ADULT HEALTH III FINAL EXAM 166 QUESTIONS
WITH VERIFIED ANSWERS 2025/2026
a. Infection - CORRECT ANSWER The nurse is providing discharge teaching to a
client who has had an emergency splenectomy following an automobile accident.
Which of the following findings should the nurse inform the client that they are at
an increased risk of developing?
a. Infection
b. Lymphedema
c. Chronic anemia
d. Prolonged bleeding
b. Pinpoint purplish-red lesions - CORRECT ANSWER The nurse is obtaining a
health history from a client and notes numerous petechiae. Which of the
following assessments should the nurse anticipate?
a. Bruising on the skin
b. Pinpoint purplish-red lesions
c. Small focal red lesions
d. Brown spots on mucous membranes
a. White blood cell (WBC) count of 3.5 109 /L - CORRECT ANSWER The nurse is
reviewing laboratory data for an older-adult client. Which of the following results
should be of most concern?
a. White blood cell (WBC) count of 3.5 109 /L
b. Hematocrit of 37%
,c. Platelet count of 400 109 /L
d. Hemoglobin of 118 g/L
d. Apply a pressure dressing on the aspiration site. - CORRECT ANSWER The health
care provider performs a bone marrow aspiration from the left posterior iliac crest
on a client with pancytopenia. Which of the following actions should the nurse
implement following the procedure?
a. Elevate the head of the bed to 45 degrees.
b. Apply a sterile Band-Aid at the aspiration site.
c. Use half-inch sterile gauze to pack the wound.
d. Apply a pressure dressing on the aspiration site.
b. Shiny, smooth tongue - CORRECT ANSWER The nurse is caring for a client with a
chronic iron deficiency anemia. Which of the following assessment findings should
the nurse anticipate?
a. Yellow-tinged sclerae
b. Shiny, smooth tongue
c. Numbness of the extremities
d. Gum bleeding and tenderness
b. "Do you have any problems with your vision?" - CORRECT ANSWER A client's
complete blood count shows a hemoglobin of 200 g/L and a hematocrit of 54%.
Which of the following questions should the nurse ask to determine possible
causes of this finding?
a. "Has there been any recent weight loss?"
b. "Do you have any problems with your vision?"
,c. "What is your intake of fruits and vegetables?"
d. "Have you noticed any dark or bloody stools?"
d. Activated partial thromboplastin time (aPTT) - CORRECT ANSWER The nurse is
caring for a client who is receiving heparin. Which of the following laboratory tests
should the nurse monitor?
a. Prothrombin time (PT)
b. Fibrin degradation products (FDP)
c. International normalized ratio (INR)
d. Activated partial thromboplastin time (aPTT)
d. Small size of the RBCs - CORRECT ANSWER The nurse is evaluating the red blood
cell indices result of a client's laboratory report. Which of the following
interpretations is correct related to a low mean corpuscular volume (MCV)?
a. Hypochromic red blood cells (RBCs)
b. Inadequate numbers of RBCs
c. Low hemoglobin in the RBCs
d. Small size of the RBCs
a. A 2-cm nontender supraclavicular node - CORRECT ANSWER While examining
the lymph nodes during physical assessment, the nurse would be most concerned
about which of the following findings?
a. A 2-cm nontender supraclavicular node
b. A 1-cm mobile and nontender axillary node
c. An inability to palpate any superficial lymph nodes
, d. Firm inguinal nodes in a client with an infected foot
d. Elevated reticulocyte count - CORRECT ANSWER The nurse is caring for a client
who had an intraoperative hemorrhage 12 hours ago. Which of the following
laboratory results should the nurse anticipate?
a. Hematocrit of 45%
b. Hemoglobin of 132 g/L
c. Decreased white blood cell (WBC) count
d. Elevated reticulocyte count
c. Check temperature every 4 hours. - CORRECT ANSWER The nurse is caring for a
client whose complete blood count (CBC) and differential indicate that the client is
neutropenic. Which of the following actions should the nurse include in the plan
of care?
a. Avoid intramuscular injections.
b. Encourage increased oral fluids.
c. Check temperature every 4 hours.
d. Increase intake of iron-rich foods.
c. Elevated temperature - CORRECT ANSWER The nurse is caring for a newly
admitted client whose complete blood count (CBC) shows a "shift to the left."
Which of the following assessments should the nurse monitor in the plan of care?
a. Cool extremities
b. Pallor and weakness
c. Elevated temperature
WITH VERIFIED ANSWERS 2025/2026
a. Infection - CORRECT ANSWER The nurse is providing discharge teaching to a
client who has had an emergency splenectomy following an automobile accident.
Which of the following findings should the nurse inform the client that they are at
an increased risk of developing?
a. Infection
b. Lymphedema
c. Chronic anemia
d. Prolonged bleeding
b. Pinpoint purplish-red lesions - CORRECT ANSWER The nurse is obtaining a
health history from a client and notes numerous petechiae. Which of the
following assessments should the nurse anticipate?
a. Bruising on the skin
b. Pinpoint purplish-red lesions
c. Small focal red lesions
d. Brown spots on mucous membranes
a. White blood cell (WBC) count of 3.5 109 /L - CORRECT ANSWER The nurse is
reviewing laboratory data for an older-adult client. Which of the following results
should be of most concern?
a. White blood cell (WBC) count of 3.5 109 /L
b. Hematocrit of 37%
,c. Platelet count of 400 109 /L
d. Hemoglobin of 118 g/L
d. Apply a pressure dressing on the aspiration site. - CORRECT ANSWER The health
care provider performs a bone marrow aspiration from the left posterior iliac crest
on a client with pancytopenia. Which of the following actions should the nurse
implement following the procedure?
a. Elevate the head of the bed to 45 degrees.
b. Apply a sterile Band-Aid at the aspiration site.
c. Use half-inch sterile gauze to pack the wound.
d. Apply a pressure dressing on the aspiration site.
b. Shiny, smooth tongue - CORRECT ANSWER The nurse is caring for a client with a
chronic iron deficiency anemia. Which of the following assessment findings should
the nurse anticipate?
a. Yellow-tinged sclerae
b. Shiny, smooth tongue
c. Numbness of the extremities
d. Gum bleeding and tenderness
b. "Do you have any problems with your vision?" - CORRECT ANSWER A client's
complete blood count shows a hemoglobin of 200 g/L and a hematocrit of 54%.
Which of the following questions should the nurse ask to determine possible
causes of this finding?
a. "Has there been any recent weight loss?"
b. "Do you have any problems with your vision?"
,c. "What is your intake of fruits and vegetables?"
d. "Have you noticed any dark or bloody stools?"
d. Activated partial thromboplastin time (aPTT) - CORRECT ANSWER The nurse is
caring for a client who is receiving heparin. Which of the following laboratory tests
should the nurse monitor?
a. Prothrombin time (PT)
b. Fibrin degradation products (FDP)
c. International normalized ratio (INR)
d. Activated partial thromboplastin time (aPTT)
d. Small size of the RBCs - CORRECT ANSWER The nurse is evaluating the red blood
cell indices result of a client's laboratory report. Which of the following
interpretations is correct related to a low mean corpuscular volume (MCV)?
a. Hypochromic red blood cells (RBCs)
b. Inadequate numbers of RBCs
c. Low hemoglobin in the RBCs
d. Small size of the RBCs
a. A 2-cm nontender supraclavicular node - CORRECT ANSWER While examining
the lymph nodes during physical assessment, the nurse would be most concerned
about which of the following findings?
a. A 2-cm nontender supraclavicular node
b. A 1-cm mobile and nontender axillary node
c. An inability to palpate any superficial lymph nodes
, d. Firm inguinal nodes in a client with an infected foot
d. Elevated reticulocyte count - CORRECT ANSWER The nurse is caring for a client
who had an intraoperative hemorrhage 12 hours ago. Which of the following
laboratory results should the nurse anticipate?
a. Hematocrit of 45%
b. Hemoglobin of 132 g/L
c. Decreased white blood cell (WBC) count
d. Elevated reticulocyte count
c. Check temperature every 4 hours. - CORRECT ANSWER The nurse is caring for a
client whose complete blood count (CBC) and differential indicate that the client is
neutropenic. Which of the following actions should the nurse include in the plan
of care?
a. Avoid intramuscular injections.
b. Encourage increased oral fluids.
c. Check temperature every 4 hours.
d. Increase intake of iron-rich foods.
c. Elevated temperature - CORRECT ANSWER The nurse is caring for a newly
admitted client whose complete blood count (CBC) shows a "shift to the left."
Which of the following assessments should the nurse monitor in the plan of care?
a. Cool extremities
b. Pallor and weakness
c. Elevated temperature
