NR 324/ NR324 EXAM 1: (NEW 2025/2026
UPDATE) ADULT HEALTH NURSING GUIDE |
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT (VERIFIED SOLUTIONS) –
CHAMBERLAIN
A nurse is caring for a client newly diagnosed with type 1 diabetes. The nurse is educating the
client about self-administration of insulin in the home setting. The nurse should teach the client
to do what action?
A. avoid using the same injection site more than once in 2 to 3 weeks
B. Avoid mixing more than one type of insulin in a syringe.
C. Cleanse the injection site thoroughly with alcohol prior to injecting.
D. Inject at a 45-degree angle. - A. avoid using the same injection site more than once in 2 to
3 weeks
Normal Hgb levels in males?
Normal Hgb levels in females? - - Males = 14-18
- Females = 12-16
Normal Hct levels in males?
Normal Hct levels in females? - - Males = 42%-52%
- Females = 37%-47%
Normal WBC Count - Both males and females = 5-10mm^3
Normal Platelet count - Both males and females = 150-400mm^3
Sodium Levels - 135-145
Potassium Levels - 3.5-5
Creatinine levels for males?
Creatinine levels for females? - - Males = 0.6-1.2
- Females = 0.5-1.1
,BUN levels - 10-20
With the rising cases of latex allergies, surgical cases should use - - Latex free gloves in
anticipation of a possible allergy
- if no allergy is present personnel can switch if desired
The nurse is caring for an older adult client who is receiving rehabilitation following an ischemic
stroke. A review of the client's electronic health record reveals that the client usually defers her
self-care to family members or members of the care team. What should the nurse include as an
initial goal when planning this client's subsequent care?
A. The client will demonstrate independent self-care.
B. The client's family will collaboratively manage the client's care.
C. The nurse will delegate the client's care to a nursing assistant.
D. The client will participate in a life skills program - A. the client will demonstrate
independent self-care
A female client, 47 years old, visits the clinic because she has been experiencing stress
incontinence when she sneezes or exercises vigorously. What is the best instruction the nurse can
give the client?
A. Keep a record of when the incontinence occurs
B. Perform clean intermittent self-catheterization
C. Perform Kegel exercises four to six times per day
D. Wear a protective undergarment to address this age-related change - C. perform kegel
exercises four to six times per day
A client has completed the acute treatment phase of care following a stroke and the client will
now begin rehabilitation. What should the nurse identify as the major goal of the rehabilitative
process?
A. To provide 24-hour, collaborative care for the client
B. To restore the client's ability to function independently
C. To minimize the client's time spent in acute care settings
D. To promote rapport between caregivers and the client - B. To restore the client's ability to
function independently
,The nurse is planning rehabilitation activities for a client who is working toward discharge back
into the community. During a care conference, the team has identified a need to focus on the
client's instrumental activities of daily living (IADLs). When planning the client's subsequent
care, the nurse should focus particularly on which of the following?
A. Dressing
B. Bathing
C. Feeding
D. Meal preparation - D. meal preparation
The nurse is creating the care plan for a client newly admitted to the rehabilitation unit. The
client is an older adult who has had a stroke but who lived independently until this event. What is
a goal that the nurse should include in this client's nursing care plan?
A. Maintain joint mobility
B. Refer to social services
C. Help the client ambulate three times every day
D. Perform passive range of motion with the client twice daily - A. maintain joint mobility
In anticipation of a client's scheduled surgery, the nurse is teaching her to perform deep breathing
and coughing to use postoperatively. What action should the nurse teach the client?
A. The client should take three deep breaths and cough hard three times, at least every 15
minutes for the immediately postoperative period.
B. The client should take three deep breaths and exhale forcefully and then take a quick short
breath and cough from deep in the lungs.
C. The client should take a deep breath in through the mouth and exhale through the mouth, take
a short breath, and cough from deep in the lungs.
D. The client should rapidly inhale, hold for 30 seconds or as long as possible, and exhale slowly.
- C. The client should take a deep breath in through the mouth and exhale through the mouth,
take a short breath, and cough from deep in the lungs.
The nurse is preparing a client for surgery prior to her hysterectomy without oophorectomy. The
nurse is witnessing the client's signature on a consent form. Which comment by the client would
best indicate informed consent?
A. "I know I'll be fine because the physician said he has done this procedure hundreds of times."
B. "I know I'll have pain after the surgery but they'll do their best to keep it to a minimum."
, C. "The physician is going to remove my uterus and told me about the risk of bleeding."
D. "Because the physician isn't taking my ovaries, I'll still be able to have children." - C. "The
physician is going to remove my uterus and told me about the risk of bleeding."
The nurse is providing preoperative teaching to a client scheduled for hip replacement surgery in
1 month. During the preoperative teaching, the client gives the nurse a list of medications she
takes, the dosage, and frequency. What intervention provides the client with the most accurate
information?
A. Instruct the client to stop taking St. John's wort at least 2 weeks prior to surgery due to its
interaction with anesthetic agents.
B. Instruct the client to continue taking ephedrine prior to surgery due to its beneficial effect on
blood pressure.
C. Instruct the client to discontinue Synthroid due to its effect on blood coagulation and the
potential for heart dysrhythmias.
D. Instruct the client to continue any herbal supplements unless otherwise instructed, and inform
the client that these supplements have minimal effect on the surgical procedure. - A. Instruct
the client to stop taking St. John's wort at least 2 weeks prior to surgery due to its interaction with
anesthetic agents.
The nurse is providing preoperative teaching to a client scheduled for surgery. The nurse is
instructing the client on the use of deep breathing, coughing, and the use of incentive spirometry
when the client states, "I don't know why you're focusing on my breathing. My surgery is on my
hip, not my chest." What rationale for these instructions should the nurse provide?
A. To prevent chronic obstructive pulmonary disease (COPD)
B. To promote optimal lung expansion
C. To enhance peripheral circulation
D. To prevent pneumothorax - B. to promote optimal lung expansion
A client is on call to the OR for an aortobifemoral bypass and the nurse administers the
prescribed preoperative medication. After administering a preoperative medication to the client,
what should the nurse do?
A. Encourage light ambulation.
B. Place the bed in a low position with the side rails up.
C. Tell the client that he will be asleep before he leaves for surgery.
UPDATE) ADULT HEALTH NURSING GUIDE |
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT (VERIFIED SOLUTIONS) –
CHAMBERLAIN
A nurse is caring for a client newly diagnosed with type 1 diabetes. The nurse is educating the
client about self-administration of insulin in the home setting. The nurse should teach the client
to do what action?
A. avoid using the same injection site more than once in 2 to 3 weeks
B. Avoid mixing more than one type of insulin in a syringe.
C. Cleanse the injection site thoroughly with alcohol prior to injecting.
D. Inject at a 45-degree angle. - A. avoid using the same injection site more than once in 2 to
3 weeks
Normal Hgb levels in males?
Normal Hgb levels in females? - - Males = 14-18
- Females = 12-16
Normal Hct levels in males?
Normal Hct levels in females? - - Males = 42%-52%
- Females = 37%-47%
Normal WBC Count - Both males and females = 5-10mm^3
Normal Platelet count - Both males and females = 150-400mm^3
Sodium Levels - 135-145
Potassium Levels - 3.5-5
Creatinine levels for males?
Creatinine levels for females? - - Males = 0.6-1.2
- Females = 0.5-1.1
,BUN levels - 10-20
With the rising cases of latex allergies, surgical cases should use - - Latex free gloves in
anticipation of a possible allergy
- if no allergy is present personnel can switch if desired
The nurse is caring for an older adult client who is receiving rehabilitation following an ischemic
stroke. A review of the client's electronic health record reveals that the client usually defers her
self-care to family members or members of the care team. What should the nurse include as an
initial goal when planning this client's subsequent care?
A. The client will demonstrate independent self-care.
B. The client's family will collaboratively manage the client's care.
C. The nurse will delegate the client's care to a nursing assistant.
D. The client will participate in a life skills program - A. the client will demonstrate
independent self-care
A female client, 47 years old, visits the clinic because she has been experiencing stress
incontinence when she sneezes or exercises vigorously. What is the best instruction the nurse can
give the client?
A. Keep a record of when the incontinence occurs
B. Perform clean intermittent self-catheterization
C. Perform Kegel exercises four to six times per day
D. Wear a protective undergarment to address this age-related change - C. perform kegel
exercises four to six times per day
A client has completed the acute treatment phase of care following a stroke and the client will
now begin rehabilitation. What should the nurse identify as the major goal of the rehabilitative
process?
A. To provide 24-hour, collaborative care for the client
B. To restore the client's ability to function independently
C. To minimize the client's time spent in acute care settings
D. To promote rapport between caregivers and the client - B. To restore the client's ability to
function independently
,The nurse is planning rehabilitation activities for a client who is working toward discharge back
into the community. During a care conference, the team has identified a need to focus on the
client's instrumental activities of daily living (IADLs). When planning the client's subsequent
care, the nurse should focus particularly on which of the following?
A. Dressing
B. Bathing
C. Feeding
D. Meal preparation - D. meal preparation
The nurse is creating the care plan for a client newly admitted to the rehabilitation unit. The
client is an older adult who has had a stroke but who lived independently until this event. What is
a goal that the nurse should include in this client's nursing care plan?
A. Maintain joint mobility
B. Refer to social services
C. Help the client ambulate three times every day
D. Perform passive range of motion with the client twice daily - A. maintain joint mobility
In anticipation of a client's scheduled surgery, the nurse is teaching her to perform deep breathing
and coughing to use postoperatively. What action should the nurse teach the client?
A. The client should take three deep breaths and cough hard three times, at least every 15
minutes for the immediately postoperative period.
B. The client should take three deep breaths and exhale forcefully and then take a quick short
breath and cough from deep in the lungs.
C. The client should take a deep breath in through the mouth and exhale through the mouth, take
a short breath, and cough from deep in the lungs.
D. The client should rapidly inhale, hold for 30 seconds or as long as possible, and exhale slowly.
- C. The client should take a deep breath in through the mouth and exhale through the mouth,
take a short breath, and cough from deep in the lungs.
The nurse is preparing a client for surgery prior to her hysterectomy without oophorectomy. The
nurse is witnessing the client's signature on a consent form. Which comment by the client would
best indicate informed consent?
A. "I know I'll be fine because the physician said he has done this procedure hundreds of times."
B. "I know I'll have pain after the surgery but they'll do their best to keep it to a minimum."
, C. "The physician is going to remove my uterus and told me about the risk of bleeding."
D. "Because the physician isn't taking my ovaries, I'll still be able to have children." - C. "The
physician is going to remove my uterus and told me about the risk of bleeding."
The nurse is providing preoperative teaching to a client scheduled for hip replacement surgery in
1 month. During the preoperative teaching, the client gives the nurse a list of medications she
takes, the dosage, and frequency. What intervention provides the client with the most accurate
information?
A. Instruct the client to stop taking St. John's wort at least 2 weeks prior to surgery due to its
interaction with anesthetic agents.
B. Instruct the client to continue taking ephedrine prior to surgery due to its beneficial effect on
blood pressure.
C. Instruct the client to discontinue Synthroid due to its effect on blood coagulation and the
potential for heart dysrhythmias.
D. Instruct the client to continue any herbal supplements unless otherwise instructed, and inform
the client that these supplements have minimal effect on the surgical procedure. - A. Instruct
the client to stop taking St. John's wort at least 2 weeks prior to surgery due to its interaction with
anesthetic agents.
The nurse is providing preoperative teaching to a client scheduled for surgery. The nurse is
instructing the client on the use of deep breathing, coughing, and the use of incentive spirometry
when the client states, "I don't know why you're focusing on my breathing. My surgery is on my
hip, not my chest." What rationale for these instructions should the nurse provide?
A. To prevent chronic obstructive pulmonary disease (COPD)
B. To promote optimal lung expansion
C. To enhance peripheral circulation
D. To prevent pneumothorax - B. to promote optimal lung expansion
A client is on call to the OR for an aortobifemoral bypass and the nurse administers the
prescribed preoperative medication. After administering a preoperative medication to the client,
what should the nurse do?
A. Encourage light ambulation.
B. Place the bed in a low position with the side rails up.
C. Tell the client that he will be asleep before he leaves for surgery.
