LATEST ADULT HEALTH FINAL EXAM
REVIEW QUESTIONS WITH CORRECT
ANSWERS GRADED A+
A patient scheduled to undergo total knee replacement surgery
under general anesthesia asks the nurse, "Will the doctor put me
to sleep with a mask over my face?" Which response by the nurse
is most appropriate? Correct Answer "A drug may be given to you
through your IV line first. I will check with the anesthesia care
provider"
Which action most effectively demonstrates that a new staff
member understands the role of scrub nurse? Correct Answer
Keep both hands above the operating table level
Which statement, if made by a new circulating nurse, is
appropriate? Correct Answer "I will assist in preparing the
operating room for the patient."
After receiving change-of-shift report about these postoperative
patients, which patient should the nurse assess first? Correct
Answer Obese patient who had abdominal surgery 3 days ago
and whose wound edges are separating
,The nurse reviews the laboratory results for a patient on the first
postoperative day after a hiatal hernia repair. Which finding would
indicate to the nurse that the patient is at increased risk for poor
wound healing? Correct Answer Albumin level 2.2 g/dL
The nurse assesses a patient who had a total abdominal
hysterectomy 2 days ago. Which information about the patient is
most important to communicate to the health care provider?
Correct Answer The right calf is swollen, warm, and painful
A patient is transferred from the postanesthesia care unit (PACU)
to the clinical unit. Which action by the nurse on the clinical unit
should be performed first? Correct Answer Take the patient's vital
signs
A postoperative patient has a nursing diagnosis of ineffective
airway clearance. The nurse determines that interventions for this
nursing diagnosis have been successful if which is observed?
Correct Answer Patient's breath sounds are clear to auscultation
A nurse assists a patient on the first postoperative day to
ambulate, cough, deep breathe, and turn. Which action by the
nurse is most helpful? Correct Answer Administer ordered
analgesic medications before these activities
,In the postanesthesia care unit (PACU), a patient's vital signs are
blood pressure 116/72, pulse 74, respirations 12, and SpO2 91%.
THe patient is sleepy but awakens easily. Which action should the
nurse take first? Correct Answer Encourage the patient to take
deep breaths
On admission of a patient to the postanesthesia care unit (PACU),
the blood pressure (BP) is 122/72. 30 minutes after admission,
the BP falls to 114/62, with a pulse of 74 and warm dry skin.
Which action by the nurse is most appropriate? Correct Answer
Continue to take vital signs every 15 minutes
During the admission process, the nurse obtains information
about a patient through the physical assessment and diagnostic
testing. Based on the data shown in the accompanying figure,
which nursing diagnosis is appropriate?
Sodium: 145 mEq/L
Potassium: 3.6 mEq/L
Calcium: 6.9 mg/dL
Magnesium: 2 mEq/L Correct Answer Risk for injury: Seizures
After receiving change-of-shift report, which patient should the
nurse assess first? Correct Answer Patient with serum
magnesium level of 1.1 mEq/L who has tremors and hyperactive
deep tendon reflexes
, A patient admitted to the emergency department with severe
fatigue and confusion. Laboratory studies are done. Which
laboratory value will require the most immediate action by the
nurse? Correct Answer Serum calcium is 18 mg/dL
A nurse in the outpatient clinic is caring for a patient who has a
magnesium level of 1.3mg/dL. Which assessment would be most
important for the nurse to take? Correct Answer Daily alcohol
intake
A patient who is lethargic and exhibits deep, rapid respirations
has the following arterial blood gas (ABG) results: pH 7.32, PaO2
88 mm Hg, PaCO2 37 mm Hg, and HCO3 16 mEq/L. How should
the nurse interpret these results? Correct Answer Metabolic
acidosis
Following assessment of a patient with pneumonia, the nurse
identifies a nursing diagnosis of ineffective airway clearance.
Which assessment data best supports this diagnosis? Correct
Answer Weak, nonproductive cough effort
The nurse analyzes the results of a patient's arterial blood gases
(ABGs). Which finding would require immediate action? Correct
Answer The partial pressure of oxygen in arterial blood (PaO2) is
59 mm Hg
REVIEW QUESTIONS WITH CORRECT
ANSWERS GRADED A+
A patient scheduled to undergo total knee replacement surgery
under general anesthesia asks the nurse, "Will the doctor put me
to sleep with a mask over my face?" Which response by the nurse
is most appropriate? Correct Answer "A drug may be given to you
through your IV line first. I will check with the anesthesia care
provider"
Which action most effectively demonstrates that a new staff
member understands the role of scrub nurse? Correct Answer
Keep both hands above the operating table level
Which statement, if made by a new circulating nurse, is
appropriate? Correct Answer "I will assist in preparing the
operating room for the patient."
After receiving change-of-shift report about these postoperative
patients, which patient should the nurse assess first? Correct
Answer Obese patient who had abdominal surgery 3 days ago
and whose wound edges are separating
,The nurse reviews the laboratory results for a patient on the first
postoperative day after a hiatal hernia repair. Which finding would
indicate to the nurse that the patient is at increased risk for poor
wound healing? Correct Answer Albumin level 2.2 g/dL
The nurse assesses a patient who had a total abdominal
hysterectomy 2 days ago. Which information about the patient is
most important to communicate to the health care provider?
Correct Answer The right calf is swollen, warm, and painful
A patient is transferred from the postanesthesia care unit (PACU)
to the clinical unit. Which action by the nurse on the clinical unit
should be performed first? Correct Answer Take the patient's vital
signs
A postoperative patient has a nursing diagnosis of ineffective
airway clearance. The nurse determines that interventions for this
nursing diagnosis have been successful if which is observed?
Correct Answer Patient's breath sounds are clear to auscultation
A nurse assists a patient on the first postoperative day to
ambulate, cough, deep breathe, and turn. Which action by the
nurse is most helpful? Correct Answer Administer ordered
analgesic medications before these activities
,In the postanesthesia care unit (PACU), a patient's vital signs are
blood pressure 116/72, pulse 74, respirations 12, and SpO2 91%.
THe patient is sleepy but awakens easily. Which action should the
nurse take first? Correct Answer Encourage the patient to take
deep breaths
On admission of a patient to the postanesthesia care unit (PACU),
the blood pressure (BP) is 122/72. 30 minutes after admission,
the BP falls to 114/62, with a pulse of 74 and warm dry skin.
Which action by the nurse is most appropriate? Correct Answer
Continue to take vital signs every 15 minutes
During the admission process, the nurse obtains information
about a patient through the physical assessment and diagnostic
testing. Based on the data shown in the accompanying figure,
which nursing diagnosis is appropriate?
Sodium: 145 mEq/L
Potassium: 3.6 mEq/L
Calcium: 6.9 mg/dL
Magnesium: 2 mEq/L Correct Answer Risk for injury: Seizures
After receiving change-of-shift report, which patient should the
nurse assess first? Correct Answer Patient with serum
magnesium level of 1.1 mEq/L who has tremors and hyperactive
deep tendon reflexes
, A patient admitted to the emergency department with severe
fatigue and confusion. Laboratory studies are done. Which
laboratory value will require the most immediate action by the
nurse? Correct Answer Serum calcium is 18 mg/dL
A nurse in the outpatient clinic is caring for a patient who has a
magnesium level of 1.3mg/dL. Which assessment would be most
important for the nurse to take? Correct Answer Daily alcohol
intake
A patient who is lethargic and exhibits deep, rapid respirations
has the following arterial blood gas (ABG) results: pH 7.32, PaO2
88 mm Hg, PaCO2 37 mm Hg, and HCO3 16 mEq/L. How should
the nurse interpret these results? Correct Answer Metabolic
acidosis
Following assessment of a patient with pneumonia, the nurse
identifies a nursing diagnosis of ineffective airway clearance.
Which assessment data best supports this diagnosis? Correct
Answer Weak, nonproductive cough effort
The nurse analyzes the results of a patient's arterial blood gases
(ABGs). Which finding would require immediate action? Correct
Answer The partial pressure of oxygen in arterial blood (PaO2) is
59 mm Hg
