D446 Adult Health 2 OA Review
Questions With Correct Answers
Which finding noted in the client on continuous ambulatory peritoneal
|| || || || || || || || || ||
dialysis (CAPD) would be reported to the primary health care provider
|| || || || || || || || || || ||
(PHCP)? - CORRECT ANSWER✔✔-Cloudy yellow dialysate output
|| || || || || ||
A client with a history of myasthenia gravis presents at a clinic with bilateral
|| || || || || || || || || || || || ||
ptosis and is drooling, and myasthenic crisis is suspected. The nurse assesses
|| || || || || || || || || || || ||
the client for which precipitating factor? - CORRECT ANSWER✔✔-Omitting
|| || || || || || || || || ||
doses of medication || ||
The nurse is providing teaching to a client with breast cancer who will
|| || || || || || || || || || || || ||
undergo chemotherapy for cancer, and alopecia is expected from the
|| || || || || || || || || ||
chemotherapeutic agent. Which statement made by the client indicates a || || || || || || || || || ||
need for further teaching? - CORRECT ANSWER✔✔-"I can't believe my hair
|| || || || || || || || || || ||
loss is going to be permanent."
|| || || || ||
A client is admitted to the nursing unit after a left below-the-knee
|| || || || || || || || || || || ||
amputation after a crush injury to the foot and lower leg. The client tells the
|| || || || || || || || || || || || || ||
nurse, "I think I'm going crazy. I can feel my left foot itching." How would
|| || || || || || || || || || || || || || || ||
the nurse interpret this client statement? - CORRECT ANSWER✔✔-A normal
|| || || || || || || || || ||
response that indicates the presence of phantom limb sensation
|| || || || || || || ||
,The nurse is participating in a health screening clinic and is preparing
|| || || || || || || || || || || ||
teaching materials about colorectal cancer. Which risk factor for colorectal
|| || || || || || || || || ||
cancer would the nurse include? - CORRECT ANSWER✔✔-Personal history of
|| || || || || || || || || ||
ulcerative colitis or gastrointestinal polyps
|| || || ||
The nurse is caring for a client diagnosed with breast cancer receiving
|| || || || || || || || || || || ||
combination chemotherapy. Which nursing intervention is the most
|| || || || || || || ||
appropriate? - CORRECT ANSWER✔✔-Avoid giving agents with the same
|| || || || || || || || ||
nadirs and toxicities at the same time.
|| || || || || ||
The nurse is preparing to ambulate a client on the third day after cardiac
|| || || || || || || || || || || || || ||
surgery. What would the nurse plan to do to enable the client to best
|| || || || || || || || || || || || || ||
tolerate the ambulation? - CORRECT ANSWER✔✔-Premedicate the client with
|| || || || || || || ||
an analgesic.
|| ||
A client who suffered a brain attack (stroke) is prepared for discharge from
|| || || || || || || || || || || || ||
the hospital. The primary health care provider has prescribed range-of-motion
|| || || || || || || || ||
(ROM) exercises for the client's right side. What action would the nurse
|| || || || || || || || || || || || ||
include in the client's plan of care? - CORRECT ANSWER✔✔-Consider the use
|| || || || || || || || || || ||
of active, passive, or active-assisted exercises in the home.
|| || || || || || || || ||
A client who had cranial surgery 5 days earlier to remove a brain tumor has
|| || || || || || || || || || || || || || ||
a few cognitive deficits and does not seem to be progressing as quickly as
|| || || || || || || || || || || || || ||
the client or family had hoped. The nurse plans to implement which
|| || || || || || || || || || || ||
approach as most helpful to the client and family at this time? - CORRECT
|| || || || || || || || || || || || || ||
ANSWER✔✔-Emphasize progress in a realistic manner. || || || || ||
A client is being transferred to the nursing unit from the postanesthesia care
|| || || || || || || || || || || ||
unit after spinal fusion with rod insertion to treat spinal instability from
|| || || || || || || || || || || || ||
,severe arthritis. The nurse would prepare to transfer the client from the
|| || || || || || || || || || || ||
stretcher to the bed by using which best method? - CORRECT ANSWER✔✔-A
|| || || || || || || || || || ||
transfer (slider) board and the assistance of three people
|| || || || || || || || ||
A cervical radiation implant is placed in a client who is undergoing treatment
|| || || || || || || || || || || ||
of cervical cancer. The nurse would initiate which activity prescription as the
|| || || || || || || || || || || ||
most appropriate for this client? - CORRECT ANSWER✔✔-Bed rest
|| || || || || || || || ||
The nurse is caring for a client diagnosed with Alzheimer's disease. The nurse
|| || || || || || || || || || || ||
would anticipate that the client has changes in which component of the
|| || || || || || || || || || || || ||
nervous system? - CORRECT ANSWER✔✔-Neuronal dendrites
|| || || || ||
The nurse is planning measures to increase bed mobility for a client in
|| || || || || || || || || || || || ||
skeletal leg traction. Which item would the nurse consider to be most helpful
|| || || || || || || || || || || ||
for this client? - CORRECT ANSWER✔✔-Overhead trapeze
|| || || || || || ||
A client with chronic kidney disease who is scheduled for hemodialysis this
|| || || || || || || || || || || ||
morning is due to receive a daily dose of enalapril. When would the nurse
|| || || || || || || || || || || || || ||
plan to administer this medication? - CORRECT ANSWER✔✔-On return from
|| || || || || || || || || ||
dialysis
The nurse has developed a postoperative plan of care for a client who had a
|| || || || || || || || || || || || || ||
thyroidectomy and documents that the client is at risk for developing an
|| || || || || || || || || || || || ||
ineffective breathing pattern. Which nursing intervention would the nurse
|| || || || || || || || ||
include in the plan of care? - CORRECT ANSWER✔✔-Monitor for neck
|| || || || || || || || || || ||
swelling.
, The nurse is reviewing the record of a client admitted to the hospital with a
|| || || || || || || || || || || || || ||
diagnosis of pheochromocytoma. The nurse reads the assessment findings
|| || || || || || || || || ||
and expects to note documentation of which major symptom associated with
|| || || || || || || || || ||
this condition? - CORRECT ANSWER✔✔-Hypertension
|| || || || ||
The nurse is providing instructions to the parents of a child with scoliosis
|| || || || || || || || || || || || ||
regarding the use of a brace. Which statement by the parents indicates a
|| || || || || || || || || || || || ||
need for further instruction? - CORRECT ANSWER✔✔-"I need to apply lotion
|| || || || || || || || || || ||
under the brace to prevent skin breakdown."
|| || || || || ||
A 5-year-old child arrives at the emergency department, and the child's
|| || || || || || || || || || ||
parents state that the child fell off a bunk bed. A head injury is suspected.
|| || || || || || || || || || || || || || ||
The nurse checks the child's airway status and assesses the child for early
|| || || || || || || || || || || || ||
and late signs of increased intracranial pressure (ICP). Which is a late sign of
|| || || || || || || || || || || || ||
increased ICP? - CORRECT ANSWER✔✔-Bradycardia
|| || || || ||
The nurse provides instructions to a client diagnosed with osteoporosis.
|| || || || || || || || || ||
Education about prevention of which complication is the most important? -
|| || || || || || || || || || ||
CORRECT ANSWER✔✔-Fractures ||
The nurse is collecting data related to a client's risk factors associated with
|| || || || || || || || || || || || ||
osteoporosis. Which data would the nurse include? Select all that apply. -
|| || || || || || || || || || || ||
CORRECT ANSWER✔✔-Thin body build, Smoking history, Postmenopausal age,
|| || || || || || ||
Chronic corticosteroid use, Family history of osteoporosis
|| || || || || || ||
The nurse is caring for a client diagnosed with bacterial meningitis. Which
|| || || || || || || || || || || ||
clinical manifestation would the nurse monitor for, indicating increased
|| || || || || || || || ||
intracranial pressure? - CORRECT ANSWER✔✔-Altered mental status
|| || || || || ||
Questions With Correct Answers
Which finding noted in the client on continuous ambulatory peritoneal
|| || || || || || || || || ||
dialysis (CAPD) would be reported to the primary health care provider
|| || || || || || || || || || ||
(PHCP)? - CORRECT ANSWER✔✔-Cloudy yellow dialysate output
|| || || || || ||
A client with a history of myasthenia gravis presents at a clinic with bilateral
|| || || || || || || || || || || || ||
ptosis and is drooling, and myasthenic crisis is suspected. The nurse assesses
|| || || || || || || || || || || ||
the client for which precipitating factor? - CORRECT ANSWER✔✔-Omitting
|| || || || || || || || || ||
doses of medication || ||
The nurse is providing teaching to a client with breast cancer who will
|| || || || || || || || || || || || ||
undergo chemotherapy for cancer, and alopecia is expected from the
|| || || || || || || || || ||
chemotherapeutic agent. Which statement made by the client indicates a || || || || || || || || || ||
need for further teaching? - CORRECT ANSWER✔✔-"I can't believe my hair
|| || || || || || || || || || ||
loss is going to be permanent."
|| || || || ||
A client is admitted to the nursing unit after a left below-the-knee
|| || || || || || || || || || || ||
amputation after a crush injury to the foot and lower leg. The client tells the
|| || || || || || || || || || || || || ||
nurse, "I think I'm going crazy. I can feel my left foot itching." How would
|| || || || || || || || || || || || || || || ||
the nurse interpret this client statement? - CORRECT ANSWER✔✔-A normal
|| || || || || || || || || ||
response that indicates the presence of phantom limb sensation
|| || || || || || || ||
,The nurse is participating in a health screening clinic and is preparing
|| || || || || || || || || || || ||
teaching materials about colorectal cancer. Which risk factor for colorectal
|| || || || || || || || || ||
cancer would the nurse include? - CORRECT ANSWER✔✔-Personal history of
|| || || || || || || || || ||
ulcerative colitis or gastrointestinal polyps
|| || || ||
The nurse is caring for a client diagnosed with breast cancer receiving
|| || || || || || || || || || || ||
combination chemotherapy. Which nursing intervention is the most
|| || || || || || || ||
appropriate? - CORRECT ANSWER✔✔-Avoid giving agents with the same
|| || || || || || || || ||
nadirs and toxicities at the same time.
|| || || || || ||
The nurse is preparing to ambulate a client on the third day after cardiac
|| || || || || || || || || || || || || ||
surgery. What would the nurse plan to do to enable the client to best
|| || || || || || || || || || || || || ||
tolerate the ambulation? - CORRECT ANSWER✔✔-Premedicate the client with
|| || || || || || || ||
an analgesic.
|| ||
A client who suffered a brain attack (stroke) is prepared for discharge from
|| || || || || || || || || || || || ||
the hospital. The primary health care provider has prescribed range-of-motion
|| || || || || || || || ||
(ROM) exercises for the client's right side. What action would the nurse
|| || || || || || || || || || || || ||
include in the client's plan of care? - CORRECT ANSWER✔✔-Consider the use
|| || || || || || || || || || ||
of active, passive, or active-assisted exercises in the home.
|| || || || || || || || ||
A client who had cranial surgery 5 days earlier to remove a brain tumor has
|| || || || || || || || || || || || || || ||
a few cognitive deficits and does not seem to be progressing as quickly as
|| || || || || || || || || || || || || ||
the client or family had hoped. The nurse plans to implement which
|| || || || || || || || || || || ||
approach as most helpful to the client and family at this time? - CORRECT
|| || || || || || || || || || || || || ||
ANSWER✔✔-Emphasize progress in a realistic manner. || || || || ||
A client is being transferred to the nursing unit from the postanesthesia care
|| || || || || || || || || || || ||
unit after spinal fusion with rod insertion to treat spinal instability from
|| || || || || || || || || || || || ||
,severe arthritis. The nurse would prepare to transfer the client from the
|| || || || || || || || || || || ||
stretcher to the bed by using which best method? - CORRECT ANSWER✔✔-A
|| || || || || || || || || || ||
transfer (slider) board and the assistance of three people
|| || || || || || || || ||
A cervical radiation implant is placed in a client who is undergoing treatment
|| || || || || || || || || || || ||
of cervical cancer. The nurse would initiate which activity prescription as the
|| || || || || || || || || || || ||
most appropriate for this client? - CORRECT ANSWER✔✔-Bed rest
|| || || || || || || || ||
The nurse is caring for a client diagnosed with Alzheimer's disease. The nurse
|| || || || || || || || || || || ||
would anticipate that the client has changes in which component of the
|| || || || || || || || || || || || ||
nervous system? - CORRECT ANSWER✔✔-Neuronal dendrites
|| || || || ||
The nurse is planning measures to increase bed mobility for a client in
|| || || || || || || || || || || || ||
skeletal leg traction. Which item would the nurse consider to be most helpful
|| || || || || || || || || || || ||
for this client? - CORRECT ANSWER✔✔-Overhead trapeze
|| || || || || || ||
A client with chronic kidney disease who is scheduled for hemodialysis this
|| || || || || || || || || || || ||
morning is due to receive a daily dose of enalapril. When would the nurse
|| || || || || || || || || || || || || ||
plan to administer this medication? - CORRECT ANSWER✔✔-On return from
|| || || || || || || || || ||
dialysis
The nurse has developed a postoperative plan of care for a client who had a
|| || || || || || || || || || || || || ||
thyroidectomy and documents that the client is at risk for developing an
|| || || || || || || || || || || || ||
ineffective breathing pattern. Which nursing intervention would the nurse
|| || || || || || || || ||
include in the plan of care? - CORRECT ANSWER✔✔-Monitor for neck
|| || || || || || || || || || ||
swelling.
, The nurse is reviewing the record of a client admitted to the hospital with a
|| || || || || || || || || || || || || ||
diagnosis of pheochromocytoma. The nurse reads the assessment findings
|| || || || || || || || || ||
and expects to note documentation of which major symptom associated with
|| || || || || || || || || ||
this condition? - CORRECT ANSWER✔✔-Hypertension
|| || || || ||
The nurse is providing instructions to the parents of a child with scoliosis
|| || || || || || || || || || || || ||
regarding the use of a brace. Which statement by the parents indicates a
|| || || || || || || || || || || || ||
need for further instruction? - CORRECT ANSWER✔✔-"I need to apply lotion
|| || || || || || || || || || ||
under the brace to prevent skin breakdown."
|| || || || || ||
A 5-year-old child arrives at the emergency department, and the child's
|| || || || || || || || || || ||
parents state that the child fell off a bunk bed. A head injury is suspected.
|| || || || || || || || || || || || || || ||
The nurse checks the child's airway status and assesses the child for early
|| || || || || || || || || || || || ||
and late signs of increased intracranial pressure (ICP). Which is a late sign of
|| || || || || || || || || || || || ||
increased ICP? - CORRECT ANSWER✔✔-Bradycardia
|| || || || ||
The nurse provides instructions to a client diagnosed with osteoporosis.
|| || || || || || || || || ||
Education about prevention of which complication is the most important? -
|| || || || || || || || || || ||
CORRECT ANSWER✔✔-Fractures ||
The nurse is collecting data related to a client's risk factors associated with
|| || || || || || || || || || || || ||
osteoporosis. Which data would the nurse include? Select all that apply. -
|| || || || || || || || || || || ||
CORRECT ANSWER✔✔-Thin body build, Smoking history, Postmenopausal age,
|| || || || || || ||
Chronic corticosteroid use, Family history of osteoporosis
|| || || || || || ||
The nurse is caring for a client diagnosed with bacterial meningitis. Which
|| || || || || || || || || || || ||
clinical manifestation would the nurse monitor for, indicating increased
|| || || || || || || || ||
intracranial pressure? - CORRECT ANSWER✔✔-Altered mental status
|| || || || || ||
