Adult Health II Exam 2 Practice Questions and
Answers 100% Verified
Question:
The nurse is reviewing the lab values for a client being cared for on the unit.The client's
phosphorus level is currently 2.0 mg/dL. Based on this data, which nursing intervention is
most appropriate for the nurse to implement?
Answer:
D) Encourage consumption of milk and yogurt.
Question:
A home health nurse is providing care for a client diagnosed with heart failure. The client is
taking furosemide (Lasix). The nurse reviews the client's most recent serum potassium,
which was 3.4 mEq/L. Based on this data, which food should the nurse encourage the client
to consume?
Answer:
C) Banana
Question:
Which of the following total serum calcium levels would be considered normal inan adult
client?
Answer:
A) 9.88 mg/dL
,Question:
The nurse is caring for an older adult client who is receiving intravenous fluids at 150 mL/hr.
Upon assessment, the nurse notes crackles, shortness of breath, and jugular vein
distention. Based on this data, which complication ofIV fluid therapy does the nurse
anticipate?
Answer:
B) Fluid volume excess
Question:
An increase in blood hydrostatic pressure would result in which fluid volume disturbance?
Answer:
C) Fluid volume excess because the pressure would force fluid out through the capillary
walls and into the interstitial compartment.
Question:
Which client statement indicates that additional teaching is required?
Answer:
A) "I can use as much salt substitute as I want."
Question:
The nurse is caring for a client with a potassium level of 5.9 mEq/L. The healthcare provider
prescribes both glucose and insulin for the client. The client's spouse asks, "Why is insulin
needed?" Which response by the nurse is the most appropriate?
Answer:
A) "The insulin will cause extra potassium to move into his cells, which will lower the
potassium level in the blood."
, Question:
The nurse is instructing a client diagnosed with heart failure about a prescribed
sodium-restricted diet. Which of the following terms refers to severe, generalized edema,
which may occur as a result of fluid volume excess?
Answer:
B) Anasarca
Question:
The nurse is caring for a client who is receiving intravenous fluids postoperatively following
cardiac surgery. The nurse is aware that this client is at risk for fluid volume excess. The
family asks why the client is at risk for this condition. Which response by the nurse is the
most appropriate?
Answer:
C) "Fluid volume excess is common due to increased levels of antidiuretic hormone in
response to the stress of surgery."
Question:
The nurse is planning care for a client admitted to the unit with a diagnosis of dehydration.
The client's lab values indicate a low level of serum sodium. Based on the assessment
finding, the nurse determines that Risk for ElectrolyteImbalance is an appropriate nursing
diagnosis. Which medical condition supports this nursing diagnosis?
Answer:
C) Hypotonic dehydration
Answers 100% Verified
Question:
The nurse is reviewing the lab values for a client being cared for on the unit.The client's
phosphorus level is currently 2.0 mg/dL. Based on this data, which nursing intervention is
most appropriate for the nurse to implement?
Answer:
D) Encourage consumption of milk and yogurt.
Question:
A home health nurse is providing care for a client diagnosed with heart failure. The client is
taking furosemide (Lasix). The nurse reviews the client's most recent serum potassium,
which was 3.4 mEq/L. Based on this data, which food should the nurse encourage the client
to consume?
Answer:
C) Banana
Question:
Which of the following total serum calcium levels would be considered normal inan adult
client?
Answer:
A) 9.88 mg/dL
,Question:
The nurse is caring for an older adult client who is receiving intravenous fluids at 150 mL/hr.
Upon assessment, the nurse notes crackles, shortness of breath, and jugular vein
distention. Based on this data, which complication ofIV fluid therapy does the nurse
anticipate?
Answer:
B) Fluid volume excess
Question:
An increase in blood hydrostatic pressure would result in which fluid volume disturbance?
Answer:
C) Fluid volume excess because the pressure would force fluid out through the capillary
walls and into the interstitial compartment.
Question:
Which client statement indicates that additional teaching is required?
Answer:
A) "I can use as much salt substitute as I want."
Question:
The nurse is caring for a client with a potassium level of 5.9 mEq/L. The healthcare provider
prescribes both glucose and insulin for the client. The client's spouse asks, "Why is insulin
needed?" Which response by the nurse is the most appropriate?
Answer:
A) "The insulin will cause extra potassium to move into his cells, which will lower the
potassium level in the blood."
, Question:
The nurse is instructing a client diagnosed with heart failure about a prescribed
sodium-restricted diet. Which of the following terms refers to severe, generalized edema,
which may occur as a result of fluid volume excess?
Answer:
B) Anasarca
Question:
The nurse is caring for a client who is receiving intravenous fluids postoperatively following
cardiac surgery. The nurse is aware that this client is at risk for fluid volume excess. The
family asks why the client is at risk for this condition. Which response by the nurse is the
most appropriate?
Answer:
C) "Fluid volume excess is common due to increased levels of antidiuretic hormone in
response to the stress of surgery."
Question:
The nurse is planning care for a client admitted to the unit with a diagnosis of dehydration.
The client's lab values indicate a low level of serum sodium. Based on the assessment
finding, the nurse determines that Risk for ElectrolyteImbalance is an appropriate nursing
diagnosis. Which medical condition supports this nursing diagnosis?
Answer:
C) Hypotonic dehydration
