Final Exam _PN 1210_ Adult Health Nursing I | Latest Answers Updated Winter 2025/26.

Final Exam Adult Health I • Due No due date • Points 200 • Questions 83 • Available Jan 17 at 8am - Jan 17 at 11:59pm 15 hours and 59 minutes • Time Limit 120 Minutes Instructions Please follow LVC test taking rules 200 Points 83 Questions 120 Minutes Chapters 18, 34, 35, 47, 49, 50, 52 Attempt Time Score LATEST Attempt 1 35 minutes 200 out of 200 1,000mL 1,500mL 2,050mL 2,500mL s are hidden. Score for this quiz: 200 out of 200 Submitted Jan 17 at 11:25am This attempt took 35 minutes.  Question 1 2 / 2 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?   Question 2 2 / 2 pts What does actively transporting electrolytes from an area of higher concentration to an area of lower concentration require? Hydrostatic pressure Osmotic pressure Blood pressure Pulse pressure Question 3 2 / 2 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? Intracellular Intravascular Extracellular Interstitial Question 4 2 / 2 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 Hypokalemic Hypernatremic Hypercalcemic Question 5 2 / 2 pts What is the nurse closely assessing for in a patient with hypokalemia? Systemic edema Cardiac complications Muscle cramping Impaired kidney function    Question 6 2 / 2 pts Homeostasis of the hydrogen ion concentration in body fluids depends on the ratio of carbonic acid to bicarbonate in the extracellular fluid. What is this ratio? 1:5 1:10 1:15 1:20 Question 7 2 / 2 pts A patient began vomiting and continued to do so for several hours. What is the result of this loss of stomach contents? Metabolic acidosis Metabolic alkalosis Respiratory acidosis Respiratory alkalosis Question 8 2 / 2 pts The nurse is educating a patient regarding the need to avoid foods high in potassium. What food choices led the nurse to conclude that teaching was not effective? Kiwis and onions Grapes and lima beans Apples and green beans Apricots and asparagus Question 9 2 / 2 pts What definition should the nurse use to clarify the concept of "mental health"? How the person performs activities of daily living The ability to cope and adjust to everyday stresses     A person's response to disease and dysfunction A wellness of attitude Question 10 2 / 2 pts What definition should the nurse use to clarify the concept of "mental health"? One in five One in ten One in eight One in two Question 11 2 / 2 pts When was psychiatric training for nurses initially offered? 1882 1922 1902 1852 Question 12 2 / 2 pts Using Freud's personality theory, what action by a patient indicates a strong ego? Insists that the TV channel stay tuned to CNN. Laughs at himself for being foolish. Continually boasts of his accomplishments. Apologizes continually. Question 13 2 / 2 pts Which theorist believed that personality development was based on task mastery? Erik Erikson Jean Piaget Friedrich Nietzsche     Sigmund Freud Question 14 2 / 2 pts A nurse tearfully confides to the head nurse that being assisted to care for eight patients is stressful and overwhelming. What demonstrates the use of a healthy coping mechanism? Asking a coworker to take one of her patients. Delegating appropriate care assignments to unlicensed assistive personnel Asking for the day off Writing down long lists of needed interventions before starting the day's work Question 15 2 / 2 pts What action by a student before taking a test should indicate to a nursing instructor that the student is demonstrating signs of moderate anxiety? Studies for 6 hours Sleeps 6 hours because of fatigue Vomits Argues about the scheduling of the test Question 16 2 / 2 pts A 40-year-old patient cries and has a tantrum when the health care provider refuses to give her a prescription for diet pills. The nurse realizes that this is the use of which defense mechanism? Compensation Denial Regression Repression Question 17 2 / 2 pts The nurse is sensitive to the fact that patients lose control over their lives when admitted to the hospital. In what does this loss of control frequently result? Anger     Depression Fear Anxiety Question 18 2 / 2 pts When developing a care plan for a mentally ill patient, what should the nurse assess first? Coping strategies Emotional status Medications taken Nutritional status Question 19 2 / 2 pts The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient’s level of anxiety? Mild Moderate Severe Panic Question 20 2 / 2 pts Which event in the mental health care movement occurred first? Establishment of Pennsylvania Hospital Deinstitutionalization movement Formation of Committee for Mental Health Passage of Omnibus Budget Reconciliation Act (OBRA) Dorothea Dix awakens public awareness of plight of mentally ill Question 21 2 / 2 pts     The nurse is discussing the differences between a patient with a neurosis and one with a psychosis. What is true of the patient experiencing a neurosis? The patient experiences a flight from reality. The patient usually needs hospitalization. The patient has insight that there is an emotional problem. The patient has severe personality deterioration. Question 22 2 / 2 pts When the patient with a psychosis is thought to be a danger to self or others, by what method should the patient be admitted to the hospital? Probating Nurse’s request Health care provider’s order Family request Question 23 2 / 2 pts A young man with malaria spikes a temperature of 105F (40.5C) and begins to hallucinate. How should the nurse assess this? Delirium Psychotic break Possible stroke Anxiety disorder Question 24 2 / 2 pts What is the prognosis for a schizophrenic patient who is exhibiting positive behaviors? Guarded Poor Good Repeatable     Question 25 2 / 2 pts The nurse is caring for a patient with a diagnosis of catatonic schizophrenia. What behavior is consistent with this diagnosis? Talks excitedly about going home. Suspiciously watches the staff. Stands on one foot for 15 minutes. States he has a cat under his bed that talks to him. Question 26 2 / 2 pts What is the term used for the beginning stage of schizophrenia, characterized by a lack of energy and complaints of multiple physical problems? Pre-psychotic Residual Acute Prodromal Question 27 2 / 2 pts For the past 3 weeks, the nurse has observed a patient interacting with staff and other Patients, helping decorate the dining room for a party, and leading the singing in the activity room. Today, the patient tearfully refuses to dress or get out of bed. The nurse recognizes these behaviors as evidence of which psychiatric disorder? Unipolar depression Dysthymic disorder Hypomanic episode Bipolar disorder Question 28 2 / 2 pts The nurse recognizes that researchers have identified that hereditary factors account for what percentage of mood disorders? 10% to 15% 20% to 30%    35% to 50% 60% to 80% Question 29 2 / 2 pts When a patient is experiencing a panic attack, how should the nurse best assist the patient? Assist with reality orientation. Aid in decision making. Assist with rational thought. Coach in deep breathing. Question 30 2 / 2 pts A patient is frequently late for appointments because he goes back to his room numerous times to assure himself that none of his belongings have been stolen. What does this behavior represent? Question 31 2 / 2 pts What disorder is a severe form of self-starvation that can lead to death? Bulimia nervosa Anorexia nervosa Teenage nervosa Obesity nervosa Question 32 2 / 2 pts What is the typical schedule for electroconvulsive therapy (ECT)? 3 treatments over 2 weeks     Senseless behavior Controlled repetition Obsessive-compulsive Anxiety tension 6 treatments over 2 months 8 treatments over several weeks 10 treatments over several weeks Question 33 2 / 2 pts The nurse assessing a differential sees an increase in immature neutrophils (bands) and is aware that this indicates: a significant hemorrhage. aplastic anemia. an overwhelming bacterial infection. beginning recovery from an infection. Question 34 2 / 2 pts What would a nurse include in a teaching plan for a home health patient with a hemoglobin of 8.4mg? Exercising for periods of 30 minutes daily Limiting fluid intake Alternating activity with rest periods Avoiding the use of oxygen Question 35 2 / 2 pts When the 14-year-old African American boy comes into the emergency room in sickle cell crisis, what should be the primary focus of care? Instruct patient about transfusion procedure Starting of IV fluids Pain control Relief of dyspnea Question 36 2 / 2 pts     The mother of a 4-year-old child with leukemia says to the nurse, “I don’t understand why he is crying about his legs hurting.” The nurse’s most informative response would be based on the information that bone pain is related to: elevated WBCs in differential. long periods of inactivity. splenomegaly. bone marrow congested with white cells. Question 37 2 / 2 pts The typical medical treatment of polycythemia vera involves repeated phlebotomies and medications such as busulfan (Myleran) in order to? stimulate bone marrow. inhibit bone marrow activity. increase hemoglobin. reduce gout. Question 38 2 / 2 pts The nurse is aware that persons of the Jehovah’s Witness faith accept which types of blood transfusions? No type of blood transfusion Blood that has been blessed by their religious leader Transfusions only for persons who have not yet been baptized Autologous blood transfusions Question 39 2 / 2 pts What is the average lifespan of an erythrocyte? 7 days 60 days 120 days Up to several years     Question 40 2 / 2 pts The nurse explains that the treatment of hemophilia has been revolutionized with the advent of the use of? corticosteroids. large doses of testosterone. recombinant factors VIII and IX. transfusion with packed red cells. Question 41 2 / 2 pts A nursing diagnosis for the patient with a new laryngectomy would be Social isolation related to impaired verbal communication related to removal of the larynx. What is an appropriate nursing intervention? Complete care quickly Provide a pad and pencil or magic slate Refrain from conversations with the patient to reduce stress level Offer books or jigsaw puzzles for entertainment sibilant wheezes crackles sonorous wheezes Question 43 2 / 2 pts A patient, age 69, has emphysema. On assessment, the nurse notes the presence of a "barrel chest." What does this pathology result from? An increase in the lateromedial area from hypertrophy of mucous glands in the bronchi An increased anteroposterior diameter caused by overinflation of the alveoli   Question 42 2 / 2 pts The nurse assessing an 11-year-old who is having an asthma attack expects to hear adventitious sounds of? friction rub  A decrease in anteroposterior diameter caused by chronic dilation of the bronchi A widening of the sternocostal area secondary to chronic constriction of smooth muscles in the airways leading to bronchospasms Question 44 2 / 2 pts The patient has advanced emphysema and complains of dyspnea and fatigue. What would the most appropriate nursing intervention be for the nursing diagnosis of Activity intolerance related to an imbalance between the oxygen supply and demand? Direct patient in vigorous independent ROM. Allow to exercise until respirations are over 20 breaths/min over baseline. Plan care to provide optimum rest. Provide frequent cool showers. Question 45 2 / 2 pts Activities, such as walking will have which benefit for the patient with emphysema? Repair dilated alveoli Increase capacity to use oxygen Lessen the oxygen needs Lessen metabolic oxygen needs Question 46 2 / 2 pts What is a major advantage of video assisted thoracoscopic surgery (VATS)? The surgeon can record entire surgical procedure on a video. The surgeon can remove tumors of the lung through a small keyhole incision. The surgeon can x-ray and excise tumor in the same procedure. The surgeon can avoid the use of a closed chest drainage system after surgery. Question 47 2 / 2 pts During discharge teaching of a pulmonary emphysema patient who is going home with oxygen, what does the nurse emphasize? "Use the oxygen only when you experience shortness of breath."     "Use the maximum amount of oxygen that this unit will deliver." "Use the oxygen only when exercising." "Keep low flow oxygen at 1 to 2 L by nasal cannula." Question 48 2 / 2 pts How does pursed lip breathing assist patients with asthma during an attack? It distracts the patient with breathing technique to reduce anxiety. It gets rid of CO2 faster. It opens bronchioles by backflow air pressure. It increases PACO2. Question 49 2 / 2 pts Which patient assessment indicates the most severe respiratory distress? Nasal flaring, symmetrical chest wall expansion, SaO2 88% Abdominal breathing, SaO2 97% Substernal retraction, SaO2 84% Substernal retraction, SaO2 90% Question 50 2 / 2 pts The nurse describes the pathophysiologic process of an asthma attack. What happens in the second step? Inflammatory process in the mast cells of the lungs Increase in edema and mucus production in the bronchioles Release of histamine Narrowing of the airways Exposure to allergen Question 51 2 / 2 pts What is the hormone from the posterior pituitary gland that influences the amount of water that     is eliminated with the urine? Pitocin Renin hormone Antidiuretic hormone (ADH) ACTH Question 52 2 / 2 pts What portion of the nephron is involved with filtration? Glomerulus of the Bowman capsule Henle loop Proximal convoluted tubule Distal convoluted tubule Question 53 2 / 2 pts When the home health patient is started on dialysis, the home health nurse refers the patient to a community support group that assists with the adjustments necessary to living with dialysis. Which group offers this service? National Kidney Foundation American Association of Kidney Patients American Red Cross Veterans Administration Inform the nurse in charge. Decrease the continuous bladder irrigation flow. Administer the prescribed analgesic. Check the catheter and drainage system for obstruction.  Question 54 2 / 2 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. What should the initial intervention be by the nurse?   Question 55 2/ 2 pts A 56-year-old patient with cancer of the bladder is recovering from a cystectomy with an ileal conduit. What is an important aspect in nursing interventions of the patient with an ileal conduit? Instructing the patient to void when the urge is felt Maintaining skin integrity Limiting oral intake to 1000 mL/day Limiting acid-ash foods Question 56 2 / 2 pts What should the nurse instruct the patient to do before obtaining the urine specimen for a urine culture? Collect the urine for a 24-hour period. Obtain a clean-catch specimen. Bring in an early morning specimen. Limit fluid intake to concentrate the urine. Question 57 2 / 2 pts A patient, age 69, is admitted to the hospital with gross hematuria and history of a 20-lbs weight loss during the last 3 months. The health care provider suspects renal cancer. In obtaining a nursing history from this patient, the nurse recognizes which of the following as a significant risk factor for renal cancer? High caffeine intake Cigarette smoking Use of artificial sweeteners Chronic cystitis Question 58 2 / 2 pts The patient is on postoperative day 1 after having undergone a TURP procedure. He has continuous bladder irrigation (CBI). Actual urine output during continuous bladder irrigation is calculated by?     measuring and recording all fluid output in the drainage bag. measuring the total output and deducting the total of the irrigating and intravenous solutions adding the total of the intravenous and irrigating solutions and then deducting the amount of output. measuring total output and deducting the amount of irrigating solution used. Question 59 2 / 2 pts A patient has nephrotic syndrome. Which statement made by the patient indicates understanding of the necessary diet modifications? “I will need to increase protein and decrease sodium intake.” “I will need to drink more milk to get my calcium.” “Carbohydrate restriction will be difficult.” “Potassium restriction won’t be hard since I don’t like fruit.” Question 60 2 / 2 pts A patient is receiving chlorothiazide (Diuril), a thiazide diuretic for hypertension. What nursing action is most important for prevention of complications? Measure output. Increase fluid intake. Assess for hypokalemia. Assess for hypernatremia. Question 61 2 / 2 pts The patient, age 43, has cancer of the urinary bladder. He has received a cystectomy with an ileal conduit. Which characteristics would be considered normal for his urine? Hematuria Clear amber with mucus shreds Dark bile-colored Dark amber     Question 62 2 / 2 pts Which action can reduce the risk of skin impairment secondary to urinary incontinence? Decreasing fluid intake Catheterization of the elderly patient Limiting the use of medication (diuretics, etc.) Frequent toileting and meticulous skin care Question 63 2 / 2 pts A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingooophorectomy for endometriosis. She asks the nurse if she will have “hot flashes.” What knowledge will guide the nurse’s response? Only the uterus was removed, and the ovaries are still producing estrogen and she will not have hot flashes. The patient is too young to have hot flashes associated with menopause. The uterus and fallopian tubes were removed, and she will not experience “hot flashes.” The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause and may have hot flashes. Question 64 2 / 2 pts At what age should a male be taught testicular self-examination (TSE)? 10 13 15 20 Question 65 2 / 2 pts What is the recommended age range for a baseline mammogram? 25 and 30 years 31 and 34 years 35 and 39 years 40 and 45 years    Question 66 2 / 2 pts What does the diagnosis of secondary infertility refer to? Has never conceived. Is infertile because of repeated infection. Has conceived but is now unable to do so. Is over the age of 38. Question 67 2 / 2 pts What instruction should a nurse give a patient with congenital herpes who does not have lesions at the present? “Continued use of acyclovir (ovirax) will prevent reinfection by the virus.” “Condoms should be used during all sexual activity to prevent transmission of the virus, even when lesions are not present.” “Acyclovir ointment should be applied to the lesions to increase comfort and speed healing.” “Recurrent genital herpes is promoted by any sexual stimulation.” Question 68 2 / 2 pts The patient who had a colporrhaphy for the repair of a cystocele and rectocele asks that the catheter be removed as it is bothersome to her. How should the nurse explain the reason for the catheter? It replaces uncomfortable gauze packing. It will prevent adhesions and will be in place for about 2 weeks. It allows for quick urine sample collection. It keeps the bladder empty and prevents stress on the sutures. Question 69 2 / 2 pts Why is a mammogram the most useful method of diagnosing breast cancer? It is the most reliable method of detecting breast cancer before it becomes palpable.     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. Question 70 2 / 2 pts A patient, age 46, is recovering from an abdominal hysterectomy. Postoperative nursing assessment findings include a urinary output of 100 mL in 4 hours. What should the nurse do? Force fluids. Report urinary retention to the charge nurse. “Milk” the urinary catheter. Turn the patient onto her right side. Question 71 2 / 2 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 72 2 / 2 pts The patient with a swollen scrotum is amazed that diagnosis of the condition of hydrocele is such a simple thing as: placing the scrotum on a warm pad. shining light through scrotum. squatting and letting the scrotum hang dependently. packing the scrotum in ice. Question 73 2 / 2 pts Although menopause is a normal part of aging, why do many women enter menopause at an earlier age?     Having become sexually active at an early age Living at high altitudes Excessive use of alcohol Morbid obesity Question 74 3 / 3 pts What are considered warning signs of suicide? (Select all that apply.) Talking about suicide Increased interactions with friends and family Drug or alcohol abuse Difficulty concentrating on work or school Personality changes Question 75 3 / 3 pts The spleen is a highly vascularized organ located in the left upper quadrant of the abdominal cavity. What are the main functions of the spleen? (Select all that apply.) Serve as reservoir for blood. Destroy worn-out RBCs. Promote phagocytosis. Responsible for development of T lymphocytes. Continuously produce RBCs during lifetime. Question 76 3 / 3 pts The nurse examines the complete blood count (CBC) to assess: (Select all that apply.) hematocrit.    differential white blood cell count. plasma level. blood type. hemoglobin. Question 77 3 / 3 pts Which of the following are signs of fluid overload in the patient with nephrosis? (Select all that apply.) Increase in pulse rate Increase in daily weight Clear lung sounds Edema Labored respirations Question 78 4 / 4 pts The nurse is reviewing the urinalysis report on an assigned patient. The nurse recognizes which findings to be normal? (Select all that apply.) Turbidity clear Glucose negative Red blood cells, 15 to 20 White blood cells, 1-3 pH 6.0 Question 79 4 / 4 pts Vaginal fistulas are caused by an ulcerating process resulting from: (Select all that apply.)    red blood cell count. Final Exam _PN 1210_ Adult Health Nursing I_ Fall 2024 cancer. radiation. poor hygiene. multiple sexual partners. weakening of tissue from pregnancies. surgical interventions. Question 80 4 / 4 pts Which of the following are true of the Gardasil vaccine? (Select all that apply.) It requires two more immunizations at 6 months after the first dose. It reduces incidence of cervical cancer. It reduces the incidence of human papilloma virus (HPV). It can be given only to females. It should be given before a person becomes sexually active. It is safe for people as young as 8 years of age. Question 81 10 / 10 pts In the movie Gone With the Wind, Scarlett O’Hara says, “I’ll think about that tomorrow. Tomorrow is another day.” The nurse recognizes the defense mechanism of _________. repression Question 82 10 / 10 pts The nurse explains that the diagnostic test that can scan the chest and the abdomen in less repression    01/17/2025; 11:25 AM than 30 seconds is the __________. s spiral CT scan helical CT scan Question 83 10 / 10 pts The nurse is assisting the health care provider in removing a small sample of tissue from the patient’s cervix to have it evaluated. This procedure is called a cervical ______________. conization Quiz Score: 200 out of 200 spinal CT scan conization 