Adult Health Final Exam
Review Questions WITH
ANSWERS 2025
. A client is taking NPH insulin daily every morning. The nurse instructs the client
that the most likely time for a hypoglycemic reaction to occur is:
A. 2-4 hours after administration
B. 6-14hours after administration
C. 16-18hours after administration
D. 18-24 hours after administration - correct answerB
* 1. The nurse is caring for a 72-year-old patient who is in cardiac rehabilitation
following heart surgery. The patient has been walking on a regular basis for about
a week and walks for 15 minutes 3 times a day. The patient states that he is
having a cramp-like pain in the legs every time he walks and that the pain gets
"better when I rest." The patient's care plan should address what problem?
A.decreased mobility r/t to VTE
B. Acute pain r/t Intermittent claudication
C.Decreased mobility r/t venous insufficiency
D.acute pain r/t vasculitis - correct answerB
* A cancer pt has had a rapid decrease in WBCs and is placed on neutropenic
precautions. What precautions should the nurse take? Select all that apply.
A. Wash hands upon entering the room and wear gloves.
B. Bring the client flowers to brighten the room.
C: Allow family members to visit so the client does not become lonely.
D: Make sure the client does not have any raw fresh fruits and vegetables.
,E: Place the client in a private room.
F: Use communal vital machines to assess vital signs. - correct answerA,D,E
* A client has an arm cast and reports that it feels really tight, and the fingers are
puffy. What is the nurse's best response?
A Elevate your arm on two pillows and apply ice to the cast
B Continue to take ibuprofen (Motrin) until the swelling subsides
C It is normal for a new cast to feel a little tight for the first few days
D Please come to the clinic today to have your arm checked by the health care
provider - correct answerB
* A client who has sustained a crush injury to the right lower leg reports
numbness and tingling of the affected extremity. The skin of the right leg appears
pale. Which is the nurse's first intervention?
A Assess pedal pulses.
B Apply oxygen by nasal cannula.
C Increase the IV flow rate.
D Document the finding. - correct answerA
* The nurse is teaching a client recently diagnosed with rheumatoid arthritis (RA)
about home care and management of symptoms. What should the nurse
encourage the client to do at home? Select all that apply.
A Allow periods of rest in the afternoon
B Perform range of motion exercises daily
C Place a pillow under the knees at night before sleeping
D Use heating packs to relax stiff joints as needed - correct answerA, B, D
* Which of the following are expected signs and symptoms of a left sided ischemic
stroke? Select all that apply.
A. right sided facial numbness
B. Left sided weakness
C. Difficulty walking or holding balance
D. Headache
E.A&O X 4 - correct answerA, C, D
* Which of the following signs and symptoms of increased ICP after head trauma
would appear first?
, A Bradycardia
B Large amounts of very dilute urine
C Restlessness and confusion
D Widened pulse pressure - correct answerC
*2. The nurse is admitting a 32-year-old woman to the presurgical unit. The nurse
learns during the admission assessment that the patient takes oral
contraceptives. Consequently, the nurse's postoperative plan of care should
include what intervention?
A Early ambulation and leg exercises
B Cessation of the oral contraceptives until 3 weeks postoperative
C Doppler ultrasound of peripheral circulation twice daily
D Dependent positioning of the patient's extremities when at rest - correct
answerA
*A client arrives in the emergency department with an ischemic stroke and
receives tissue plasminogen activator (t-PA) administration. Which is the priority
nursing assessment?
A Time of onset of current stroke
B Complete physical and history
C Current medication
D Upcoming surgical procedures - correct answerA
*A nurse is providing education in a community setting about general measures
to avoid excessive sun exposure. Which of the following recommendations is
appropriate.
A. Wear loosely woven clothing for added ventilation
B. Apply sunscreen only after going in the water
C. Apply sunscreen with a sun protection factor (SPF) of 30 or more before sun
exposure
D. Avoid peak exposure hours from 9am to 1pm - correct answerC
*A Patient has just been transferred to the PACU after surgery. What should be
the nurse's priority action?
A Early ambulation.
B Repositioning the patient every two hours to prevent pressure injuries.
C Maintaining patient airways and O2 levels
Review Questions WITH
ANSWERS 2025
. A client is taking NPH insulin daily every morning. The nurse instructs the client
that the most likely time for a hypoglycemic reaction to occur is:
A. 2-4 hours after administration
B. 6-14hours after administration
C. 16-18hours after administration
D. 18-24 hours after administration - correct answerB
* 1. The nurse is caring for a 72-year-old patient who is in cardiac rehabilitation
following heart surgery. The patient has been walking on a regular basis for about
a week and walks for 15 minutes 3 times a day. The patient states that he is
having a cramp-like pain in the legs every time he walks and that the pain gets
"better when I rest." The patient's care plan should address what problem?
A.decreased mobility r/t to VTE
B. Acute pain r/t Intermittent claudication
C.Decreased mobility r/t venous insufficiency
D.acute pain r/t vasculitis - correct answerB
* A cancer pt has had a rapid decrease in WBCs and is placed on neutropenic
precautions. What precautions should the nurse take? Select all that apply.
A. Wash hands upon entering the room and wear gloves.
B. Bring the client flowers to brighten the room.
C: Allow family members to visit so the client does not become lonely.
D: Make sure the client does not have any raw fresh fruits and vegetables.
,E: Place the client in a private room.
F: Use communal vital machines to assess vital signs. - correct answerA,D,E
* A client has an arm cast and reports that it feels really tight, and the fingers are
puffy. What is the nurse's best response?
A Elevate your arm on two pillows and apply ice to the cast
B Continue to take ibuprofen (Motrin) until the swelling subsides
C It is normal for a new cast to feel a little tight for the first few days
D Please come to the clinic today to have your arm checked by the health care
provider - correct answerB
* A client who has sustained a crush injury to the right lower leg reports
numbness and tingling of the affected extremity. The skin of the right leg appears
pale. Which is the nurse's first intervention?
A Assess pedal pulses.
B Apply oxygen by nasal cannula.
C Increase the IV flow rate.
D Document the finding. - correct answerA
* The nurse is teaching a client recently diagnosed with rheumatoid arthritis (RA)
about home care and management of symptoms. What should the nurse
encourage the client to do at home? Select all that apply.
A Allow periods of rest in the afternoon
B Perform range of motion exercises daily
C Place a pillow under the knees at night before sleeping
D Use heating packs to relax stiff joints as needed - correct answerA, B, D
* Which of the following are expected signs and symptoms of a left sided ischemic
stroke? Select all that apply.
A. right sided facial numbness
B. Left sided weakness
C. Difficulty walking or holding balance
D. Headache
E.A&O X 4 - correct answerA, C, D
* Which of the following signs and symptoms of increased ICP after head trauma
would appear first?
, A Bradycardia
B Large amounts of very dilute urine
C Restlessness and confusion
D Widened pulse pressure - correct answerC
*2. The nurse is admitting a 32-year-old woman to the presurgical unit. The nurse
learns during the admission assessment that the patient takes oral
contraceptives. Consequently, the nurse's postoperative plan of care should
include what intervention?
A Early ambulation and leg exercises
B Cessation of the oral contraceptives until 3 weeks postoperative
C Doppler ultrasound of peripheral circulation twice daily
D Dependent positioning of the patient's extremities when at rest - correct
answerA
*A client arrives in the emergency department with an ischemic stroke and
receives tissue plasminogen activator (t-PA) administration. Which is the priority
nursing assessment?
A Time of onset of current stroke
B Complete physical and history
C Current medication
D Upcoming surgical procedures - correct answerA
*A nurse is providing education in a community setting about general measures
to avoid excessive sun exposure. Which of the following recommendations is
appropriate.
A. Wear loosely woven clothing for added ventilation
B. Apply sunscreen only after going in the water
C. Apply sunscreen with a sun protection factor (SPF) of 30 or more before sun
exposure
D. Avoid peak exposure hours from 9am to 1pm - correct answerC
*A Patient has just been transferred to the PACU after surgery. What should be
the nurse's priority action?
A Early ambulation.
B Repositioning the patient every two hours to prevent pressure injuries.
C Maintaining patient airways and O2 levels
