ADULT HEALTH REVIEW TIPS QUESTIONS AND
ANSWERS SET A+
✔✔The nurse is obtaining a health history from a new client who has a history of kidney
stones. Which statement by the client indicates an increased risk for renal calculi?
a. Eats a vegetarian diet with cheese 2 to 3 times a day
b. Experiences additional stress since adopting a child
c. Jogs more frequently than usual daily routine
d. Drinks several bottles of carbonated water daily - ✔✔a. Eats a vegetarian diet with
cheese 2 to 3 times a day
✔✔A client tells the clinic nurse about experiencing burning on urination, and
assessment reveals that the client had sexual intercourse four days ago with a person
who was casually met. Which action should the nurse implement?
a. Observe perineal area fora. chancroid-like lesion
b. Obtain a specimen of urethral drainage for culture
c. Assess for perineal itching, erythema, and excoriation
d. Identify all sexual partners in the last four days. - ✔✔b. Obtain a specimen of urethral
drainage for culture
✔✔An adult client is admitted with flank pain and is diagnosed with acute pyelonephritis.
What is the priority nursing action?
a. monitor hemoglobin and hematocrit
b. encourage turning and deep breathing
c. administer IV antibiotics as prescribed
d. Auscultate for presence of bowel sounds - ✔✔c. administer IV antibiotics as
prescribed
✔✔A client with cholelithiasis is admitted with jaundice due to obstruction of the
common bile duct. Which finding is most important for the nurse to report to the
healthcare provider?
a. distended, hard, and rigid abdomen
b. clay-colored stool
, c. radiating, sharp pain in right shoulder
d. bile-stained emesis - ✔✔a. distended, hard, and rigid abdomen
✔✔A client with chronic kidney disease is started on hemodialysis. During the first
dialysis treatment, the client's blood pressure drops from 150/90 mmHg to 80/30 mmHg.
What action should the nurse take first?
a. Stop the dialysis treatment
b. administer 5% albumin IV
c. Monitor blood pressure q45 minutes
d. lower the head of the chair and elevate feet - ✔✔a. Stop the dialysis treatment
✔✔The nurse is collecting information from a client with chronic pancreatitis who reports
persistent gnawing abdominal pain. To help the client manage pain, which assessment
data is most important for the nurse to obtain?
a. presence and activity of bowel sounds
b. Color and consistency of feces
c. Eating patterns and dietary intake
d. level and amount of physical activity - ✔✔c. Eating patterns and dietary intake
✔✔A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency
department with the diagnosis of autonomic dysreflexia secondary to a full bladder.
Which assessment finding should the nurse expect this client to exhibit?
a. Complaints of chest pain and shortness of breath
b. Hypotension and venous pooling in the extremities
c. Profuse diaphoresis and severe, pounding headache
d. Pain and burning sensation upon urination and hematuria - ✔✔d. Pain and burning
sensation upon urination and hematuria
✔✔During spring break, a young adult presents to the urgent care clinic and reports a
stiff neck, a fever for the past 6 hours, and a headache. Which intervention is most
important for the nurse to implement first?
a. initiate isolation precautions
b. administer an antipyretic
c. draw blood cultures
d. prepare for a lumbar puncture - ✔✔a. initiate isolation precautions
✔✔The nurse assesses a client with petechiae and ecchymosis scattered across the
arms and legs. Which laboratory result should the nurse review?
a. red blood cell count
b. Platelet count
c. Hemoglobin levels
d. White blood cell count - ✔✔b. Platelet count
✔✔An older adult client with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough. The
ANSWERS SET A+
✔✔The nurse is obtaining a health history from a new client who has a history of kidney
stones. Which statement by the client indicates an increased risk for renal calculi?
a. Eats a vegetarian diet with cheese 2 to 3 times a day
b. Experiences additional stress since adopting a child
c. Jogs more frequently than usual daily routine
d. Drinks several bottles of carbonated water daily - ✔✔a. Eats a vegetarian diet with
cheese 2 to 3 times a day
✔✔A client tells the clinic nurse about experiencing burning on urination, and
assessment reveals that the client had sexual intercourse four days ago with a person
who was casually met. Which action should the nurse implement?
a. Observe perineal area fora. chancroid-like lesion
b. Obtain a specimen of urethral drainage for culture
c. Assess for perineal itching, erythema, and excoriation
d. Identify all sexual partners in the last four days. - ✔✔b. Obtain a specimen of urethral
drainage for culture
✔✔An adult client is admitted with flank pain and is diagnosed with acute pyelonephritis.
What is the priority nursing action?
a. monitor hemoglobin and hematocrit
b. encourage turning and deep breathing
c. administer IV antibiotics as prescribed
d. Auscultate for presence of bowel sounds - ✔✔c. administer IV antibiotics as
prescribed
✔✔A client with cholelithiasis is admitted with jaundice due to obstruction of the
common bile duct. Which finding is most important for the nurse to report to the
healthcare provider?
a. distended, hard, and rigid abdomen
b. clay-colored stool
, c. radiating, sharp pain in right shoulder
d. bile-stained emesis - ✔✔a. distended, hard, and rigid abdomen
✔✔A client with chronic kidney disease is started on hemodialysis. During the first
dialysis treatment, the client's blood pressure drops from 150/90 mmHg to 80/30 mmHg.
What action should the nurse take first?
a. Stop the dialysis treatment
b. administer 5% albumin IV
c. Monitor blood pressure q45 minutes
d. lower the head of the chair and elevate feet - ✔✔a. Stop the dialysis treatment
✔✔The nurse is collecting information from a client with chronic pancreatitis who reports
persistent gnawing abdominal pain. To help the client manage pain, which assessment
data is most important for the nurse to obtain?
a. presence and activity of bowel sounds
b. Color and consistency of feces
c. Eating patterns and dietary intake
d. level and amount of physical activity - ✔✔c. Eating patterns and dietary intake
✔✔A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency
department with the diagnosis of autonomic dysreflexia secondary to a full bladder.
Which assessment finding should the nurse expect this client to exhibit?
a. Complaints of chest pain and shortness of breath
b. Hypotension and venous pooling in the extremities
c. Profuse diaphoresis and severe, pounding headache
d. Pain and burning sensation upon urination and hematuria - ✔✔d. Pain and burning
sensation upon urination and hematuria
✔✔During spring break, a young adult presents to the urgent care clinic and reports a
stiff neck, a fever for the past 6 hours, and a headache. Which intervention is most
important for the nurse to implement first?
a. initiate isolation precautions
b. administer an antipyretic
c. draw blood cultures
d. prepare for a lumbar puncture - ✔✔a. initiate isolation precautions
✔✔The nurse assesses a client with petechiae and ecchymosis scattered across the
arms and legs. Which laboratory result should the nurse review?
a. red blood cell count
b. Platelet count
c. Hemoglobin levels
d. White blood cell count - ✔✔b. Platelet count
✔✔An older adult client with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough. The
