Saunders Adult Health Exam
Questions & Answers (Grade A+)
The nurse is assessing the functioning of a chest tube drainage
system in a client who has just returned from the recovery room
following a thoracotomy with wedge resection. Which are the
expected assessment findings? Select all that apply. -
correct answer ✅Drainage system maintained below the client's
chest,
50 mL of drainage in the drainage collection chamber,
Occlusive dressing in place over the chest tube insertion site,
Fluctuation of water in the tube in the water seal chamber during
inhalation and exhalation
The nurse is assisting a health care provider with the removal of a
chest tube. The nurse should instruct the client to take which
action? -
correct answer ✅Perform the valsava maneuver
The nurse caring for a client with a pneumothorax and who has had
a chest tube inserted notes continuous gentle bubbling in the water
seal chamber. What action is most appropriate? -
correct answer ✅Check for an air leak, because the bubbling
should be intermittent.
,Saunders Adult Health Exam
Questions & Answers (Grade A+)
A 55-year-old male client confides in the nurse that he is concerned
about his sexual function. What is the nurse's best response? -
correct answer ✅"Please share with me more about your
concerns."
A client calls the emergency department and tells the nurse that he
came directly into contact with poison ivy shrubs. The client tells
the nurse that he cannot see anything on the skin and asks the
nurse what to do. The nurse should make which response? -
correct answer ✅"Take a shower immediately, lathering and
rinsing several times."
A client is being admitted to the hospital for treatment of acute
cellulitis of the lower left leg. During the admission assessment, the
nurse expects to note which finding? -
correct answer ✅A skin infection of the dermis and underlying
hypodermis
The clinic nurse assesses the skin of a client with psoriasis after the
client has used a new topical treatment for 2 months. The nurse
identifies which characteristics as improvement in the
manifestations of psoriasis? Select all that apply. -
correct answer ✅Thinner and decrease in number of reddish
papules,
, Saunders Adult Health Exam
Questions & Answers (Grade A+)
Scarce amount of silvery-white scaly patches on the arms
The clinic nurse notes that the health care provider has
documented a diagnosis of herpes zoster (shingles) in the client's
chart. Based on an understanding of the cause of this disorder, the
nurse determines that this definitive diagnosis was made by which
diagnostic test? -
correct answer ✅positive culture results
A client returns to the clinic for follow-up treatment following a skin
biopsy of a suspicious lesion performed 1 week ago. The biopsy
report indicates that the lesion is a melanoma. The nurse
understands that melanoma has which characteristics? Select all
that apply. -
correct answer ✅Lesion is highly metastatic.
Lesion is a nevus that has changes in color
When assessing a lesion diagnosed as basal cell carcinoma, the
nurse most likely expects to note which findings? Select all that
apply. -
correct answer ✅A pearly papule with a central crater and a waxy
border,
Questions & Answers (Grade A+)
The nurse is assessing the functioning of a chest tube drainage
system in a client who has just returned from the recovery room
following a thoracotomy with wedge resection. Which are the
expected assessment findings? Select all that apply. -
correct answer ✅Drainage system maintained below the client's
chest,
50 mL of drainage in the drainage collection chamber,
Occlusive dressing in place over the chest tube insertion site,
Fluctuation of water in the tube in the water seal chamber during
inhalation and exhalation
The nurse is assisting a health care provider with the removal of a
chest tube. The nurse should instruct the client to take which
action? -
correct answer ✅Perform the valsava maneuver
The nurse caring for a client with a pneumothorax and who has had
a chest tube inserted notes continuous gentle bubbling in the water
seal chamber. What action is most appropriate? -
correct answer ✅Check for an air leak, because the bubbling
should be intermittent.
,Saunders Adult Health Exam
Questions & Answers (Grade A+)
A 55-year-old male client confides in the nurse that he is concerned
about his sexual function. What is the nurse's best response? -
correct answer ✅"Please share with me more about your
concerns."
A client calls the emergency department and tells the nurse that he
came directly into contact with poison ivy shrubs. The client tells
the nurse that he cannot see anything on the skin and asks the
nurse what to do. The nurse should make which response? -
correct answer ✅"Take a shower immediately, lathering and
rinsing several times."
A client is being admitted to the hospital for treatment of acute
cellulitis of the lower left leg. During the admission assessment, the
nurse expects to note which finding? -
correct answer ✅A skin infection of the dermis and underlying
hypodermis
The clinic nurse assesses the skin of a client with psoriasis after the
client has used a new topical treatment for 2 months. The nurse
identifies which characteristics as improvement in the
manifestations of psoriasis? Select all that apply. -
correct answer ✅Thinner and decrease in number of reddish
papules,
, Saunders Adult Health Exam
Questions & Answers (Grade A+)
Scarce amount of silvery-white scaly patches on the arms
The clinic nurse notes that the health care provider has
documented a diagnosis of herpes zoster (shingles) in the client's
chart. Based on an understanding of the cause of this disorder, the
nurse determines that this definitive diagnosis was made by which
diagnostic test? -
correct answer ✅positive culture results
A client returns to the clinic for follow-up treatment following a skin
biopsy of a suspicious lesion performed 1 week ago. The biopsy
report indicates that the lesion is a melanoma. The nurse
understands that melanoma has which characteristics? Select all
that apply. -
correct answer ✅Lesion is highly metastatic.
Lesion is a nevus that has changes in color
When assessing a lesion diagnosed as basal cell carcinoma, the
nurse most likely expects to note which findings? Select all that
apply. -
correct answer ✅A pearly papule with a central crater and a waxy
border,
