TEST BANK FOR ADULT
x x x x
HEALTH NURSING UPGRADEDx x x
EXAM QUESTIONS AND x x x
ANSWERS x x
The xnurse xon xthe xneurological xunit xis xpositioning xa xclient xwho xhad xa xstroke xtwo xdays xago xand xhad
xleftsided xhemiparesis. xWhich xof xthe xfollowing xactions xby xthe xnurse xwould xbe xappropriate? xSelect
xall xthat xapply. x
a. Positioning xa xrolled xwashcloth xin xthe xclient's xleft xhand x
b. Placing xa xfoam xabduction xwedge xbetween xthe xclient's xlegs x
c. Grasping xthe xclient's xleft xarm xto xpull xthe xclient xfrom xsupine xto xa xright xside-lying xposition xd.
Securing xthe xleft xarm xin xa xsling x
x
e.Putting xa xtrochanter xroll xon xthe xoutside xof xthe xclient's xleft xhip xwhen xthe xclient xis xsupine. x-
xCORRECT x
ANSWER x-d. xSecuring xthe xleft xarm xin xa xsling x
e. xPutting xa xtrochanter xroll xon xthe xoutside xof xthe xclient's xleft xhip xwhen xthe xclient xis xsupine. x
x
The xnurse xis xcaring xfor xa xclient xwho xhas xexpressive xaphasia xfollowing xa xstroke. xThe xnurse xhas
xtaught xthe xclient's xspouse xabout xways xto xfacilitate xcommunication. xWhich xof xthe xfollowing
xcomments xby xthe xclient's xspouse xwould xrequire xfollow-up? x
a. "I xwait xafter xI xask xmy xspouse xa xquestion, xto xgive xas xmuch xtime xas xneeded xto xanswer." x
b. "I xask xmy xspouse xquestions xlike, x'Do xyou xlike xthis xmovie?' xinstead xof x'What xdo xyou xthink xof xthis
xmovie?'" x
c. "I xact xlike xI xunderstand xwhen xI xdo xnot, xso xthat xmy xspouse xwill xnot xbecome xfrustrated." x
d."I xtell xmy xspouse, x'Point xto xwhat xyou xwant" xso xI xdo xnot xget xfrustrated xtrying xto xunderstand." x-
xCORRECT x
ANSWER x-c. x"I xact xlike xI xunderstand xwhen xI xdo xnot, xso xthat xmy xspouse xwill xnot xbecome xfrustrated."
x
The xnurse xis xcaring xfor xa xclient xwith xincreased xintracranial xpressure x(ICP) xwho xhas xdeveloped
xsyndrome xof xinappropriate xantidiuretic xhormone x(SIADH). xWhich xof xthe xfollowing xprescribed
xinterventions xshould xthe xnurse ximplement? x
,a. Electrolyte xrestriction x
b. Electrolyte xreplacement x
c. Fluid xreplacement x
d. Fluid xrestriction x- xCORRECT xANSWER x-d. xFluid xrestriction x
x
The xnurse xis xplanning xcare xfor xa xclient xwho xhas xa xrecent xdiagnosis xof xmultiple xsclerosis x(MS).
xWhich xof xthe xfollowing xinterventions xshould xthe xnurse xinclude xin xthe xclient's xcare xplan? x
a. Instruct xthe xclient xon xdaily xmuscle xstretching xexercises x
b. Provide xtotal xassistance xwith xall xactivities xof xdaily xliving x(ADLs) x
c. Encourage xthe xclient xto xfollow xa xlow-residue xdiet x
d.Encourage xclient xto xvoid xevery xhour x- xCORRECT xANSWER x-a. xInstruct xthe xclient xon xdaily xmuscle
xstretching xexercises x
x
The xnurse xis xcaring xfor xa xgroup xof xassigned xclients. xWhich xof xthe xfollowing xclient's xshould xthe
xnurse xsee xfirst? x
a. The xclient xwith xulcerative xcolitis xwho xreports xleft xlower xquadrant xabdominal xpain xand
xpassing xstools xthat xappear xbloody xwith xmucus xand xpus. x
b. The xclient xwith xbreast xcancer xreceiving xprescribed xchemotherapy xwhose xplatelet xcount xis
x52,000/uL xand xreports xhaving xshaking xchills. x
c. The xclient xwith xhepatitis xB xvirus xwho xwas xadmitted xwith xjaundice xand xnow xhas xchanges xin
xcognitive xfunction. x
d. The xclient xrecovering xfrom xan xischemic xstroke xwho xhas xdecreased xlung xsounds, xproductive
xcough xand xa xtemperature xof x104.8 xF. x- xCORRECT xANSWER x-d. xThe xclient xrecovering xfrom xan
xischemic xstroke xwho xhas xdecreased xlung xsounds, xproductive xcough xand xa xtemperature xof x104.8 xF. x
x
The xnurse xis xplanning xan xeducation xconference xabout xanticoagulation xand xthe xdirect xfactor xXa
xinhibitor xmedications. xSelect xall xthat xapply. x
a. Aspirin x
b. Coumadin x
c. Dipyridamole x
, d. Rivaroxaban x
e. Apixaban x- xCORRECT xANSWER x-b. xCoumadin x
d. Rivaroxaban x
e. Apixaban x
x
The xnurse xin xan xoutpatient xsetting xis xassessing xa xclient's xrisk xfor xischemic xstroke. xThe xnurse xshould
xassess xfor xwhich xof xthe xfollowing xconditions? xSelect xall xthat xapply. x
a. Atrial xfibrillation x
b. Hemophilia x
c. Diabetes xMellitus x
d. Epilepsy x
e. Concussion x
f. Carotid xStenosis x- xCORRECT xANSWER x-a. xAtrial xfibrillation x
c. xDiabetes xMellitus x
f. xCarotid xStenosis x
x
The xnurse xis xcaring xfor xa xclient xwith xa xtraumatic xbrain xinjury x(TBI) xfollowing xa xfall. xWhich xof xthe
following xmedications xshould xthe xnurse xanticipate xbeing xprescribed xfor xthe xclient xto xreduce
x
cerebral xedema? xa. xMannitol x
x
b. Spirolactone x
c. Furosemide x
d. Hydrochlorothiazide x- xCORRECT xANSWER x-a. xMannitol x
The xnurse xis xpreparing xto xadminister xprescribed xdexamethasone x7.5 xmg xdaily xin xdivided xdoses
xevery x6 xhours xto xa xclient xwith xvasogenic xedema. xThe xnurse xhas x10 xmg/mL xavailable. xHow xmany
xmL xper xdose xshould xthe xnurse xadminister? xRound xyour xanswer xto xthe xnearest xtenth xplace. x-
xCORRECT xANSWER x-0.2 x
x
x x x x
HEALTH NURSING UPGRADEDx x x
EXAM QUESTIONS AND x x x
ANSWERS x x
The xnurse xon xthe xneurological xunit xis xpositioning xa xclient xwho xhad xa xstroke xtwo xdays xago xand xhad
xleftsided xhemiparesis. xWhich xof xthe xfollowing xactions xby xthe xnurse xwould xbe xappropriate? xSelect
xall xthat xapply. x
a. Positioning xa xrolled xwashcloth xin xthe xclient's xleft xhand x
b. Placing xa xfoam xabduction xwedge xbetween xthe xclient's xlegs x
c. Grasping xthe xclient's xleft xarm xto xpull xthe xclient xfrom xsupine xto xa xright xside-lying xposition xd.
Securing xthe xleft xarm xin xa xsling x
x
e.Putting xa xtrochanter xroll xon xthe xoutside xof xthe xclient's xleft xhip xwhen xthe xclient xis xsupine. x-
xCORRECT x
ANSWER x-d. xSecuring xthe xleft xarm xin xa xsling x
e. xPutting xa xtrochanter xroll xon xthe xoutside xof xthe xclient's xleft xhip xwhen xthe xclient xis xsupine. x
x
The xnurse xis xcaring xfor xa xclient xwho xhas xexpressive xaphasia xfollowing xa xstroke. xThe xnurse xhas
xtaught xthe xclient's xspouse xabout xways xto xfacilitate xcommunication. xWhich xof xthe xfollowing
xcomments xby xthe xclient's xspouse xwould xrequire xfollow-up? x
a. "I xwait xafter xI xask xmy xspouse xa xquestion, xto xgive xas xmuch xtime xas xneeded xto xanswer." x
b. "I xask xmy xspouse xquestions xlike, x'Do xyou xlike xthis xmovie?' xinstead xof x'What xdo xyou xthink xof xthis
xmovie?'" x
c. "I xact xlike xI xunderstand xwhen xI xdo xnot, xso xthat xmy xspouse xwill xnot xbecome xfrustrated." x
d."I xtell xmy xspouse, x'Point xto xwhat xyou xwant" xso xI xdo xnot xget xfrustrated xtrying xto xunderstand." x-
xCORRECT x
ANSWER x-c. x"I xact xlike xI xunderstand xwhen xI xdo xnot, xso xthat xmy xspouse xwill xnot xbecome xfrustrated."
x
The xnurse xis xcaring xfor xa xclient xwith xincreased xintracranial xpressure x(ICP) xwho xhas xdeveloped
xsyndrome xof xinappropriate xantidiuretic xhormone x(SIADH). xWhich xof xthe xfollowing xprescribed
xinterventions xshould xthe xnurse ximplement? x
,a. Electrolyte xrestriction x
b. Electrolyte xreplacement x
c. Fluid xreplacement x
d. Fluid xrestriction x- xCORRECT xANSWER x-d. xFluid xrestriction x
x
The xnurse xis xplanning xcare xfor xa xclient xwho xhas xa xrecent xdiagnosis xof xmultiple xsclerosis x(MS).
xWhich xof xthe xfollowing xinterventions xshould xthe xnurse xinclude xin xthe xclient's xcare xplan? x
a. Instruct xthe xclient xon xdaily xmuscle xstretching xexercises x
b. Provide xtotal xassistance xwith xall xactivities xof xdaily xliving x(ADLs) x
c. Encourage xthe xclient xto xfollow xa xlow-residue xdiet x
d.Encourage xclient xto xvoid xevery xhour x- xCORRECT xANSWER x-a. xInstruct xthe xclient xon xdaily xmuscle
xstretching xexercises x
x
The xnurse xis xcaring xfor xa xgroup xof xassigned xclients. xWhich xof xthe xfollowing xclient's xshould xthe
xnurse xsee xfirst? x
a. The xclient xwith xulcerative xcolitis xwho xreports xleft xlower xquadrant xabdominal xpain xand
xpassing xstools xthat xappear xbloody xwith xmucus xand xpus. x
b. The xclient xwith xbreast xcancer xreceiving xprescribed xchemotherapy xwhose xplatelet xcount xis
x52,000/uL xand xreports xhaving xshaking xchills. x
c. The xclient xwith xhepatitis xB xvirus xwho xwas xadmitted xwith xjaundice xand xnow xhas xchanges xin
xcognitive xfunction. x
d. The xclient xrecovering xfrom xan xischemic xstroke xwho xhas xdecreased xlung xsounds, xproductive
xcough xand xa xtemperature xof x104.8 xF. x- xCORRECT xANSWER x-d. xThe xclient xrecovering xfrom xan
xischemic xstroke xwho xhas xdecreased xlung xsounds, xproductive xcough xand xa xtemperature xof x104.8 xF. x
x
The xnurse xis xplanning xan xeducation xconference xabout xanticoagulation xand xthe xdirect xfactor xXa
xinhibitor xmedications. xSelect xall xthat xapply. x
a. Aspirin x
b. Coumadin x
c. Dipyridamole x
, d. Rivaroxaban x
e. Apixaban x- xCORRECT xANSWER x-b. xCoumadin x
d. Rivaroxaban x
e. Apixaban x
x
The xnurse xin xan xoutpatient xsetting xis xassessing xa xclient's xrisk xfor xischemic xstroke. xThe xnurse xshould
xassess xfor xwhich xof xthe xfollowing xconditions? xSelect xall xthat xapply. x
a. Atrial xfibrillation x
b. Hemophilia x
c. Diabetes xMellitus x
d. Epilepsy x
e. Concussion x
f. Carotid xStenosis x- xCORRECT xANSWER x-a. xAtrial xfibrillation x
c. xDiabetes xMellitus x
f. xCarotid xStenosis x
x
The xnurse xis xcaring xfor xa xclient xwith xa xtraumatic xbrain xinjury x(TBI) xfollowing xa xfall. xWhich xof xthe
following xmedications xshould xthe xnurse xanticipate xbeing xprescribed xfor xthe xclient xto xreduce
x
cerebral xedema? xa. xMannitol x
x
b. Spirolactone x
c. Furosemide x
d. Hydrochlorothiazide x- xCORRECT xANSWER x-a. xMannitol x
The xnurse xis xpreparing xto xadminister xprescribed xdexamethasone x7.5 xmg xdaily xin xdivided xdoses
xevery x6 xhours xto xa xclient xwith xvasogenic xedema. xThe xnurse xhas x10 xmg/mL xavailable. xHow xmany
xmL xper xdose xshould xthe xnurse xadminister? xRound xyour xanswer xto xthe xnearest xtenth xplace. x-
xCORRECT xANSWER x-0.2 x
x
