ADULT HEALTH EVALUATION EXAM QUESTIONS
AND ANSWERS SET A+
✔✔Which consideration is most important when the nurse is assigning a room for a
client being admitted with progressive systemic sclerosis (scleroderma)?
A.
Provide a room that can be kept warm.
B. Make sure that the room can be kept dark.
C. Keep the client close to the nursing unit.
D. Select a room that is visible from the nurses' desk. - ✔✔Answer- A
Rationale- Abnormal blood flow in response to cold (Raynaud phenomenon) is
precipitated in clients with scleroderma. Option B is not a significant factor. Stress can
also precipitate the severe pain of Raynaud phenomenon, so a quiet environment is
preferred to option C, which is often very noisy. Option D is not necessary.
✔✔what is the normal urine specific gravity - ✔✔
✔✔ventricular fibrilation - ✔✔is a life-threatening emergency
✔✔When assigning clients on a medical-surgical floor to an RN and a PN, it is best for
the charge nurse to assign which client to the PN?
A. A young adult with bacterial meningitis with recent seizures
B. An older adult client with pneumonia and viral meningitis
, C. A female client in isolation with meningococcal meningitis
D. A male client 1 day postoperative after drainage of a brain abscess - ✔✔Answer- B
Rationale- The most stable client is option B. Options A, C, and D are all at high risk for
increased intracranial pressure and require the expertise of the RN for assessment and
management of care.
✔✔The nurse receives the client's next scheduled bag of TPN labeled with the additive
NPH insulin. Which action should the nurse implement?
A. Hang the solution at the current rate.
B. Refrigerate the solution until needed.
C. Prepare the solution with new tubing.
D. Return the solution to the pharmacy. - ✔✔Answer- D
Rationale- Only regular insulin is administered by the IV route, so the TPN solution
containing NPH insulin should be returned to the pharmacy. Options A, B, and C are not
indicated because the solution should not be administered.
✔✔The nurse is reviewing routine medications taken by a client with chronic angle-
closure glaucoma. Which medication prescription should the nurse question?
A. Antianginal with a therapeutic effect of vasodilation
B. Anticholinergic with a side effect of pupillary dilation
C. Antihistamine with a side effect of sedation
D. Corticosteroid with a side effect of hyperglycemia - ✔✔Answer- B
Rationale- Clients with angle-closure glaucoma should not take medications that dilate
the pupil because this can precipitate acute and severely increased intraocular
AND ANSWERS SET A+
✔✔Which consideration is most important when the nurse is assigning a room for a
client being admitted with progressive systemic sclerosis (scleroderma)?
A.
Provide a room that can be kept warm.
B. Make sure that the room can be kept dark.
C. Keep the client close to the nursing unit.
D. Select a room that is visible from the nurses' desk. - ✔✔Answer- A
Rationale- Abnormal blood flow in response to cold (Raynaud phenomenon) is
precipitated in clients with scleroderma. Option B is not a significant factor. Stress can
also precipitate the severe pain of Raynaud phenomenon, so a quiet environment is
preferred to option C, which is often very noisy. Option D is not necessary.
✔✔what is the normal urine specific gravity - ✔✔
✔✔ventricular fibrilation - ✔✔is a life-threatening emergency
✔✔When assigning clients on a medical-surgical floor to an RN and a PN, it is best for
the charge nurse to assign which client to the PN?
A. A young adult with bacterial meningitis with recent seizures
B. An older adult client with pneumonia and viral meningitis
, C. A female client in isolation with meningococcal meningitis
D. A male client 1 day postoperative after drainage of a brain abscess - ✔✔Answer- B
Rationale- The most stable client is option B. Options A, C, and D are all at high risk for
increased intracranial pressure and require the expertise of the RN for assessment and
management of care.
✔✔The nurse receives the client's next scheduled bag of TPN labeled with the additive
NPH insulin. Which action should the nurse implement?
A. Hang the solution at the current rate.
B. Refrigerate the solution until needed.
C. Prepare the solution with new tubing.
D. Return the solution to the pharmacy. - ✔✔Answer- D
Rationale- Only regular insulin is administered by the IV route, so the TPN solution
containing NPH insulin should be returned to the pharmacy. Options A, B, and C are not
indicated because the solution should not be administered.
✔✔The nurse is reviewing routine medications taken by a client with chronic angle-
closure glaucoma. Which medication prescription should the nurse question?
A. Antianginal with a therapeutic effect of vasodilation
B. Anticholinergic with a side effect of pupillary dilation
C. Antihistamine with a side effect of sedation
D. Corticosteroid with a side effect of hyperglycemia - ✔✔Answer- B
Rationale- Clients with angle-closure glaucoma should not take medications that dilate
the pupil because this can precipitate acute and severely increased intraocular
