Adult Health II Final Exam Newest 2026 With Complete
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A nurse on a medical unit is caring for a client who
suddenly becomes confused and drowsy. Additional data
includes pulse 100/min, respiratory rate 24/min, BP 132/76
mm Hg, and temperature 36.8º C (98.2º F). Which of the
following actions should the nurse perform? - Answer-
Complete a neurological check.
Neurological assessment is an appropriate nursing
intervention when a client displays sudden confusion.
Sensory alterations can occur when a client is
experiencing multiple sensory stimuli and can result in
inappropriate sensory responses. Tolerance to stimuli may
be affected by fatigue and emotional and physical well-
being.
A nurse at an ophthalmology clinic is providing teaching to
a client who has open angle glaucoma and a new
prescription for timolol eye drops. Which of the following
instructions should the nurse provide? - Answer-The
medication should be applied on a regular schedule for the
rest of the client's life.
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Medications prescribed for open angle glaucoma are
intended to enhance aqueous outflow, or decrease its
production, or both. The client must continue the eye
drops on an uninterrupted basis for life to maintain
intraocular pressure at an acceptable level.
A nurse is teaching a client who has urolithiasis (renal
calculi). The nurse should explain that which of the
following conditions can increase the risk for renal calculi?
- Answer-Dehydration
Dehydration can cause hypercalcemia which increases
the risk for renal stone formation. Inadequate fluid intake
can result in urinary stasis and promote the formation of
calculi.
A nurse is modifying the diet of a client who has
Parkinson's disease and is prescribed selegiline, an MAOI.
Which of the following foods should the nurse eliminate? -
Answer-Cheddar cheese
The nurse should eliminate aged cheeses from the diet of
a client who is prescribed selegiline. Cheddar cheese
contains tyramine, which can cause a hypertensive crisis.
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A nurse on an oncology unit is assessing a child who has
a brain tumor. Which of the following findings should the
nurse expect? - Answer-Hyporeflexia
The nurse should expect a child who has a brain tumor to
exhibit hyporeflexia and hyperreflexia.
A nurse is caring for a child who is having a tonic-clonic
seizure and vomiting. Which of the following actions is the
nurse's priority? - Answer-Position the child side-lying.
This is the priority nursing action. To prevent aspiration
due to vomiting, the nurse should place the child in a side-
lying position.
A nurse is discussing kidney transplant with a client who
has end-stage renal disease (ESRD). Which of the
following should the nurse identify as a contraindication for
this treatment? - Answer-Alcohol use disorder
The nurse should identify that a substance use disorder is
a contraindication for kidney transplant.
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A nurse is assessing a client who has chronic kidney
disease for fluid volume increase. Which of the following
provides a reliable measure of fluid retention? - Answer-
Daily weight
Obtaining a client's daily weight and comparing it to
previous weights is a reliable method for measuring a
client's fluid volume over time
A nurse is caring for a client who is experiencing Cushing's
Triad following a subdural hematoma. Which of the
following medications should the nurse plan to administer?
- Answer-Mannitol 25%
Cushing's Triad is an indication that the client is
experiencing increased intracranial pressure. The nurse
should administer mannitol 25%, an osmotic diuretic that
promotes diuresis to treat cerebral edema
A nurse is caring for a client immediately following a
hemodialysis treatment. For which of the following
manifestations will the nurse administer a PRN dose of
phenytoin? - Answer-Headache, restlessness