ADULT HEALTH 1 ACTUAL
EXAM QUESTIONS WITH
DETAILED VERIFIED
ANSWERS \A+ STUDY
MATERIAL\VERIFIED BY
EXPERT
A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm3.
Which of the following foods should the nurse prohibit the family members from bringing to the
client?
A fresh fruit basket
Raw fruits and vegetables are contraindicated for a client who has neutropenia, as the skin might harbor
bacteria that can cause an infection. The nurse should prohibit these foods from entering the client's
room.
A nurse is providing preoperative teaching for a client who has colorectal cancer and is to undergo
placement of a colostomy with a perineal wound. Which of the following statements by the client
indicates an understanding of the teaching?
"I can only have liquids for 2 days before the surgery."
The client should consume a full or clear liquid diet for 24 to 48 hours before the surgery to decrease
bulk. The client should consume a low-residue diet for several days prior to surgery to decrease
peristalsis.
A nurse is caring for a client who is postoperative following a urinary diversion to treat bladder
cancer. Which of the following interventions should the nurse include in the plan of care?
Change the collection pouch in the early morning
The nurse should plan to change the urinary collection pouch in the early morning when urine output is
reduced.
,A nurse is monitoring a client who has cancer and is receiving chemotherapy by peripheral IV infusion.
The client reports pain at the insertion site and the nurse notes fluid leaking around the catheter.
Which of the following actions should the nurse take first?
Stop the infusion
The nurse should apply the urgent versus nonurgent priority-setting framework. Using this framework,
the nurse should consider urgent needs the priority need because they pose more of a threat to the
client. The nurse might also need to use Maslow's hierarchy of needs, the ABC priority-setting
framework, or nursing knowledge to identify which finding is the most urgent. Many chemotherapy
medications are vesicants that can cause extensive tissue damage if extravasation occurs; therefore, the
nurse's first action should be to stop the infusion immediately.
A nurse is providing teaching to a client about preventing skin cancer. Which of the following client
statements indicates a need for further teaching?
"Eating a high fiber diet will reduce my risk for developing skin cancer."
"I should check my skin monthly for any changes."
"I should avoid the use of tanning booths."
"I should use sunscreen even on cloudy days."
"Eating a high fiber diet will reduce my risk for developing skin cancer."
A high-fiber diet is recommended to reduce the risk for colon cancer
A nurse is preparing to teach a parent how to care for a child who has impetigo contagiosa. Which of
the following information should the nurse plan to include in the teaching?
Keep the child on droplet precautions at home
Wash clothing in hot water
Immunize household contacts for the disease
Give the child a chlorine bath twice daily
Wash clothing in hot water
The nurse should teach the parent to ensure the child changes her clothes every day and to wash all
clothing in hot water
A nurse is caring for a client who ha pruritus following treatment for scabies. Which of the following
actions should the nurse take?
Apply additional scabicide to the affected area
Assist the client to take a hot shower
Provide mittens for the client to wear at night
Encourage the client to gently rub the affected area
,Provide mittens for the client to wear at night
Intense itching is a manifestation of scabies that is often reported by clients as unbearable at night. For
this reason, the nurse should provide mittens for the client to wear at night to protect the integrity of
the skin
A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should expect which
of the following findings?
Unilateral lesions
Serous drainage
Intense pain
Silvery, white scales
Silvery, white scales
The characteristic lesions of psoriasis are thick, erythematous plaques covered by silvery scales
A nurse is planning an educational program about basal cell carcinoma. Which of the following
information should the nurse plan to include?
Basal cell carcinoma has a low incidence of metastasis
Basal cell carcinoma is a localized lesion that seldom metastasizes
During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest. The
lesion is raised and flesh-colored with pearly white borders. The nurse should recognize that this
finding is suggestive of which of the following types of skin cancer?
Basal cell carcinoma
A basal cell tumor usually begins as a small,waxy nodule with rolled, translucent, pearly borders.
Telangiectatic vessels can also be present. As a basal cell tumor grows, it can undergo central ulceration
A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which of the
following is an expected finding?
Report of exposure to a skin irritant
The most common cause of contact dermatitis is exposure to a topical irritant therefore identifying this
irritant is a component of treatment
A nurse in a clinic is caring for a female client who has a new diagnosis of acne vulgaris on her cheeks.
Which of the following should the nurse include in the teaching plan for this client?
Use a new cosmetic pad with each limited application of makeup
Use of a new cosmetic pad with each makeup application decreases the risk of reinfection. Makeup
should be applied on a limited basis, as many are oil-based products, clog pores, and exacerbate acne
, A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should
the nurse recognize as an indication of this condition?
Firmly attached white particles on the hair
Pediculus capitis, or head lice, are tiny parasitic insects that live on the scalp and can be spread by close
contact with other people. Their eggs (nits) appear much like flakes of dandruff but stick firmly to the
hair shaft instead of flaking off of the scalp
A nurse is developing a plan of care for a client who has cellulitis of the leg. Which of the following
interventions should the nurse include in the plan?
Elevate the affected leg on two pillows
Cellulitis is an acute inflammation of the deep connective tissue of the skin, caused by infection. The
edema of the inflammatory response puts the client at risk for skin breakdown. Elevation of the affected
area and frequent repositioning reduces depended edema and assist in the healing processNormal
A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of
the following infection-control precautions should the nurse use while caring for this client?
Airborne
Protective
Contact
Droplet
Protective
Clients whose immune system is compromised, such as from chemotherapy, AIDS, or after a stem-cell
transplant, require a protective environment.
————————————————————————————
Clients who have varicella and other infections such as rubeola and tuberculosis require airbone
precautions.
Clients who have infections such as herpes simplex, respiratory syncyial virus, and methicillin-resistant
Staphylococcus aureus require contact precautions.
Clients who have streptococcal pharyngitis and other infections such as rubella and diphtheria require
droplet precautions
A nurse is assigned to care for a client diagnosed with autoimmune or idiopathic thrombocytopenic
purpura (ITP). When reviewing the client's plan of care prior to caring for the client, the nurse should
recognize that the priority concern in caring for the client is to monitor for...
Side effects of immunosuppressants
Constipation
EXAM QUESTIONS WITH
DETAILED VERIFIED
ANSWERS \A+ STUDY
MATERIAL\VERIFIED BY
EXPERT
A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm3.
Which of the following foods should the nurse prohibit the family members from bringing to the
client?
A fresh fruit basket
Raw fruits and vegetables are contraindicated for a client who has neutropenia, as the skin might harbor
bacteria that can cause an infection. The nurse should prohibit these foods from entering the client's
room.
A nurse is providing preoperative teaching for a client who has colorectal cancer and is to undergo
placement of a colostomy with a perineal wound. Which of the following statements by the client
indicates an understanding of the teaching?
"I can only have liquids for 2 days before the surgery."
The client should consume a full or clear liquid diet for 24 to 48 hours before the surgery to decrease
bulk. The client should consume a low-residue diet for several days prior to surgery to decrease
peristalsis.
A nurse is caring for a client who is postoperative following a urinary diversion to treat bladder
cancer. Which of the following interventions should the nurse include in the plan of care?
Change the collection pouch in the early morning
The nurse should plan to change the urinary collection pouch in the early morning when urine output is
reduced.
,A nurse is monitoring a client who has cancer and is receiving chemotherapy by peripheral IV infusion.
The client reports pain at the insertion site and the nurse notes fluid leaking around the catheter.
Which of the following actions should the nurse take first?
Stop the infusion
The nurse should apply the urgent versus nonurgent priority-setting framework. Using this framework,
the nurse should consider urgent needs the priority need because they pose more of a threat to the
client. The nurse might also need to use Maslow's hierarchy of needs, the ABC priority-setting
framework, or nursing knowledge to identify which finding is the most urgent. Many chemotherapy
medications are vesicants that can cause extensive tissue damage if extravasation occurs; therefore, the
nurse's first action should be to stop the infusion immediately.
A nurse is providing teaching to a client about preventing skin cancer. Which of the following client
statements indicates a need for further teaching?
"Eating a high fiber diet will reduce my risk for developing skin cancer."
"I should check my skin monthly for any changes."
"I should avoid the use of tanning booths."
"I should use sunscreen even on cloudy days."
"Eating a high fiber diet will reduce my risk for developing skin cancer."
A high-fiber diet is recommended to reduce the risk for colon cancer
A nurse is preparing to teach a parent how to care for a child who has impetigo contagiosa. Which of
the following information should the nurse plan to include in the teaching?
Keep the child on droplet precautions at home
Wash clothing in hot water
Immunize household contacts for the disease
Give the child a chlorine bath twice daily
Wash clothing in hot water
The nurse should teach the parent to ensure the child changes her clothes every day and to wash all
clothing in hot water
A nurse is caring for a client who ha pruritus following treatment for scabies. Which of the following
actions should the nurse take?
Apply additional scabicide to the affected area
Assist the client to take a hot shower
Provide mittens for the client to wear at night
Encourage the client to gently rub the affected area
,Provide mittens for the client to wear at night
Intense itching is a manifestation of scabies that is often reported by clients as unbearable at night. For
this reason, the nurse should provide mittens for the client to wear at night to protect the integrity of
the skin
A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should expect which
of the following findings?
Unilateral lesions
Serous drainage
Intense pain
Silvery, white scales
Silvery, white scales
The characteristic lesions of psoriasis are thick, erythematous plaques covered by silvery scales
A nurse is planning an educational program about basal cell carcinoma. Which of the following
information should the nurse plan to include?
Basal cell carcinoma has a low incidence of metastasis
Basal cell carcinoma is a localized lesion that seldom metastasizes
During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest. The
lesion is raised and flesh-colored with pearly white borders. The nurse should recognize that this
finding is suggestive of which of the following types of skin cancer?
Basal cell carcinoma
A basal cell tumor usually begins as a small,waxy nodule with rolled, translucent, pearly borders.
Telangiectatic vessels can also be present. As a basal cell tumor grows, it can undergo central ulceration
A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which of the
following is an expected finding?
Report of exposure to a skin irritant
The most common cause of contact dermatitis is exposure to a topical irritant therefore identifying this
irritant is a component of treatment
A nurse in a clinic is caring for a female client who has a new diagnosis of acne vulgaris on her cheeks.
Which of the following should the nurse include in the teaching plan for this client?
Use a new cosmetic pad with each limited application of makeup
Use of a new cosmetic pad with each makeup application decreases the risk of reinfection. Makeup
should be applied on a limited basis, as many are oil-based products, clog pores, and exacerbate acne
, A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should
the nurse recognize as an indication of this condition?
Firmly attached white particles on the hair
Pediculus capitis, or head lice, are tiny parasitic insects that live on the scalp and can be spread by close
contact with other people. Their eggs (nits) appear much like flakes of dandruff but stick firmly to the
hair shaft instead of flaking off of the scalp
A nurse is developing a plan of care for a client who has cellulitis of the leg. Which of the following
interventions should the nurse include in the plan?
Elevate the affected leg on two pillows
Cellulitis is an acute inflammation of the deep connective tissue of the skin, caused by infection. The
edema of the inflammatory response puts the client at risk for skin breakdown. Elevation of the affected
area and frequent repositioning reduces depended edema and assist in the healing processNormal
A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of
the following infection-control precautions should the nurse use while caring for this client?
Airborne
Protective
Contact
Droplet
Protective
Clients whose immune system is compromised, such as from chemotherapy, AIDS, or after a stem-cell
transplant, require a protective environment.
————————————————————————————
Clients who have varicella and other infections such as rubeola and tuberculosis require airbone
precautions.
Clients who have infections such as herpes simplex, respiratory syncyial virus, and methicillin-resistant
Staphylococcus aureus require contact precautions.
Clients who have streptococcal pharyngitis and other infections such as rubella and diphtheria require
droplet precautions
A nurse is assigned to care for a client diagnosed with autoimmune or idiopathic thrombocytopenic
purpura (ITP). When reviewing the client's plan of care prior to caring for the client, the nurse should
recognize that the priority concern in caring for the client is to monitor for...
Side effects of immunosuppressants
Constipation
