage. (Select all that apply.) Restores positive pressure in chest cavity. Restores negative intrapleural pressure. Allows route for medication administration. Drains air, blood, and fluid from pleural space. Allows lung to collapse and rest. Question 56 1.5 / 1.5 pts Select the intervention that should be performed with caution, in the affected arm, on patients who have undergone a modified radical mastectomy. (Select all that apply.) Vaccinations Physical therapy on uninvolved arm Insertion of IV line Carry purse on involved arm or shoulder Wear watch and jewelry on involved arm Taking of blood pressure or samples  Question 57 2.5 / 2.5 pts The _________ are the structures of the lung in which gas exchange occurs. alveoli Question 58 1 / 1 pts The nurse prepares a patient for the procedure of a(n) __________, which will remove the fluid from around the lung to improve respiration and obtain a specimen. thoracentesis Question 59 1.5 / 1.5 pts Exercises to increase muscle tone of the pelvic floor are known as ____________ exercises. kegel Question 60 2 / 2 pts _____________ are the most benign tumors of the uterus and arise from the uterine muscle tissue. Fibros Quiz Score: 125 out of 125 Thoracentesis Kegels Alveoli Fibros    