Adult Health 2019 Proctored Exam Questions and answers 100% Verified with Rationales

Adult Health 2019 Proctored Exam Questions and answers 1. A nurse is preparing to administer thrombolytic therapy to a client who had an ischemic stroke. Which of the following is an appropriate nursing action? a. Start the therapy within 8 hr b. Insert an indwelling urinary catheter after therapy begins c. Monitor blood pressure every 30 min during the infusion d. Elevate the head of bed between 25 and 30 2. A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching? a. Place hands on the upper abdomen during inhalation b. Exhale slowly through pursed lips c. Hold breaths about 3 to 5 seconds before exhaling d. Position the mouthpiece 2.5 cm (1 in) from the mouth 3. A nurse is assessing a client who is 12 hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Hgb 8.2 g/dL c. Gastric pH of 3.0 d. Absent bowel sounds 4. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Regular insulin b. Furosemide c. Desmopressin d. Lithium carbonate 5. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following tests should the nurse monitor? a. Stool for occult blood b. Urine for white blood cells c. Fasting blood glucose d. Serum calcium 6. A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.) a. Obtain a sputum sample for culture b. Prepare the client for a chest x-ray c. Initiate airborne precautions d. Administer ondansetron 7. A nurse is contacting the provider of a client who has cancer and is experiencing breakthrough pain. Which of the following prescriptions should the nurse anticipate? a. Intravenous dexamethasone b. Transmucosal fentanyl c. Oral acetaminophen d. Intramuscular meperidine 8. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of the following should the nurse analyze to determine whether the client is experiencing a myocardial infarction? a. QRS duration b. ST segment c. T wave d. PR interval 9. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which of the following instructions should the nurse include? a. Apply over-the-counter moisturizer to the radiation site b. Cover the radiation site loosely with a gauze wrap before dressing c. Use a soft washcloth to clean the area around the radiation site d. Pat the skin on the radiation site to dry it 10. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications? a. Acetaminophen b. Furosemide c. Diphenhydramine d. Pantoprazole 11. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of hypomagnesemia. Which of the following findings indicates effectiveness of the medication? a. Lungs clear b. Hyperactive bowel sounds c. Blood pressure 90/50 mm Hg d. Apical pulse 82/min 12. A nurse is preparing a client for a lumbar puncture. Which of the following images indicates the position the nurse should assist the client into for this procedure? Answer is exhibit “C” – picture shows pt lying in side-lying left position 13. A nurse is reviewing a client’s ABG results: pH 7.42, PaCO2 30 mm Hg, and HCO3- 21 mEq/L. The nurse should recognize these findings as an indication of which of the following conditions? a. Compensated respiratory alkalosis b. Uncompensated respiratory acidosis c. Metabolic acidosis d. Metabolic alkalosis 14. A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold? a. Metoprolol b. Metformin c. Fluticasone d. Valproic acid 15. A nurse is planning care for a client who is experiencing seizures secondary to meningitis. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) a. Assist the client to ambulate every 4 hr b. Place a tongue blade at the bedside c. Have suction equipment at the bedside d. Dim the overhead lights e. Apply a warming blanket 16. A nurse is caring for a client who has a pressure ulcer with necrotic tissue and requires wet- to-damp dressing changes daily. Which of the following types of debridement should the nurse include in the plan of care? a. Enzymatic b. Surgical c. Autolytic d. Mechanical 17. A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect? a. Elevated platelet count b. Decreased total bilirubin c. Generalized rash d. Hypertension 18. A nurse is preparing to administer a medication for a client through a non-tunneled percutaneous central catheter. Which of the following actions should the nurse take? a. Close the inline clamp b. Apply a local anesthetic to the skin c. Don sterile gloves d. Flush the catheter with 10 mL of 0.9% sodium chloride 19. A nurse is caring for a client who was admitted with nausea, vomiting, and a possible bowel obstruction. An NG tube is placed and set to low intermittent suction. Which of the following findings should the nurse report to the provider? a. The client reports being extremely thirsty with a sore throat b. The drainage is bright green in color with brown fecal material c. The amount of drainage is gradually decreasing d. The client’s abdomen becomes distended and firm 20. A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings should the nurse expect? a. Elevated blood pressure b. Hypothermia c. Urine specific gravity 1.001 d. BUN 15 mg/dL 21. A nurse is caring for a client who has hyperthyroidism and develops thyroid storm. Which of the following instructions should the nurse give to the client regarding management of thyroid storm? a. You will need to begin taking an ACE inhibitor medication b. You will need a pacemaker to increase your heart rate c. You will need a cooling blanket to lower your body temperature d. You will need additional thyroid supplementation 22. A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results? a. Uric acid b. Intrinsic factor c. Creatinine kinase d. Chloride level 23. A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions should the nurse take? a. Use clean technique to access the catheter b. Chill the dialysate before administration c. Hang the drainage bag below the client’s abdomen d. Place the client in high-Fowler’s position 24. A nurse in the emergency department is caring for a client who has deep partial-thickness burns over 30% of his body, including his upper chest and abdomen. Which of the following actions is the nurse’s priority? a. Insert an 18-gauge IV catheter b. Administer tetanus toxoid c. Check the client’s mouth for black particles d. Remove the client’s burned clothing 25. A nurse is presenting an in-service program about Parkinson’s disease (PD). Which of the following statements should the nurse include in the teaching? a. PD results from a decreased amount of dopamine in the client’s brain b. PD causes clients to have an increased sympathetic nervous system response c. PD results in the development of neurofibrillary tangles within the client’s brain d. PD manifestations worsen due to the client’s decreased production of acetylcholine