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ADN 2 Exam 1 Review Questions and Correct Answers 2025

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ADN 2 Exam 1 Review Questions and Correct Answers 2025

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2024/2025
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ADN 2 Exam 1 Review Questions
and Correct Answers 2025
A client receiving morphine sulfate 5 mg IV every four hours for the past several days
now states that the pain is not being relieved as well as it was in the past. What is the
reason for this development? CORRECT ANSWER: A tolerance to morphine

A client has just returned from the post anesthetic care unit following left tibia open
reduction internal fixation. The client is reporting pain, and the nurse is preparing to
administer the clients first dose of hydromorphone. Prior to administering the drug,
prioritize assessment? CORRECT ANSWER: Allergy status

A client was diagnosed with rheumatoid arthritis one year ago, but has achieved
adequate symptom control with celecoxib (celebrex), a cox-2 selective NSAID. The nurse
should recognize that this drug, like other NSA, influences what aspect of the
pathophysiology of nociceptive pain. CORRECT ANSWER: Inhibiting transduction by
blocking the formation of prostate landings in the periphery.

The nurse has been frequently assessing an older adults pain after she suffered a
humeral fracture in a fall. When applying the nursing process in pain management for a
client of this age, what principal should the nurse best apply? CORRECT ANSWER:
Monitor for signs of drug toxicity due to a decrease in metabolism.

A client is postoperative day one and the nurses assessment reveals signs of pain, such
as grimacing and guarding. Which of the following is the most reliable method for
assessing the clients pain? CORRECT ANSWER: Ask the client to describe and rate
his or her pain

What is the best rationale for healthcare providers receiving the influence of vaccination
on a yearly basis? CORRECT ANSWER: To decrease risk of transmission to
vulnerable patients

A hospital nurse is aware that nosocomial infections pose a significant threat to many
clients health status. In order to reduce the spread of nosocomial infections, the nurse
should prioritize, which action? CORRECT ANSWER: Vigilant and thorough hand
hygiene

The nurse place is a client in isolation. Isolation techniques have the potential to break
the chain of infection by interfering with what component of the chain of infection?
CORRECT ANSWER: Mode of Transmission

, A nursing home resident has been diagnosed with clostridium difficile. What type of
precautions should the nurse implement to prevent the spread of this infectious disease
to other residents? CORRECT ANSWER: Contact

When conducting health education for a client prescribed an oral penicillin for an
infection caused by gram-negative bacilli, the nurse should emphasize which
instructions CORRECT ANSWER: They need to take the medication on an empty
stomach

Hey gerontologic nurse is overseeing a large, long-term care facility. The nurse is
educating staff about the threat posed by influenza and older, frail adults. What action
should the nurse prioritize to reduce the incident and prevalence of influenza in the
facility? CORRECT ANSWER: Ensure that residence receive influence of vaccinations
in the fall of each year.

A healthcare worker has received her annual influenza vaccination and has remained at
the clinic after administration so that the nurse may have observe for adverse reactions.
The worker complains of pain at the side of IM injection. The nurse should recommend
which of the following? CORRECT ANSWER: Acetaminophen

A nurse has put on personal protective equipment to perform the dressing change of a
client surgical wound. While the nurse is cleansing the incision, the client begins
bleeding and blood hits the nurses wrist, running down under the cuff of her glove.
What is the nurses best action? CORRECT ANSWER: Interrupt the dressing, change
to perform thorough, handwashing, and document the exposure according to protocol.

A nurse who provides care in a busy ED is in contact with hundreds of clients each year.
The nurse has a responsibility to receive what vaccine? CORRECT ANSWER:
Hepatitis B vaccine

A client diagnosed with trichomonas vaginalis, is being treated with metronidazole
orally. What instruction is most important for the nurse to provide this client to
minimize the spread of this infection? CORRECT ANSWER: Instructor to have her
partner treated

The nurse is performing a comprehensive assessment of a client, skin services and
intends to assess moisture, temperature, and texture. The nurse should perform this
component of assessment in what way? CORRECT ANSWER: By palpating the client
skin.

And 82-year-old client is being treated in the hospital for a sacral pressure ulcer. What
age related changes most likely to affect the clients course of treatment? CORRECT
ANSWER: Increased time required for wound healing.

A nurse is cleaning the wound of a client who has been entered by a gunshot. Which of
the following is a recommended guideline for this procedure? CORRECT ANSWER:
Clean the wound from top to the bottom and from the center to outside

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