ADULT HEALTH 2 EXAM 1 BOOK
QUESTIONS
A - ANS-a patron is scheduled for a transvaginal surgical restore this morning. Which
assessment finding calls for immediate nursing intervention?
A) notation of surgical operation kind with mesh
b) expression of fear previous to the procedure
c) blood pressure 140/92, HR: 88, RR: 20 T: 98.8
d) patron request for caregiver to return to PACU
a - ANS-a consumer with a currently created vascular access for hemodialysis is being
discharged. Which discharge coaching will the nurse consist of?
A) do no longer allow blood pressure measurements within the affected arm
b) raise the affected arm, bearing in mind general rest of the extremity
c) determine for a bruit in the affected arm on a day by day foundation
d) sleep on the affected facet to protect the get admission to device
a - ANS-a patron with diabetes has the following evaluation adjustments after a percutaneous
nephrolithotomy system. Which trade calls for immediately nursing intervention?
A) problem respiration and oxygen saturation of 88 on 2 L of oxygen by means of nasal cannula
b) a factor of care blood glucose of one hundred fifty and patron document of thirst
c) a decreased hematocrit through 1%
d) an oral temperature of one zero one stages and cloudiness of urine draining from
nephrostomy tube after IV administration of a extensive spectrum antibiotic
a - ANS-a nurse in a carriers office is reviewing the medical report of a consumer who has
fibrocystic breast circumstance. Which of the subsequent findings ought to the nurse count on?
A) palpable rubberlike lump in the outer quadrant
b) BRCA1 gene mutation
c) accelerated CA-one hundred twenty five
d) Peau d'orange dimpling of the breast
a - ANS-a nurse is instructing a patron who's scheduled for a TURP approximately
postoperative care. Which of the subsequent facts have to the nurse consist of in the coaching?
A) you may have a continuous sensation of wanting to void even though you've got a catheter
b) you will be on bedrest for the primary 2 days after the method
c) you may be instructed to restriction your fluid intake after the procedure
d) your urine should be clean yellow the evening after surgical treatment
,a - ANS-a nurse is coaching a purchaser with a new prognosis of RA. Which of the subsequent
statements need to the nurse male in the coaching?
A) you could experience morning stiffness whilst you get off the bed
b) you can enjoy stomach ache
c) you can enjoy weight advantage
d) you can experience low blood sugar
a - ANS-for which consumer would the nurse anticipate to train intermittent catheterization?
A) a 35 yr vintage female who has MS and incontinence
b) forty eight year vintage guy who is admitted for pneumonia and is on complete mattress rest
c) sixty one yr antique girl who's admitted following a fall at domestic and has a new onset of
dysrhythmias
d) a seventy four yr antique man who has lung most cancers with brain metastasis and has
superior dementia
a - ANS-the nurse is caring for a 38 yr antique male with high blood pressure and level 1 CKD.
The purchaser reports life-style adjustments and feeling higher and has stopped taking a
prescribed diuretic. What is the ideal nursing reaction?
A) the diuretic will reduce your blood stress, which my sluggish or save you the progression of
your CKD
b) your number one fitness care company prescribed the diuretic as it will opposite the harm
caused by kidney sickness.
C) taking medicine is a non-public choice and you've the proper to say no this prescription
d) due to the fact you have implemented way of life adjustments, the diuretic is probably not
needed
a - ANS-the nurse is worrying for a patron with sever osteoarthritis. What will the nurse
anticipate because the customers priority hassle?
A) joint pain
b) ADL dependence
c) threat for falls
d) muscle stiffness
a - ANS-which assessment finding might require the nurse to take instant motion in a client
who's 1 hour submit kidney biopsy? SELECT ALL THAT APPLY
a) purple-tinged urine
b) nausea and vomiting
c) extended bowel sounds
d) reviews of flank ache
e) the patient is ambulating to the bathroom
a - ANS-which patron being controlled for dehydration does the nurse don't forget at greatest
chance for possible decreased kidney feature?
A) an eighty year vintage man who has benign prostatic hyperplasia
,b) a sixty two 12 months antique woman with a acknowledged allergy to comparison media
c) a forty eight year old woman with installed urinary incontinence
d) a 45 year old guy receiving oral and IV fluid remedy
a,b,c - ANS-a nurse at a carriers office is caring for an older person customer who's having an
annual physical examination. Which of the subsequent findings suggests extra observe up is
wanted in regard to the prostate gland? SELECT ALL THAT APPLY
a) PSA is 7.1 ng/mL
b) a digital rectal examination reveals an enlarged and nodular prostate
c) the customer reviews a vulnerable urine movement
d) the consumer reviews urinating as soon as at some stage in the night time
e) smegma is gift underneath the glans of the penis
a,b,c - ANS-a nurse is making plans take care of a consumer who has postrenal AKI due to
metastatic cancer. The consumer has a blood creatinine of five mg/dL. Which of the subsequent
interventions must the nurse encompass inside the plan? SELECT ALL THAT APPLY
a) offer a excessive protein weight loss plan
b) check the urine for blood
c) screen for intermittent anuria
d) weigh the client as soon as in step with week
e) provide NSAIDs for pain
a,b,c,d - ANS-a purchaser has a brand new artificial leg solid for a fractured tibia. What health
teaching will the nurse include earlier than discharge to domestic? SELECT ALL THAT APPLY
a) increase your proper leg as regularly as possible to lessen swelling
b) file elevated pain or burning sensation beneath your forged
c) use ice on the affected leg for the first 24-36 hours
d) do no longer endure weight at the affected leg until told to achieve this
e) do now not cover the forged whilst you are in mattress, keep it open to air to dry
a,b,c,d - ANS-a nurse is planning postprocedure take care of a client who obtained
hemodialysis. Which of the following interventions should the nurse consist of in the plan of
care? SELECT ALL THAT APPLY
a) take a look at BUN and blood creatinine
b) administer medicines the nurse withheld previous to dialysis
c) check the access website online for bleeding
d) compare blood pressure on the arm with the AVA access
a,b,c,d,e - ANS-a nurse is instructing a client how to preform kegal sporting events. Which of the
subsequent instructions need to the nurse include? SELECT ALL THAT APPLY
a) carry out sports approximately 50 instances each day
b) settlement the circumvaginal and or perirectal muscle groups
c) step by step growth the contraction duration to ten seconds
d) observe every contraction with as a minimum a 10 2nd rest duration
, e) carry out even as sitting, lying, and standing
f) tighten belly muscle groups at some point of contractions
a,b,c,d,e - ANS-the nurse is getting ready to teach a client the way to promote musculoskeletal
health. Which statements will the nurse include within the teaching plan? SELECT ALL THAY
APPLY
a) if you smoke you need a smoking cessation plan
b) keep away from ingesting excessive alcohol
c) be sure to take sufficient calcium and diet D
d) keep away from excessive-risk sports that could purpose an coincidence
e) include weight-bearing workout like walking on a normal basis
a,b,c,d,e,f - ANS-a nurse is acting a musculoskeletal assessment on an older adult. What
normal physiologic alternate of getting old does the nurse count on? SELECT ALL THAT APPLY
a) muscle atrophy
b) slowed motion
c) kyphosis
d) arthritis
e) widened gait
f) decreased joint range of movement
a,b,c,e - ANS-a nurse is caring for a patron who has kind 2 diabetes mellitus and could have
excretory urography. Prior to the system, which of the subsequent moves need to the nurse
take? SELECT ALL THAT APPLY
a) identify an allergic reaction to seafood
b) withhold metformin for 24 hours
c) administer an enema
d) obtain a coagulation profile
e) check for allergies
a,b,c,e - ANS-a nurse is making plans take care of a consumer who has stage 4 CKD. Which of
the following movements ought to the nurse include within the plan of care? SELECT ALL THAT
APPLY
a) determine for jugular vein distention
b) provide common mouth rinses
c) auscultate for pleural friction rub
d) provide a excessive sodium food plan
e) monitor for dysrhythmias
a,b,c,e - ANS-a nurse is planning discharge teaching on domestic safety for an person client
with osteoporosis. Which of the following statistics have to the nurse include in the teaching?
SELECT ALL THAT APPLY
a) remove throw rugs in walkways
b) use prescribed assistive gadgets
QUESTIONS
A - ANS-a patron is scheduled for a transvaginal surgical restore this morning. Which
assessment finding calls for immediate nursing intervention?
A) notation of surgical operation kind with mesh
b) expression of fear previous to the procedure
c) blood pressure 140/92, HR: 88, RR: 20 T: 98.8
d) patron request for caregiver to return to PACU
a - ANS-a consumer with a currently created vascular access for hemodialysis is being
discharged. Which discharge coaching will the nurse consist of?
A) do no longer allow blood pressure measurements within the affected arm
b) raise the affected arm, bearing in mind general rest of the extremity
c) determine for a bruit in the affected arm on a day by day foundation
d) sleep on the affected facet to protect the get admission to device
a - ANS-a patron with diabetes has the following evaluation adjustments after a percutaneous
nephrolithotomy system. Which trade calls for immediately nursing intervention?
A) problem respiration and oxygen saturation of 88 on 2 L of oxygen by means of nasal cannula
b) a factor of care blood glucose of one hundred fifty and patron document of thirst
c) a decreased hematocrit through 1%
d) an oral temperature of one zero one stages and cloudiness of urine draining from
nephrostomy tube after IV administration of a extensive spectrum antibiotic
a - ANS-a nurse in a carriers office is reviewing the medical report of a consumer who has
fibrocystic breast circumstance. Which of the subsequent findings ought to the nurse count on?
A) palpable rubberlike lump in the outer quadrant
b) BRCA1 gene mutation
c) accelerated CA-one hundred twenty five
d) Peau d'orange dimpling of the breast
a - ANS-a nurse is instructing a patron who's scheduled for a TURP approximately
postoperative care. Which of the subsequent facts have to the nurse consist of in the coaching?
A) you may have a continuous sensation of wanting to void even though you've got a catheter
b) you will be on bedrest for the primary 2 days after the method
c) you may be instructed to restriction your fluid intake after the procedure
d) your urine should be clean yellow the evening after surgical treatment
,a - ANS-a nurse is coaching a purchaser with a new prognosis of RA. Which of the subsequent
statements need to the nurse male in the coaching?
A) you could experience morning stiffness whilst you get off the bed
b) you can enjoy stomach ache
c) you can enjoy weight advantage
d) you can experience low blood sugar
a - ANS-for which consumer would the nurse anticipate to train intermittent catheterization?
A) a 35 yr vintage female who has MS and incontinence
b) forty eight year vintage guy who is admitted for pneumonia and is on complete mattress rest
c) sixty one yr antique girl who's admitted following a fall at domestic and has a new onset of
dysrhythmias
d) a seventy four yr antique man who has lung most cancers with brain metastasis and has
superior dementia
a - ANS-the nurse is caring for a 38 yr antique male with high blood pressure and level 1 CKD.
The purchaser reports life-style adjustments and feeling higher and has stopped taking a
prescribed diuretic. What is the ideal nursing reaction?
A) the diuretic will reduce your blood stress, which my sluggish or save you the progression of
your CKD
b) your number one fitness care company prescribed the diuretic as it will opposite the harm
caused by kidney sickness.
C) taking medicine is a non-public choice and you've the proper to say no this prescription
d) due to the fact you have implemented way of life adjustments, the diuretic is probably not
needed
a - ANS-the nurse is worrying for a patron with sever osteoarthritis. What will the nurse
anticipate because the customers priority hassle?
A) joint pain
b) ADL dependence
c) threat for falls
d) muscle stiffness
a - ANS-which assessment finding might require the nurse to take instant motion in a client
who's 1 hour submit kidney biopsy? SELECT ALL THAT APPLY
a) purple-tinged urine
b) nausea and vomiting
c) extended bowel sounds
d) reviews of flank ache
e) the patient is ambulating to the bathroom
a - ANS-which patron being controlled for dehydration does the nurse don't forget at greatest
chance for possible decreased kidney feature?
A) an eighty year vintage man who has benign prostatic hyperplasia
,b) a sixty two 12 months antique woman with a acknowledged allergy to comparison media
c) a forty eight year old woman with installed urinary incontinence
d) a 45 year old guy receiving oral and IV fluid remedy
a,b,c - ANS-a nurse at a carriers office is caring for an older person customer who's having an
annual physical examination. Which of the subsequent findings suggests extra observe up is
wanted in regard to the prostate gland? SELECT ALL THAT APPLY
a) PSA is 7.1 ng/mL
b) a digital rectal examination reveals an enlarged and nodular prostate
c) the customer reviews a vulnerable urine movement
d) the consumer reviews urinating as soon as at some stage in the night time
e) smegma is gift underneath the glans of the penis
a,b,c - ANS-a nurse is making plans take care of a consumer who has postrenal AKI due to
metastatic cancer. The consumer has a blood creatinine of five mg/dL. Which of the subsequent
interventions must the nurse encompass inside the plan? SELECT ALL THAT APPLY
a) offer a excessive protein weight loss plan
b) check the urine for blood
c) screen for intermittent anuria
d) weigh the client as soon as in step with week
e) provide NSAIDs for pain
a,b,c,d - ANS-a purchaser has a brand new artificial leg solid for a fractured tibia. What health
teaching will the nurse include earlier than discharge to domestic? SELECT ALL THAT APPLY
a) increase your proper leg as regularly as possible to lessen swelling
b) file elevated pain or burning sensation beneath your forged
c) use ice on the affected leg for the first 24-36 hours
d) do no longer endure weight at the affected leg until told to achieve this
e) do now not cover the forged whilst you are in mattress, keep it open to air to dry
a,b,c,d - ANS-a nurse is planning postprocedure take care of a client who obtained
hemodialysis. Which of the following interventions should the nurse consist of in the plan of
care? SELECT ALL THAT APPLY
a) take a look at BUN and blood creatinine
b) administer medicines the nurse withheld previous to dialysis
c) check the access website online for bleeding
d) compare blood pressure on the arm with the AVA access
a,b,c,d,e - ANS-a nurse is instructing a client how to preform kegal sporting events. Which of the
subsequent instructions need to the nurse include? SELECT ALL THAT APPLY
a) carry out sports approximately 50 instances each day
b) settlement the circumvaginal and or perirectal muscle groups
c) step by step growth the contraction duration to ten seconds
d) observe every contraction with as a minimum a 10 2nd rest duration
, e) carry out even as sitting, lying, and standing
f) tighten belly muscle groups at some point of contractions
a,b,c,d,e - ANS-the nurse is getting ready to teach a client the way to promote musculoskeletal
health. Which statements will the nurse include within the teaching plan? SELECT ALL THAY
APPLY
a) if you smoke you need a smoking cessation plan
b) keep away from ingesting excessive alcohol
c) be sure to take sufficient calcium and diet D
d) keep away from excessive-risk sports that could purpose an coincidence
e) include weight-bearing workout like walking on a normal basis
a,b,c,d,e,f - ANS-a nurse is acting a musculoskeletal assessment on an older adult. What
normal physiologic alternate of getting old does the nurse count on? SELECT ALL THAT APPLY
a) muscle atrophy
b) slowed motion
c) kyphosis
d) arthritis
e) widened gait
f) decreased joint range of movement
a,b,c,e - ANS-a nurse is caring for a patron who has kind 2 diabetes mellitus and could have
excretory urography. Prior to the system, which of the subsequent moves need to the nurse
take? SELECT ALL THAT APPLY
a) identify an allergic reaction to seafood
b) withhold metformin for 24 hours
c) administer an enema
d) obtain a coagulation profile
e) check for allergies
a,b,c,e - ANS-a nurse is making plans take care of a consumer who has stage 4 CKD. Which of
the following movements ought to the nurse include within the plan of care? SELECT ALL THAT
APPLY
a) determine for jugular vein distention
b) provide common mouth rinses
c) auscultate for pleural friction rub
d) provide a excessive sodium food plan
e) monitor for dysrhythmias
a,b,c,e - ANS-a nurse is planning discharge teaching on domestic safety for an person client
with osteoporosis. Which of the following statistics have to the nurse include in the teaching?
SELECT ALL THAT APPLY
a) remove throw rugs in walkways
b) use prescribed assistive gadgets
