107 CORRECT DETAILED SOLUTIONS.
Adult Health I Exam 2 Practice Questions
107 CORRECT DETAILED SOLUTIONS.
A client is seen in the emergency department and reports left arm pain, fatigue, palpitations, and
shortness of breath. Which condition would the nurse suspect?
a. Renal Failure
b. Acute Coronary Syndrome
c. Diabetes Mellitus
d. Diabetes Insipidus - ANSWER b. Acute Coronary Syndrome
For a client who has undergone peripheral arteriography, how should the nurse assess the adequacy of
peripheral circulation?
a. Hemodynamic Monitoring
b. Checking for Cardiac Dysrhythmias
c. Checking Peripheral Pulses
d. Observing the Client for Bleeding - ANSWER c. Checking Peripheral Pulses
The nurse uses which term for the normal pacemaker of the heart?
a. Sinoatrial (SA) node
b. Purkinje Fibers
c. Bundle of His
d. Atrioventricular (AV) node - ANSWER a. Sinoatrial (SA) node
The nurse is administering a stool softener to a client who experienced a myocardial infarction. The
client says, "I had a heart attack; I don't have a problem with constipation." What explanation will the
nurse use to answer the clients question?
,Adult Health I Exam 2 Practice Questions
107 CORRECT DETAILED SOLUTIONS.
a. "The heart attack sets you up for limited activity, so constipation is often a problem for clients after a
heart attack"
b. "If you strain to have a bowel movement, you can cause a drop in your heart rate that can be
dangerous"
c. "The prescribed stool softener will decrease stress with a bowel movement and protect your heart
from further injury"
d. "Please talk this over with your healthcare provider for further information" - ANSWER b. "If you
strain to have a bowel movement, you can cause a drop in your heart rate that can be dangerous"
A nurse is preparing a client for a scheduled adenosine stress test. Which statement made by the client
indicates a need for further education?
a. "My family is bringing me a cup of coffee to drink before the test"
b. "The medication will have an effect on my heart similar to exercise"
c. "The effects of this medication will wear off quickly"
d. "I may feel some flushing or nausea with this medication" - ANSWER a. "My family is bringing me a
cup of coffee to drink before the test"
The nurse is caring for a client who has a history of heart disease. What factor should the nurse identify
as possibly contributing to a decrease in cardiac output?
a. An increase in preload related to ambulation
b. A heart rate of 54 bpm
, Adult Health I Exam 2 Practice Questions
107 CORRECT DETAILED SOLUTIONS.
c. A change in position from standing to sitting
d. A pulse oximetry reading of 94% - ANSWER b. A heart rate of 54 bpm
The nurse's assessment of an older adult client reveals the following data: Lying BP 144/82 mmHg,
sitting BP 121/69 mmHg, standing BP 98/56 mmHg. The nurse should consequently identify what
nursing diagnosis in the client's plan of care?
a. Risk for ineffective role performance related to hypotension
b. Risk for falls related to orthostatic hypotension
c. Risk for imbalanced fluid balance related to hemodynamic variability
d. Risk for ineffective breathing pattern related to hypotension - ANSWER b. Risk for falls related to
orthostatic hypotension
A female patient is being seen in the ER complaining of fatigue and shoulder blade discomfort. She is
also short of breath. Based on these symptoms, what will the nurse suspect?
a. Intracerebral Hemorrhage
b. Stroke
c. Myocardial Infarction (MI)
d. Deep Vein Thrombosis (DVT) - ANSWER c. Myocardial Infarction (MI)
The nurse is caring for a client who is having chest pain associated with a myocardial infarction (MI).
What medication will the nurse administer intravenously to reduce pain and anxiety?
a. Fentanyl
b. Codeine Sulfate