ADULT HEALTH FINAL EXAMS
WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED
DETAILED ANSWERS ALREADY
GRADED A+ GUARANTEED PASS
The client diagnosed with addison's disease is admitted to the ER after a day at the lake. The client is
lethargic, forgetful and weak. Which intervention should be the emergency room nurses first action?
a. Start an IV with an 18-gauge needle and infuse NS rapidly.
b. Have the client wait in the waiting room until a bed is available.
c. Obtain a permit for the client to receive a blood transfusion
d. Collect urinalysis and blood samples for a CBC and calcium level.
Start an IV with an 18 gauge needle to infuse NS rapidly
Which signs and symptoms would make the nurse suspect that the client is experiencing a Thyroid
Storm?
Hyperpyrexia and Extreme Tachycardia
The nurse asks the client to state her name as soon as she regains consciousness post-operatively after a
subtotal thyroidectomy at each assessment. The nurse does this to assess for what?
a. Internal hemorrhage.
b. Decreasing level of consciousness.
c. Laryngeal nerve damage.
d. Upper airway obstruction.
Laryngeal Nerve damage
Following a transsphenoidal hypophysectomy the nurse should assess the client for?
a. Cerebrospinal fluid (CSF) leak.
b. Fluctuating blood glucose levels.
c. Cushing's syndrome.
d. Cardiac arrthymias.
CSF leakage
The nurse should monitor the patient for cushing's disease for which finding?
,Decreased uric calcium levels**
A nurse is caring for a client after a craniotomy for a pituitary tumor and has developed DI. The client is
receiving vasopressors (Pitressin). The desired response of the medication is what?
Urine output to decrease
The nurse is providing care to a patient that had bilateral adrenalectomy. Which assessment information
requires the most rapid action by the nurse?
a. The blood glucose is 176 mg/dL.
b. The lungs have bibasilar crackles.
c. The blood pressure (BP) is 88/50 mm Hg.
d. The patient reports 5/10 incisional pain.
The blood pressure is 88/50
A clients is hospitalized for possible SIADH, the client is confused and reports having muscle cramps and
twitching. The nurse would expect which laboratory results to report what?
a. serum sodium of 125 mEq/L (125 mmol/L).
b. hematocrit of 52%.
c. blood urea nitrogen (BUN) of 22 mg/dl (11.5 mmol/L).
d. serum chloride of 110 mEq/L (110 mmol/L).
A decreased sodium
A patient with primary hyperparathyroidism has a serum phosphorus level of 1.7 mg/dL (0.55 mmol/L)
and calcium of 14 mg/dL (3.5 mmol/L). Which nursing action should be included in the plan of care?
a. Restrict the patient to bed rest.
b. Encourage 4000 mL of fluids daily.
c. Institute routine seizure precautions.
d. Assess for positive Chvostek's sign.
Encourage 3000-4000 mL of oral fluids daily
A patient arrives at the ER and is unable to give a health history due to altered mental status.The family
reports the patient has gained over 10 pounds in a week and says its mainly water weight. In addition
they report the patient has not been able to urinate or eat within the past week, as well as recently
diagnosed with small cell lung cancer. On assessment you know that their HR is 115, BP 180/92, and
sodium level is 90. Which of the following conditions do you suspect the patient is most likely presenting
with?
a. Addison's Disease
b. Fluid Volume Deficient
c. SIADH
d. Diabetes Insipidus
SIADH
Which of the following should raise suspicion to the nurse that a head injury is experiencing DI?
Urine Specific gravity is low
, A patient has undergone a sub thyroidectomy is subject to complications in the first 48 hours. The nurse
should obtain and keep at the bedside equipment to do what?
a. Begin total parenteral nutrition.
b. Start a cutdown infusion.
c. Administer tube feedings.
d. Perform a tracheotomy.
Perform a tracheostomy
To provide oral hygiene for a client with recovering transsphenoidal hypophysectomy the nurse should
instruct the client to?
1. Rinse the mouth with saline solution.
2. Perform frequent toothbrushing.
3. Clean the teeth with an electric toothbrush.
4. Floss the teeth thoroughly
Rinse the mouth with normal saline
Which outcome is a priority for the client with addison's disease?
Continue therapy
Which information should the nurse include in the teaching plan of female with bilateral
adrenalectomy?
A. The client will need steroid replacement for the rest of
her life.
B. The client must decrease the dose of steroid
medication carefully to prevent crisis.
C. The client will require steroids only until her body can
manufacture sufficient quantities.
D. The client will need to take steroids whenever her life
involves physical or emotional stress.
A. The client will need steroid replacement for the rest of
her life.
A 33 year old female is diagnosed with hypothyroidism. What should the nurse assess the client for?
Select all that apply:
1. Rapid pulse.
2. Decreased energy and fatigue.
3. Weight gain of 10 lb.
4. Fine, thin hair with hair loss.
5. Constipation.
6. Menorrhagia.
a. Hypotension
b. Rapid pulse
c. Decreased energy and fatigue
d. Weight gain of 10 pounds
WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED
DETAILED ANSWERS ALREADY
GRADED A+ GUARANTEED PASS
The client diagnosed with addison's disease is admitted to the ER after a day at the lake. The client is
lethargic, forgetful and weak. Which intervention should be the emergency room nurses first action?
a. Start an IV with an 18-gauge needle and infuse NS rapidly.
b. Have the client wait in the waiting room until a bed is available.
c. Obtain a permit for the client to receive a blood transfusion
d. Collect urinalysis and blood samples for a CBC and calcium level.
Start an IV with an 18 gauge needle to infuse NS rapidly
Which signs and symptoms would make the nurse suspect that the client is experiencing a Thyroid
Storm?
Hyperpyrexia and Extreme Tachycardia
The nurse asks the client to state her name as soon as she regains consciousness post-operatively after a
subtotal thyroidectomy at each assessment. The nurse does this to assess for what?
a. Internal hemorrhage.
b. Decreasing level of consciousness.
c. Laryngeal nerve damage.
d. Upper airway obstruction.
Laryngeal Nerve damage
Following a transsphenoidal hypophysectomy the nurse should assess the client for?
a. Cerebrospinal fluid (CSF) leak.
b. Fluctuating blood glucose levels.
c. Cushing's syndrome.
d. Cardiac arrthymias.
CSF leakage
The nurse should monitor the patient for cushing's disease for which finding?
,Decreased uric calcium levels**
A nurse is caring for a client after a craniotomy for a pituitary tumor and has developed DI. The client is
receiving vasopressors (Pitressin). The desired response of the medication is what?
Urine output to decrease
The nurse is providing care to a patient that had bilateral adrenalectomy. Which assessment information
requires the most rapid action by the nurse?
a. The blood glucose is 176 mg/dL.
b. The lungs have bibasilar crackles.
c. The blood pressure (BP) is 88/50 mm Hg.
d. The patient reports 5/10 incisional pain.
The blood pressure is 88/50
A clients is hospitalized for possible SIADH, the client is confused and reports having muscle cramps and
twitching. The nurse would expect which laboratory results to report what?
a. serum sodium of 125 mEq/L (125 mmol/L).
b. hematocrit of 52%.
c. blood urea nitrogen (BUN) of 22 mg/dl (11.5 mmol/L).
d. serum chloride of 110 mEq/L (110 mmol/L).
A decreased sodium
A patient with primary hyperparathyroidism has a serum phosphorus level of 1.7 mg/dL (0.55 mmol/L)
and calcium of 14 mg/dL (3.5 mmol/L). Which nursing action should be included in the plan of care?
a. Restrict the patient to bed rest.
b. Encourage 4000 mL of fluids daily.
c. Institute routine seizure precautions.
d. Assess for positive Chvostek's sign.
Encourage 3000-4000 mL of oral fluids daily
A patient arrives at the ER and is unable to give a health history due to altered mental status.The family
reports the patient has gained over 10 pounds in a week and says its mainly water weight. In addition
they report the patient has not been able to urinate or eat within the past week, as well as recently
diagnosed with small cell lung cancer. On assessment you know that their HR is 115, BP 180/92, and
sodium level is 90. Which of the following conditions do you suspect the patient is most likely presenting
with?
a. Addison's Disease
b. Fluid Volume Deficient
c. SIADH
d. Diabetes Insipidus
SIADH
Which of the following should raise suspicion to the nurse that a head injury is experiencing DI?
Urine Specific gravity is low
, A patient has undergone a sub thyroidectomy is subject to complications in the first 48 hours. The nurse
should obtain and keep at the bedside equipment to do what?
a. Begin total parenteral nutrition.
b. Start a cutdown infusion.
c. Administer tube feedings.
d. Perform a tracheotomy.
Perform a tracheostomy
To provide oral hygiene for a client with recovering transsphenoidal hypophysectomy the nurse should
instruct the client to?
1. Rinse the mouth with saline solution.
2. Perform frequent toothbrushing.
3. Clean the teeth with an electric toothbrush.
4. Floss the teeth thoroughly
Rinse the mouth with normal saline
Which outcome is a priority for the client with addison's disease?
Continue therapy
Which information should the nurse include in the teaching plan of female with bilateral
adrenalectomy?
A. The client will need steroid replacement for the rest of
her life.
B. The client must decrease the dose of steroid
medication carefully to prevent crisis.
C. The client will require steroids only until her body can
manufacture sufficient quantities.
D. The client will need to take steroids whenever her life
involves physical or emotional stress.
A. The client will need steroid replacement for the rest of
her life.
A 33 year old female is diagnosed with hypothyroidism. What should the nurse assess the client for?
Select all that apply:
1. Rapid pulse.
2. Decreased energy and fatigue.
3. Weight gain of 10 lb.
4. Fine, thin hair with hair loss.
5. Constipation.
6. Menorrhagia.
a. Hypotension
b. Rapid pulse
c. Decreased energy and fatigue
d. Weight gain of 10 pounds
