ADULT HEALTH FINAL EXAM REVIEW
QUESTIONS WITH CORRECT ANSWERS
* bThe bnurse bis bteaching ba bclient brecently bdiagnosed bwith brheumatoid barthritis b(RA)
babout bhome bcare band bmanagement bof bsymptoms. bWhat bshould bthe bnurse
bencourage bthe bclient bto bdo bat bhome? bSelect ball bthat bapply.
A bAllow bperiods bof brest bin bthe bafternoon
B bPerform brange bof bmotion bexercises bdaily
C bPlace ba bpillow bunder bthe bknees bat bnight bbefore bsleeping
D bUse bheating bpacks bto brelax bstiff bjoints bas bneeded b- bcorrect banswer✔✔A, bB, bD
A bPatient bpresents bwith ba bbutterfly bshaped berythematous brash baround bthe bbridge
bof bthe bnose band bcheeks. bThis bis ba bsign bof bwhat bautoimmune bdisease?
A bGraves' bdisease
B bSystemic bLupus bErythematosus
C bCrohn's bdisease
D bMultiple bsclerosis b- bcorrect banswer✔✔B
* bA bclient bhas ban barm bcast band breports bthat bit bfeels breally btight, band bthe bfingers
bare bpuffy. bWhat bis bthe bnurse's bbest bresponse?
A bElevate byour barm bon btwo bpillows band bapply bice bto bthe bcast
B bContinue bto btake bibuprofen b(Motrin) buntil bthe bswelling bsubsides
C bIt bis bnormal bfor ba bnew bcast bto bfeel ba blittle btight bfor bthe bfirst bfew bdays
D bPlease bcome bto bthe bclinic btoday bto bhave byour barm bchecked bby bthe bhealth
bcare bprovider b- bcorrect banswer✔✔B
* bA bclient bwho bhas bsustained ba bcrush binjury bto bthe bright blower bleg breports
bnumbness band btingling bof bthe baffected bextremity. bThe bskin bof bthe bright bleg
bappears bpale. bWhich bis bthe bnurse's bfirst bintervention?
A bAssess bpedal bpulses.
B bApply boxygen bby bnasal bcannula.
C bIncrease bthe bIV bflow brate.
D bDocument bthe bfinding. b- bcorrect banswer✔✔A
,The bpatient bhas bbeen bdiagnosed bwith ba bfractured bhip. bWhich bof bthe bfollowing
bfindings bdid bthe bpatient bhave, bthat bis bthe bmost btypical bsign bfor ba bfractured bhip?
A bPain bin bthe bhip band baffected bleg
B bDiminished bsensation bin bthe baffected bleg
C bMisalignment bof bthe baffected bextremity
D bAbsence bof bpedal band bfemoral bpulses bin bthe baffected bextremity b- bcorrect
banswer✔✔C
* bWhich bof bthe bfollowing bsigns band bsymptoms bof bincreased bICP bafter bhead
btrauma bwould bappear bfirst?
A bBradycardia
B bLarge bamounts bof bvery bdilute burine
bC bRestlessness band bconfusion
D bWidened bpulse bpressure b- bcorrect banswer✔✔C
*A bclient barrives bin bthe bemergency bdepartment bwith ban bischemic bstroke band
breceives btissue bplasminogen bactivator b(t-PA) badministration. bWhich bis bthe bpriority
bnursing bassessment?
A bTime bof bonset bof bcurrent bstroke
B bComplete bphysical band bhistory
C bCurrent bmedication
D bUpcoming bsurgical bprocedures b- bcorrect banswer✔✔A
A b78-year-old bclient bis badmitted bto bthe bemergency bdepartment bwith bnumbness
band bweakness bof bthe bleft barm band bslurred bspeech. bWhich bnursing bintervention bis
ba bpriority?
A. bPrepare bto badminister ba brecombinant btissue bplasminogen bactivator b(rt-PA).
B. bDiscuss bthe bprecipitating bfactors bthat bcaused bthe bsymptoms.
C. bSchedule bfor bA bSTAT bcomputer btomography b(CT) bscan bof bthe bhead.
D. bNotify bthe bspeech bpathologist bfor ban bemergency bconsultation. b- bcorrect
banswer✔✔A
Which bof bthe bfollowing bvalues bis bconsidered bnormal bfor bICP?
1. b0 bto b10 bmm bHg
2. b25 bmm bHg
3. b35 bto b45 bmm bHg
4. b60 bto b75 bmm bHg b- bcorrect banswer✔✔1
* bWhich bof bthe bfollowing bare bexpected bsigns band bsymptoms bof ba bleft bsided
bischemic bstroke? bSelect ball bthat bapply.
A. bright bsided bfacial bnumbness
B. bLeft bsided bweakness
C. bDifficulty bwalking bor bholding bbalance
D. bHeadache
E.A&O bX b4 b- bcorrect banswer✔✔A, bC, bD
, *Which bof bthe bfollowing bare bearly bsigns band bsymptoms bof bincreased bintracranial
bpressure b(ICP)? bSelect ball bthat bapply
a. bchange bin bLOC
b. bIncreased burinary boutput
c. bWeakness bin bone bextremity bor bone bside
d. bPupillary bchanges
e. bWeight bloss b- bcorrect banswer✔✔A, bC, bD
*A bPatient bhas bjust bbeen btransferred bto bthe bPACU bafter bsurgery. bWhat bshould bbe
bthe bnurse's bpriority baction?
A bEarly bambulation.
B bRepositioning bthe bpatient bevery btwo bhours bto bprevent bpressure binjuries.
C bMaintaining bpatient bairways band bO2 blevels
D bAssessing bfor bsigns bof binfection
E bAdministering bpain bmedications bas bordered b- bcorrect banswer✔✔C
*The bnurse brecognizes bthe bvalue bof bleg bexercises bin bthe bprevention bof
bpostoperative bthrombophlebitis. bWhen bshould bthe bnurse bteach bthe bcorrect
btechnique bfor bleg bexercises bto ba bpatient?
A bUpon btransfer bfrom bpost banesthetic bcare bunit bto bthe bpost bsurgical bunit
B bPrior bto bsurgery
bC bWhen bearly bsigns bof bvenous bstasis bare bevident
D bIn bpost banesthetic brecovery b- bcorrect banswer✔✔B
*The bnurse bis bproviding bteaching bto ba bpatient bregarding bpain bcontrol bafter
bsurgery. bWhat btime bdoes bthe bnurse binform bthe bpatient bis bthe bbest btime bto
brequest bpain bmedication?
A bBefore bthe bpain bbecomes bsevere
B bAfter bthe bpain bbecomes bsevere band bother brelaxation btechniques bhave bfailed
C bWhen bthe bpatient bexperiences bpain brating bof b"9" bon ba b1-10 bpain bscale
bD bWhen bthere bis bno bpain, bbut bit bis btime bfor bthe bmedication bto bbe badministered
b- bcorrect banswer✔✔A
A bclient bdevelops bmalignant bhyperthermia. bWhat bclient bsymptoms bwould bthe bnurse
bmost blikely bobserve bas bthe bfirst bindicator bof bthe bdisorder?
A bTetanus-like bjaw bmovements
B bGeneralized bmuscle brigidity
C bHeart brate bover b150 bbeats bper bminute
D bBody btemperature bincrease bof b1-2 bdegrees bcelsius b- bcorrect banswer✔✔C
A bnurse bis beducating ba bclient babout bthe bimportance bof bunderstanding bher bpost bop
bneeds. bThe bnurse bknows bthat bthe bclient bunderstands bwith bwhich bresponse?
A b"I bcan bsign bthe bconsent bfor bthe bprocedure bafter bthe bprocedure bwhen bI'm babout
bto bgo bhome"
B b"If bI bam bgiven banesthesia bor ba bsedative bduring bthe bprocedure, bmy bhusband bwill
bhave bto bdrive bus bhome"
QUESTIONS WITH CORRECT ANSWERS
* bThe bnurse bis bteaching ba bclient brecently bdiagnosed bwith brheumatoid barthritis b(RA)
babout bhome bcare band bmanagement bof bsymptoms. bWhat bshould bthe bnurse
bencourage bthe bclient bto bdo bat bhome? bSelect ball bthat bapply.
A bAllow bperiods bof brest bin bthe bafternoon
B bPerform brange bof bmotion bexercises bdaily
C bPlace ba bpillow bunder bthe bknees bat bnight bbefore bsleeping
D bUse bheating bpacks bto brelax bstiff bjoints bas bneeded b- bcorrect banswer✔✔A, bB, bD
A bPatient bpresents bwith ba bbutterfly bshaped berythematous brash baround bthe bbridge
bof bthe bnose band bcheeks. bThis bis ba bsign bof bwhat bautoimmune bdisease?
A bGraves' bdisease
B bSystemic bLupus bErythematosus
C bCrohn's bdisease
D bMultiple bsclerosis b- bcorrect banswer✔✔B
* bA bclient bhas ban barm bcast band breports bthat bit bfeels breally btight, band bthe bfingers
bare bpuffy. bWhat bis bthe bnurse's bbest bresponse?
A bElevate byour barm bon btwo bpillows band bapply bice bto bthe bcast
B bContinue bto btake bibuprofen b(Motrin) buntil bthe bswelling bsubsides
C bIt bis bnormal bfor ba bnew bcast bto bfeel ba blittle btight bfor bthe bfirst bfew bdays
D bPlease bcome bto bthe bclinic btoday bto bhave byour barm bchecked bby bthe bhealth
bcare bprovider b- bcorrect banswer✔✔B
* bA bclient bwho bhas bsustained ba bcrush binjury bto bthe bright blower bleg breports
bnumbness band btingling bof bthe baffected bextremity. bThe bskin bof bthe bright bleg
bappears bpale. bWhich bis bthe bnurse's bfirst bintervention?
A bAssess bpedal bpulses.
B bApply boxygen bby bnasal bcannula.
C bIncrease bthe bIV bflow brate.
D bDocument bthe bfinding. b- bcorrect banswer✔✔A
,The bpatient bhas bbeen bdiagnosed bwith ba bfractured bhip. bWhich bof bthe bfollowing
bfindings bdid bthe bpatient bhave, bthat bis bthe bmost btypical bsign bfor ba bfractured bhip?
A bPain bin bthe bhip band baffected bleg
B bDiminished bsensation bin bthe baffected bleg
C bMisalignment bof bthe baffected bextremity
D bAbsence bof bpedal band bfemoral bpulses bin bthe baffected bextremity b- bcorrect
banswer✔✔C
* bWhich bof bthe bfollowing bsigns band bsymptoms bof bincreased bICP bafter bhead
btrauma bwould bappear bfirst?
A bBradycardia
B bLarge bamounts bof bvery bdilute burine
bC bRestlessness band bconfusion
D bWidened bpulse bpressure b- bcorrect banswer✔✔C
*A bclient barrives bin bthe bemergency bdepartment bwith ban bischemic bstroke band
breceives btissue bplasminogen bactivator b(t-PA) badministration. bWhich bis bthe bpriority
bnursing bassessment?
A bTime bof bonset bof bcurrent bstroke
B bComplete bphysical band bhistory
C bCurrent bmedication
D bUpcoming bsurgical bprocedures b- bcorrect banswer✔✔A
A b78-year-old bclient bis badmitted bto bthe bemergency bdepartment bwith bnumbness
band bweakness bof bthe bleft barm band bslurred bspeech. bWhich bnursing bintervention bis
ba bpriority?
A. bPrepare bto badminister ba brecombinant btissue bplasminogen bactivator b(rt-PA).
B. bDiscuss bthe bprecipitating bfactors bthat bcaused bthe bsymptoms.
C. bSchedule bfor bA bSTAT bcomputer btomography b(CT) bscan bof bthe bhead.
D. bNotify bthe bspeech bpathologist bfor ban bemergency bconsultation. b- bcorrect
banswer✔✔A
Which bof bthe bfollowing bvalues bis bconsidered bnormal bfor bICP?
1. b0 bto b10 bmm bHg
2. b25 bmm bHg
3. b35 bto b45 bmm bHg
4. b60 bto b75 bmm bHg b- bcorrect banswer✔✔1
* bWhich bof bthe bfollowing bare bexpected bsigns band bsymptoms bof ba bleft bsided
bischemic bstroke? bSelect ball bthat bapply.
A. bright bsided bfacial bnumbness
B. bLeft bsided bweakness
C. bDifficulty bwalking bor bholding bbalance
D. bHeadache
E.A&O bX b4 b- bcorrect banswer✔✔A, bC, bD
, *Which bof bthe bfollowing bare bearly bsigns band bsymptoms bof bincreased bintracranial
bpressure b(ICP)? bSelect ball bthat bapply
a. bchange bin bLOC
b. bIncreased burinary boutput
c. bWeakness bin bone bextremity bor bone bside
d. bPupillary bchanges
e. bWeight bloss b- bcorrect banswer✔✔A, bC, bD
*A bPatient bhas bjust bbeen btransferred bto bthe bPACU bafter bsurgery. bWhat bshould bbe
bthe bnurse's bpriority baction?
A bEarly bambulation.
B bRepositioning bthe bpatient bevery btwo bhours bto bprevent bpressure binjuries.
C bMaintaining bpatient bairways band bO2 blevels
D bAssessing bfor bsigns bof binfection
E bAdministering bpain bmedications bas bordered b- bcorrect banswer✔✔C
*The bnurse brecognizes bthe bvalue bof bleg bexercises bin bthe bprevention bof
bpostoperative bthrombophlebitis. bWhen bshould bthe bnurse bteach bthe bcorrect
btechnique bfor bleg bexercises bto ba bpatient?
A bUpon btransfer bfrom bpost banesthetic bcare bunit bto bthe bpost bsurgical bunit
B bPrior bto bsurgery
bC bWhen bearly bsigns bof bvenous bstasis bare bevident
D bIn bpost banesthetic brecovery b- bcorrect banswer✔✔B
*The bnurse bis bproviding bteaching bto ba bpatient bregarding bpain bcontrol bafter
bsurgery. bWhat btime bdoes bthe bnurse binform bthe bpatient bis bthe bbest btime bto
brequest bpain bmedication?
A bBefore bthe bpain bbecomes bsevere
B bAfter bthe bpain bbecomes bsevere band bother brelaxation btechniques bhave bfailed
C bWhen bthe bpatient bexperiences bpain brating bof b"9" bon ba b1-10 bpain bscale
bD bWhen bthere bis bno bpain, bbut bit bis btime bfor bthe bmedication bto bbe badministered
b- bcorrect banswer✔✔A
A bclient bdevelops bmalignant bhyperthermia. bWhat bclient bsymptoms bwould bthe bnurse
bmost blikely bobserve bas bthe bfirst bindicator bof bthe bdisorder?
A bTetanus-like bjaw bmovements
B bGeneralized bmuscle brigidity
C bHeart brate bover b150 bbeats bper bminute
D bBody btemperature bincrease bof b1-2 bdegrees bcelsius b- bcorrect banswer✔✔C
A bnurse bis beducating ba bclient babout bthe bimportance bof bunderstanding bher bpost bop
bneeds. bThe bnurse bknows bthat bthe bclient bunderstands bwith bwhich bresponse?
A b"I bcan bsign bthe bconsent bfor bthe bprocedure bafter bthe bprocedure bwhen bI'm babout
bto bgo bhome"
B b"If bI bam bgiven banesthesia bor ba bsedative bduring bthe bprocedure, bmy bhusband bwill
bhave bto bdrive bus bhome"
