ADULT HEALTH STUDY EXAMS GUIDE
QUESTIONS AND ANSWERS SET A+
✔✔The nurse is planning care for an older adult client who experienced a
cerebrovascular accident several weeks ago. The client has expressive aphasia and
often becomes frustrated with the nursing staff, which intervention should the nurse
implement?
a. Teach the client use of basic sign language
b. speak slowly to the client
c. Encourage client's use of picture charts
d. ask the client sample questions - ✔✔c. Encourage client's use of picture charts
✔✔After three days of persistent epigastric pain, a female client presents to the clinic.
She has been taking oral antacids without relief. Her vital signs are heart rate 122
beats/minute, respirations 16 breaths/minute, oxygen saturation 96%, and blood
pressure 116/70 mmHg. The nurse obtains a 12-lead electrocardiogram (ECG). Which
assessment finding is most critical?
a. Irregular pulse rate
b. Bile colored emesis
c. ST elevation in three leads
d. Complaint of radiating jaw pain - ✔✔c. ST elevation in three leads
✔✔A client with acute renal injury (AKI) weighs 50 kg and has potassium level of 6.7 is
admitted to the hospital. Which prescribed medication should the nurse administer first?
a. Calcium acetate one tablet by mouth
b. Sodium polystyrene sulfonate 15 grams by mouth
c. Epoetin alfa, recombinant 2,500 units subcutaneously
d. Sevelamer one tablet by mouth - ✔✔b. Sodium polystyrene sulfonate 15 grams by
mouth
✔✔A client with gouty arthritis reports tenderness and swelling of the right ankle and
great toe. The nurse observes the area of inflammation extends above the ankle area.
, The client receives prescriptions for colchicine and indomethacin. Which instruction
should the nurse include in the discharge teaching?
a. eat high protein foods to achieve ideal body weight
b. drink at least 8 cups of water per day
c. use electronic heating pad when pain is at its worse
d. encourage active range of motion to limit stiffness - ✔✔b. drink at least 8 cups of
water per day
✔✔A client receives a prescription for 1 liter of lactated ringer's intravenously to be
infused over 6 hours. How many mL/hr should the nurse program the infusion pump to
deliver? - ✔✔167
✔✔A client with a history of peptic ulcer disease is admitted after vomiting bright red
blood several times over the course of 2 hours. In reviewing the laboratory results, the
nurse finds the client's hemoglobin is 12 and the hematocrit is 35%. Which action
should the nurse prepare to take?
a. Continue to monitor for blood loss
b. Administer 1,000 mL (1L) normal saline
c. Transfuse 2 units of platelets
d. Prepare the client for emergency surgery - ✔✔b. Administer 1,000 mL (1L) normal
saline
✔✔An obese client with emphysema who smokes at least a pack of cigarettes daily is
admitted after experiencing a sudden increase in dyspnea and activity intolerance.
Oxygen therapy is initiated and it is determined that the client will be discharged with
oxygen. Which information is most important for the nurse to emphasize in the
discharge teaching plan?
a. Methods for weight loss
b. guidelines for oxygen use
c. Approaches to conserve energy
d. Strategies for smoking cessation - ✔✔b. guidelines for oxygen use
✔✔Which food is most important for the nurse to encourage a client with osteomalacia
to include in a daily diet?
a. fortified milk and cereals
b. citrus fruits and juices
c. green leafy vegetables
d. red meats and eggs - ✔✔a. fortified milk and cereals
✔✔A client with herpes zoster (shingles) on the thorax tells the nurse of having difficulty
sleeping. Which is the probable etiology of this problem?
a. frequent cough
b. Pain
c. Nocturia
d. Dyspnea - ✔✔b. Pain
QUESTIONS AND ANSWERS SET A+
✔✔The nurse is planning care for an older adult client who experienced a
cerebrovascular accident several weeks ago. The client has expressive aphasia and
often becomes frustrated with the nursing staff, which intervention should the nurse
implement?
a. Teach the client use of basic sign language
b. speak slowly to the client
c. Encourage client's use of picture charts
d. ask the client sample questions - ✔✔c. Encourage client's use of picture charts
✔✔After three days of persistent epigastric pain, a female client presents to the clinic.
She has been taking oral antacids without relief. Her vital signs are heart rate 122
beats/minute, respirations 16 breaths/minute, oxygen saturation 96%, and blood
pressure 116/70 mmHg. The nurse obtains a 12-lead electrocardiogram (ECG). Which
assessment finding is most critical?
a. Irregular pulse rate
b. Bile colored emesis
c. ST elevation in three leads
d. Complaint of radiating jaw pain - ✔✔c. ST elevation in three leads
✔✔A client with acute renal injury (AKI) weighs 50 kg and has potassium level of 6.7 is
admitted to the hospital. Which prescribed medication should the nurse administer first?
a. Calcium acetate one tablet by mouth
b. Sodium polystyrene sulfonate 15 grams by mouth
c. Epoetin alfa, recombinant 2,500 units subcutaneously
d. Sevelamer one tablet by mouth - ✔✔b. Sodium polystyrene sulfonate 15 grams by
mouth
✔✔A client with gouty arthritis reports tenderness and swelling of the right ankle and
great toe. The nurse observes the area of inflammation extends above the ankle area.
, The client receives prescriptions for colchicine and indomethacin. Which instruction
should the nurse include in the discharge teaching?
a. eat high protein foods to achieve ideal body weight
b. drink at least 8 cups of water per day
c. use electronic heating pad when pain is at its worse
d. encourage active range of motion to limit stiffness - ✔✔b. drink at least 8 cups of
water per day
✔✔A client receives a prescription for 1 liter of lactated ringer's intravenously to be
infused over 6 hours. How many mL/hr should the nurse program the infusion pump to
deliver? - ✔✔167
✔✔A client with a history of peptic ulcer disease is admitted after vomiting bright red
blood several times over the course of 2 hours. In reviewing the laboratory results, the
nurse finds the client's hemoglobin is 12 and the hematocrit is 35%. Which action
should the nurse prepare to take?
a. Continue to monitor for blood loss
b. Administer 1,000 mL (1L) normal saline
c. Transfuse 2 units of platelets
d. Prepare the client for emergency surgery - ✔✔b. Administer 1,000 mL (1L) normal
saline
✔✔An obese client with emphysema who smokes at least a pack of cigarettes daily is
admitted after experiencing a sudden increase in dyspnea and activity intolerance.
Oxygen therapy is initiated and it is determined that the client will be discharged with
oxygen. Which information is most important for the nurse to emphasize in the
discharge teaching plan?
a. Methods for weight loss
b. guidelines for oxygen use
c. Approaches to conserve energy
d. Strategies for smoking cessation - ✔✔b. guidelines for oxygen use
✔✔Which food is most important for the nurse to encourage a client with osteomalacia
to include in a daily diet?
a. fortified milk and cereals
b. citrus fruits and juices
c. green leafy vegetables
d. red meats and eggs - ✔✔a. fortified milk and cereals
✔✔A client with herpes zoster (shingles) on the thorax tells the nurse of having difficulty
sleeping. Which is the probable etiology of this problem?
a. frequent cough
b. Pain
c. Nocturia
d. Dyspnea - ✔✔b. Pain
