Adult Health III Final Exam Practice
Questions with 100% Correct Answers
| Brand New Version
1. The nurse is providing discharge teaching to a client who has had an
emergency splenectomy following an automobile accident. Which of the
following findings should the nurse inform the client that they are at an
increased risk of developing?
a. Infection
b. Lymphedema
c. Chronic anemia
d. Prolonged bleeding - ANSWER a. Infection
2. The nurse is evaluating the red blood cell indices result of a client's
laboratory report. Which of the following interpretations is correct related to
a low mean corpuscular volume (MCV)?
a. Hypochromic red blood cells (RBCs)
b. Inadequate numbers of RBCs
c. Low hemoglobin in the RBCs
d. Small size of the RBCs - ANSWER d. Small size of the RBCs
3. While examining the lymph nodes during physical assessment, the nurse
would be most concerned about which of the following findings?
a. A 2-cm nontender supraclavicular node
b. A 1-cm mobile and nontender axillary node
c. An inability to palpate any superficial lymph nodes
d. Firm inguinal nodes in a client with an infected foot - ANSWER a. A
2-cm nontender supraclavicular node
,4. The nurse is caring for a client who had an intraoperative hemorrhage 12
hours ago. Which of the following laboratory results should the nurse
anticipate?
a. Hematocrit of 45%
b. Hemoglobin of 132 g/L
c. Decreased white blood cell (WBC) count
d. Elevated reticulocyte count - ANSWER d. Elevated reticulocyte
count
5. The nurse is caring for a client whose complete blood count (CBC) and
differential indicate that the client is neutropenic. Which of the following
actions should the nurse include in the plan of care?
a. Avoid intramuscular injections.
b. Encourage increased oral fluids.
c. Check temperature every 4 hours.
d. Increase intake of iron-rich foods. - ANSWER c. Check temperature
every 4 hours.
6. The nurse is caring for a newly admitted client whose complete blood count
(CBC) shows a "shift to the left." Which of the following assessments
should the nurse monitor in the plan of care?
a. Cool extremities
b. Pallor and weakness
c. Elevated temperature
d. Low oxygen saturation - ANSWER c. Elevated temperature
7. The health care provider orders an ultrasound of the spleen for a client who
has been in a car accident. Which of the following actions should the nurse
take before this procedure?
a. Check for any iodine allergy.
b. Insert a large-bore IV catheter.
c. Place the client on NPO status.
d. Assist the client to a flat position. - ANSWER d. Assist the client to a
flat position.
,8. The nurse is caring for a client with pancytopenia of unknown origin who is
confused and is scheduled for the following diagnostic tests. Which of the
following tests should the nurse contact the client's family member to obtain
a signed consent form?
a. ABO blood typing
b. Bone marrow biopsy
c. Abdominal ultrasound
d. Complete blood count (CBC) - ANSWER b. Bone marrow biopsy
9. The nurse is reviewing the complete blood count (CBC) for a client admitted
with abdominal pain. Which of the following information will be most
important for the nurse to communicate to the health care provider?
a. Monocytes 4%
b. Hemoglobin 116 g/L
c. Platelet count 145 109 /L
d. White blood cells 13.5 109 /L - ANSWER d. White blood cells 13.5
109 /L
10.The nurse is reviewing the laboratory results of clotting study tests for the
client. Which of the following findings should the nurse identify as
abnormal?
a. Activated clotting time 118 seconds
b. Activated partial thromboplastin time 40 seconds
c. D-dimer 200 mcg/L
d. Fibrinogen 4 g/L - ANSWER b. Activated partial thromboplastin
time 40 seconds
11.The nurse is caring for a client with anemia who is experiencing increased
fatigue and occasional palpitations at rest. Which of the following laboratory
findings should the nurse expect?
a. Normal red blood cell (RBC) indices
b. Hematocrit (Hct) of 38%
c. Hemoglobin (Hb) of 86 g/L
, d. RBC count of 4.5 1012/L - ANSWER c. Hemoglobin (Hb) of 86 g/L
12.The nurse is obtaining a health history from a client and notes numerous
petechiae. Which of the following assessments should the nurse anticipate?
a. Bruising on the skin
b. Pinpoint purplish-red lesions
c. Small focal red lesions
d. Brown spots on mucous membranes - ANSWER b. Pinpoint
purplish-red lesions
13.The nurse is reviewing laboratory data for an older-adult client. Which of the
following results should be of most concern?
a. White blood cell (WBC) count of 3.5 109 /L
b. Hematocrit of 37%
c. Platelet count of 400 109 /L
d. Hemoglobin of 118 g/L - ANSWER a. White blood cell (WBC)
count of 3.5 109 /L
The health care provider performs a bone marrow aspiration from the left posterior
iliac crest on a client with pancytopenia. Which of the following actions should the
nurse implement following the procedure?
a. Elevate the head of the bed to 45 degrees.
b. Apply a sterile Band-Aid at the aspiration site.
c. Use half-inch sterile gauze to pack the wound.
d. Apply a pressure dressing on the aspiration site. - ANSWER d. Apply a
pressure dressing on the aspiration site.
The nurse is caring for a client with a chronic iron deficiency anemia. Which of
the following assessment findings should the nurse anticipate?
a. Yellow-tinged sclerae
Questions with 100% Correct Answers
| Brand New Version
1. The nurse is providing discharge teaching to a client who has had an
emergency splenectomy following an automobile accident. Which of the
following findings should the nurse inform the client that they are at an
increased risk of developing?
a. Infection
b. Lymphedema
c. Chronic anemia
d. Prolonged bleeding - ANSWER a. Infection
2. The nurse is evaluating the red blood cell indices result of a client's
laboratory report. Which of the following interpretations is correct related to
a low mean corpuscular volume (MCV)?
a. Hypochromic red blood cells (RBCs)
b. Inadequate numbers of RBCs
c. Low hemoglobin in the RBCs
d. Small size of the RBCs - ANSWER d. Small size of the RBCs
3. While examining the lymph nodes during physical assessment, the nurse
would be most concerned about which of the following findings?
a. A 2-cm nontender supraclavicular node
b. A 1-cm mobile and nontender axillary node
c. An inability to palpate any superficial lymph nodes
d. Firm inguinal nodes in a client with an infected foot - ANSWER a. A
2-cm nontender supraclavicular node
,4. The nurse is caring for a client who had an intraoperative hemorrhage 12
hours ago. Which of the following laboratory results should the nurse
anticipate?
a. Hematocrit of 45%
b. Hemoglobin of 132 g/L
c. Decreased white blood cell (WBC) count
d. Elevated reticulocyte count - ANSWER d. Elevated reticulocyte
count
5. The nurse is caring for a client whose complete blood count (CBC) and
differential indicate that the client is neutropenic. Which of the following
actions should the nurse include in the plan of care?
a. Avoid intramuscular injections.
b. Encourage increased oral fluids.
c. Check temperature every 4 hours.
d. Increase intake of iron-rich foods. - ANSWER c. Check temperature
every 4 hours.
6. The nurse is caring for a newly admitted client whose complete blood count
(CBC) shows a "shift to the left." Which of the following assessments
should the nurse monitor in the plan of care?
a. Cool extremities
b. Pallor and weakness
c. Elevated temperature
d. Low oxygen saturation - ANSWER c. Elevated temperature
7. The health care provider orders an ultrasound of the spleen for a client who
has been in a car accident. Which of the following actions should the nurse
take before this procedure?
a. Check for any iodine allergy.
b. Insert a large-bore IV catheter.
c. Place the client on NPO status.
d. Assist the client to a flat position. - ANSWER d. Assist the client to a
flat position.
,8. The nurse is caring for a client with pancytopenia of unknown origin who is
confused and is scheduled for the following diagnostic tests. Which of the
following tests should the nurse contact the client's family member to obtain
a signed consent form?
a. ABO blood typing
b. Bone marrow biopsy
c. Abdominal ultrasound
d. Complete blood count (CBC) - ANSWER b. Bone marrow biopsy
9. The nurse is reviewing the complete blood count (CBC) for a client admitted
with abdominal pain. Which of the following information will be most
important for the nurse to communicate to the health care provider?
a. Monocytes 4%
b. Hemoglobin 116 g/L
c. Platelet count 145 109 /L
d. White blood cells 13.5 109 /L - ANSWER d. White blood cells 13.5
109 /L
10.The nurse is reviewing the laboratory results of clotting study tests for the
client. Which of the following findings should the nurse identify as
abnormal?
a. Activated clotting time 118 seconds
b. Activated partial thromboplastin time 40 seconds
c. D-dimer 200 mcg/L
d. Fibrinogen 4 g/L - ANSWER b. Activated partial thromboplastin
time 40 seconds
11.The nurse is caring for a client with anemia who is experiencing increased
fatigue and occasional palpitations at rest. Which of the following laboratory
findings should the nurse expect?
a. Normal red blood cell (RBC) indices
b. Hematocrit (Hct) of 38%
c. Hemoglobin (Hb) of 86 g/L
, d. RBC count of 4.5 1012/L - ANSWER c. Hemoglobin (Hb) of 86 g/L
12.The nurse is obtaining a health history from a client and notes numerous
petechiae. Which of the following assessments should the nurse anticipate?
a. Bruising on the skin
b. Pinpoint purplish-red lesions
c. Small focal red lesions
d. Brown spots on mucous membranes - ANSWER b. Pinpoint
purplish-red lesions
13.The nurse is reviewing laboratory data for an older-adult client. Which of the
following results should be of most concern?
a. White blood cell (WBC) count of 3.5 109 /L
b. Hematocrit of 37%
c. Platelet count of 400 109 /L
d. Hemoglobin of 118 g/L - ANSWER a. White blood cell (WBC)
count of 3.5 109 /L
The health care provider performs a bone marrow aspiration from the left posterior
iliac crest on a client with pancytopenia. Which of the following actions should the
nurse implement following the procedure?
a. Elevate the head of the bed to 45 degrees.
b. Apply a sterile Band-Aid at the aspiration site.
c. Use half-inch sterile gauze to pack the wound.
d. Apply a pressure dressing on the aspiration site. - ANSWER d. Apply a
pressure dressing on the aspiration site.
The nurse is caring for a client with a chronic iron deficiency anemia. Which of
the following assessment findings should the nurse anticipate?
a. Yellow-tinged sclerae
