Adult Health II Exam 2
Questions and
Correct Answers Already Graded A+ 2025
1. A nurse is working with a community group promoting healthy aging. What recommendation
is best to help prevent osteoarthritis (OA)?
a. Avoid contact sports.
b. Get plenty of calcium.
c. Lose weight if needed.
d. Engage in weight-bearing exercise.
- Correct Answer :ANS: C
Obesity can lead to OA, and if the client is overweight, losing weight can help prevent OA or
reduce symptoms once it occurs. Arthritis can be caused by contact sports, but this is less
common than obesity. Calcium and weight-bearing exercise are both important for osteoporosis.
2. A nurse in the family clinic is teaching a client newly diagnosed with osteoarthritis (OA) about
drugs used to treat the disease. For which medication does the nurse plan primary teaching?
a. Acetaminophen (Tylenol)
b. Cyclobenzaprine hydrochloride (Flexeril)
c. Hyaluronate (Hyalgan)
d. Ibuprofen (Motrin)
- Correct Answer :ANS: A
All of the drugs are appropriate to treat OA. However, the first-line drug is acetaminophen.
Cyclobenzaprine is a muscle relaxant given to treat muscle spasms. Hyaluronate is a synthetic
joint fluid implant. Ibuprofen is a nonsteroidal anti-inflammatory drug.
3. The clinic nurse assesses a client with diabetes during a checkup. The client also has
osteoarthritis (OA). The nurse notes the clients blood glucose readings have been elevated. What
A+ TEST BANK 1
,question by the nurse is most appropriate?
a. Are you compliant with following the diabetic diet?
A+ TEST BANK 2
, Adult Health II Exam 2
b. Have you been taking glucosamine supplements?
c. How much exercise do you really get each week?
d. You're still taking your diabetic medication, right?
- Correct Answer :ANS: B
All of the topics are appropriate for a client whose blood glucose readings have been higher than
usual. However, since this client also has OA, and glucosamine can increase blood glucose levels,
the nurse should ask about its use. The other questions all have an element of nontherapeutic
communication in them. Compliant is a word associated with negative images, and the client
may deny being noncompliant. Asking how much exercise the client really gets is accusatory.
Asking if the client takes his or her medications right? is patronizing.
4. The nurse working in the orthopedic clinic knows that a client with which factor has an
absolute contraindication for having a total joint replacement?
a. Needs multiple dental fillings
b. Over age 85
c. Severe osteoporosis
d. Urinary tract infection
- Correct Answer :ANS: C
Osteoporosis is a contraindication to joint replacement because the bones have a high risk of
shattering as the new prosthesis is implanted. The client who needs fillings should have them
done prior to the surgery. Age greater than 85 is not an absolute contraindication. A urinary tract
infection can be treated prior to surgery.
5. An older client has returned to the surgical unit after a total hip replacement. The client is
confused and restless. What intervention by the nurse is most important to prevent injury?
a. Administer mild sedation.
b. Keep all four siderails up.
c. Restrain the clients hands.
d. Use an abduction pillow.
- Correct Answer :ANS: D
Older clients often have trouble metabolizing anesthetics and pain medication, leading to
confusion or restlessness postoperatively. To prevent the hip from dislocating, the nurse should
use an abduction pillow since the client cannot follow directions at this time. Sedation may
worsen the clients mental status and should be avoided. Using all four siderails may be
considered a restraint. Hand restraints are not necessary in this situation.
A+ TEST BANK 3
, Adult Health II Exam 2
6. What action by the perioperative nursing staff is most important to prevent surgical wound
infection in a client having a total joint replacement?
a. Administer preoperative antibiotic as ordered.
b. Assess the clients white blood cell count.
c. Instruct the client to shower the night before.
d. Monitor the clients temperature postoperatively.
- Correct Answer :ANS: A
To prevent surgical wound infection, antibiotics are given preoperatively within an hour of
surgery. Simply taking a shower will not help prevent infection unless the client is told to use
special antimicrobial soap. The other options are processes to monitor for infection, not prevent
it.
7. The nurse on the postoperative inpatient unit assesses a client after a total hip replacement.
The clients surgical leg is visibly shorter than the other one and the client reports extreme pain.
While a co-worker calls the surgeon, what action by the nurse is best?
a. Assess neurovascular status in both legs.
b. Elevate the affected leg and apply ice.
c. Prepare to administer pain medication.
d. Try to place the affected leg in abduction.
- Correct Answer :ANS: A
This client has manifestations of hip dislocation, a critical complication of this surgery. Hip
dislocation can cause neurovascular compromise. The nurse should assess neurovascular status,
comparing both legs. The nurse should not try to move the extremity to elevate or abduct it.
Pain medication may be administered if possible, but first the nurse should thoroughly assess the
client.
8. A client has a continuous passive motion (CPM) device after a total knee replacement. What
action does the nurse delegate to the unlicensed assistive personnel (UAP) after the affected leg
is placed in the machine while the client is in bed?
a. Assess the distal circulation in 30 minutes.
b. Change the settings based on range of motion.
c. Raise the lower siderail on the affected side.
d. Remind the client to do quad-setting exercises.
- Correct Answer :ANS: C
Because the clients leg is strapped into the CPM, if it falls off the bed due to movement, the
clients leg (and new joint) can be injured. The nurse should instruct the UAP to raise the siderail
to prevent this from occurring. Assessment is a nursing responsibility. Only the surgeon, physical
A+ TEST BANK 4
Questions and
Correct Answers Already Graded A+ 2025
1. A nurse is working with a community group promoting healthy aging. What recommendation
is best to help prevent osteoarthritis (OA)?
a. Avoid contact sports.
b. Get plenty of calcium.
c. Lose weight if needed.
d. Engage in weight-bearing exercise.
- Correct Answer :ANS: C
Obesity can lead to OA, and if the client is overweight, losing weight can help prevent OA or
reduce symptoms once it occurs. Arthritis can be caused by contact sports, but this is less
common than obesity. Calcium and weight-bearing exercise are both important for osteoporosis.
2. A nurse in the family clinic is teaching a client newly diagnosed with osteoarthritis (OA) about
drugs used to treat the disease. For which medication does the nurse plan primary teaching?
a. Acetaminophen (Tylenol)
b. Cyclobenzaprine hydrochloride (Flexeril)
c. Hyaluronate (Hyalgan)
d. Ibuprofen (Motrin)
- Correct Answer :ANS: A
All of the drugs are appropriate to treat OA. However, the first-line drug is acetaminophen.
Cyclobenzaprine is a muscle relaxant given to treat muscle spasms. Hyaluronate is a synthetic
joint fluid implant. Ibuprofen is a nonsteroidal anti-inflammatory drug.
3. The clinic nurse assesses a client with diabetes during a checkup. The client also has
osteoarthritis (OA). The nurse notes the clients blood glucose readings have been elevated. What
A+ TEST BANK 1
,question by the nurse is most appropriate?
a. Are you compliant with following the diabetic diet?
A+ TEST BANK 2
, Adult Health II Exam 2
b. Have you been taking glucosamine supplements?
c. How much exercise do you really get each week?
d. You're still taking your diabetic medication, right?
- Correct Answer :ANS: B
All of the topics are appropriate for a client whose blood glucose readings have been higher than
usual. However, since this client also has OA, and glucosamine can increase blood glucose levels,
the nurse should ask about its use. The other questions all have an element of nontherapeutic
communication in them. Compliant is a word associated with negative images, and the client
may deny being noncompliant. Asking how much exercise the client really gets is accusatory.
Asking if the client takes his or her medications right? is patronizing.
4. The nurse working in the orthopedic clinic knows that a client with which factor has an
absolute contraindication for having a total joint replacement?
a. Needs multiple dental fillings
b. Over age 85
c. Severe osteoporosis
d. Urinary tract infection
- Correct Answer :ANS: C
Osteoporosis is a contraindication to joint replacement because the bones have a high risk of
shattering as the new prosthesis is implanted. The client who needs fillings should have them
done prior to the surgery. Age greater than 85 is not an absolute contraindication. A urinary tract
infection can be treated prior to surgery.
5. An older client has returned to the surgical unit after a total hip replacement. The client is
confused and restless. What intervention by the nurse is most important to prevent injury?
a. Administer mild sedation.
b. Keep all four siderails up.
c. Restrain the clients hands.
d. Use an abduction pillow.
- Correct Answer :ANS: D
Older clients often have trouble metabolizing anesthetics and pain medication, leading to
confusion or restlessness postoperatively. To prevent the hip from dislocating, the nurse should
use an abduction pillow since the client cannot follow directions at this time. Sedation may
worsen the clients mental status and should be avoided. Using all four siderails may be
considered a restraint. Hand restraints are not necessary in this situation.
A+ TEST BANK 3
, Adult Health II Exam 2
6. What action by the perioperative nursing staff is most important to prevent surgical wound
infection in a client having a total joint replacement?
a. Administer preoperative antibiotic as ordered.
b. Assess the clients white blood cell count.
c. Instruct the client to shower the night before.
d. Monitor the clients temperature postoperatively.
- Correct Answer :ANS: A
To prevent surgical wound infection, antibiotics are given preoperatively within an hour of
surgery. Simply taking a shower will not help prevent infection unless the client is told to use
special antimicrobial soap. The other options are processes to monitor for infection, not prevent
it.
7. The nurse on the postoperative inpatient unit assesses a client after a total hip replacement.
The clients surgical leg is visibly shorter than the other one and the client reports extreme pain.
While a co-worker calls the surgeon, what action by the nurse is best?
a. Assess neurovascular status in both legs.
b. Elevate the affected leg and apply ice.
c. Prepare to administer pain medication.
d. Try to place the affected leg in abduction.
- Correct Answer :ANS: A
This client has manifestations of hip dislocation, a critical complication of this surgery. Hip
dislocation can cause neurovascular compromise. The nurse should assess neurovascular status,
comparing both legs. The nurse should not try to move the extremity to elevate or abduct it.
Pain medication may be administered if possible, but first the nurse should thoroughly assess the
client.
8. A client has a continuous passive motion (CPM) device after a total knee replacement. What
action does the nurse delegate to the unlicensed assistive personnel (UAP) after the affected leg
is placed in the machine while the client is in bed?
a. Assess the distal circulation in 30 minutes.
b. Change the settings based on range of motion.
c. Raise the lower siderail on the affected side.
d. Remind the client to do quad-setting exercises.
- Correct Answer :ANS: C
Because the clients leg is strapped into the CPM, if it falls off the bed due to movement, the
clients leg (and new joint) can be injured. The nurse should instruct the UAP to raise the siderail
to prevent this from occurring. Assessment is a nursing responsibility. Only the surgeon, physical
A+ TEST BANK 4
