Care of the Adult Exam #1 With complete solu on|
Updated RATED A+ | 2026
Which blood pressure (BP) finding by the nurse indicates that no changes in therapy are
needed for a pa ent with stage 1 hypertension who has a history of diabetes mellitus?
A. 102/60 mm Hg
B. 128/76 mm Hg
C. 139/90 mm Hg
D. 136/82 mm Hg
D. 136/82 mm Hg
A 56-year-old pa ent who has no previous history of hypertension or other health problems
suddenly develops a blood pressure (BP) of 198/110 mm Hg. A/er reconfirming the BP, it is
appropriate for the nurse to tell the pa ent that
A. a BP recheck should be scheduled in a few weeks.
B. dietary sodium and fat content should be decreased.
C. there is an immediate danger of a stroke and hospitaliza on will be required.
D. diagnosis of a possible cause, treatment, and ongoing monitoring will be needed.
D. diagnosis of a possible cause, treatment, and ongoing monitoring will be needed
Which ac on should the nurse take when administering the ini al dose of oral labetalol
(Normodyne) to a pa ent with hypertension?
A. Encourage the use of hard candy to prevent dry mouth.
B. Instruct the pa ent to ask for help if heart palpita ons occur.
C. Ask the pa ent to request assistance when ge7ng out of bed.
D. Teach the pa ent that headaches may occur with this medica on.
C. Ask the pa ent to request assistance when ge7ng out of bed
A 73-year-old pa ent with chronic atrial fibrilla on develops sudden severe pain, pulselessness,
pallor, and coolness in the right leg. The nurse should no fy the health care provider and
immediately
A. apply a compression stocking to the leg.
,B. elevate the leg above the level of the heart.
C. assist the pa ent in gently exercising the leg.
D. keep the pa ent in bed in the supine posi on.
D. keep the pa ent in bed in the supine posi on
A pa ent at the clinic says, "I have always taken a walk a/er dinner, but lately my leg cramps
and hurts a/er just a few minutes of star ng. The pain goes away a/er I stop walking, though."
The nurse should
A. check for the presence of tortuous veins bilaterally on the legs.
B. ask about any skin color changes that occur in response to cold.
C. assess for unilateral swelling, redness, and tenderness of either leg.
D. assess for the presence of the dorsalis pedis and posterior bial pulses.
D. assess for the presence of the dorsalis pedis and posterior bial pulses.
When you FEEL a vibra on when assessing a pulse
Thrill
When developing a teaching plan for a 61-year-old man with the following risk factors for
coronary artery disease (CAD), the nurse should focus on the
A. family history of coronary artery disease.
B. increased risk associated with the pa ent's gender.
C. increased risk of cardiovascular disease as people age.
D. eleva on of the pa ent's low-density lipoprotein (LDL) level.
D. eleva on of the pa ent's low-density lipoprotein (LDL) level.
Which assessment data collected by the nurse who is admi7ng a pa ent with chest pain
suggest that the pain is caused by an acute myocardial infarc on (AMI)?
A. The pain increases with deep breathing.
B. The pain has lasted longer than 30 minutes.
C. The pain is relieved a/er the pa ent takes nitroglycerin.
D. The pain is reproducible when the pa ent raises the arms.
B. the pain has lasted longer than 30 minutes
A pa ent who has had chest pain for several hours is admi@ed with a diagnosis of rule out acute
myocardial infarc on (AMI). Which laboratory test should the nurse monitor to help determine
whether the pa ent has had an AMI?
, A. Myoglobin
B. Homocysteine
C. C-reac ve protein
D. Cardiac-specific troponin
D. Cardiac-specific troponin
A/er the nurse has finished teaching a pa ent about the use of sublingual nitroglycerin
(Nitrostat), which pa ent statement indicates that the teaching has been effec ve?
A. "I can expect some nausea as a side effect of nitroglycerin."
B. "I should only take the nitroglycerin if I start to have chest pain."
C. "I will call an ambulance if I s ll have pain a/er taking 3 nitroglycerin 5 minutes apart."
D. "Nitroglycerin helps prevent a clot from forming and blocking blood flow to my heart."
C. "I will call an ambulance if I s ll have pain a/er taking 3 nitroglycerin 5 minutes apart"
A pa ent with ST-segment eleva on in three con guous electrocardiographic (ECG) leads is
admi@ed to the emergency department (ED) and diagnosed as having an ST-segment-eleva on
myocardial infarc on (STEMI). Which ques on should the nurse ask to determine whether the
pa ent is a candidate for thromboly c therapy?
A. "Do you have any allergies?"
B. "Do you take aspirin on a daily basis?"
C. "What me did your chest pain begin?"
D. "Can you rate your chest pain using a 0 to 10 scale?"
C. "What me did your chest pain begin?"
While assis ng the pa ent with intermi@ent asthma to iden fy specific triggers of asthma, what
should the nurse explain?
A. Food and drug allergies do not manifest in respiratory symptoms
B. Exercised induced asthma seen only in individuals with sensi vity to cold air
C. Asthma a@acks are psychogenic in origin and can be controlled with relaxa on techniques
D. Viral upper respiratory infec ons are a common precipita ng factor in acute asthma a@acks
D. Viral upper respiratory infec ons are a common precipita ng factor in acute asthma a@acks
To decrease the pa ent's sense of panic during an acute asthma a@ack, what is the best ac on
for the nurse to do?
Updated RATED A+ | 2026
Which blood pressure (BP) finding by the nurse indicates that no changes in therapy are
needed for a pa ent with stage 1 hypertension who has a history of diabetes mellitus?
A. 102/60 mm Hg
B. 128/76 mm Hg
C. 139/90 mm Hg
D. 136/82 mm Hg
D. 136/82 mm Hg
A 56-year-old pa ent who has no previous history of hypertension or other health problems
suddenly develops a blood pressure (BP) of 198/110 mm Hg. A/er reconfirming the BP, it is
appropriate for the nurse to tell the pa ent that
A. a BP recheck should be scheduled in a few weeks.
B. dietary sodium and fat content should be decreased.
C. there is an immediate danger of a stroke and hospitaliza on will be required.
D. diagnosis of a possible cause, treatment, and ongoing monitoring will be needed.
D. diagnosis of a possible cause, treatment, and ongoing monitoring will be needed
Which ac on should the nurse take when administering the ini al dose of oral labetalol
(Normodyne) to a pa ent with hypertension?
A. Encourage the use of hard candy to prevent dry mouth.
B. Instruct the pa ent to ask for help if heart palpita ons occur.
C. Ask the pa ent to request assistance when ge7ng out of bed.
D. Teach the pa ent that headaches may occur with this medica on.
C. Ask the pa ent to request assistance when ge7ng out of bed
A 73-year-old pa ent with chronic atrial fibrilla on develops sudden severe pain, pulselessness,
pallor, and coolness in the right leg. The nurse should no fy the health care provider and
immediately
A. apply a compression stocking to the leg.
,B. elevate the leg above the level of the heart.
C. assist the pa ent in gently exercising the leg.
D. keep the pa ent in bed in the supine posi on.
D. keep the pa ent in bed in the supine posi on
A pa ent at the clinic says, "I have always taken a walk a/er dinner, but lately my leg cramps
and hurts a/er just a few minutes of star ng. The pain goes away a/er I stop walking, though."
The nurse should
A. check for the presence of tortuous veins bilaterally on the legs.
B. ask about any skin color changes that occur in response to cold.
C. assess for unilateral swelling, redness, and tenderness of either leg.
D. assess for the presence of the dorsalis pedis and posterior bial pulses.
D. assess for the presence of the dorsalis pedis and posterior bial pulses.
When you FEEL a vibra on when assessing a pulse
Thrill
When developing a teaching plan for a 61-year-old man with the following risk factors for
coronary artery disease (CAD), the nurse should focus on the
A. family history of coronary artery disease.
B. increased risk associated with the pa ent's gender.
C. increased risk of cardiovascular disease as people age.
D. eleva on of the pa ent's low-density lipoprotein (LDL) level.
D. eleva on of the pa ent's low-density lipoprotein (LDL) level.
Which assessment data collected by the nurse who is admi7ng a pa ent with chest pain
suggest that the pain is caused by an acute myocardial infarc on (AMI)?
A. The pain increases with deep breathing.
B. The pain has lasted longer than 30 minutes.
C. The pain is relieved a/er the pa ent takes nitroglycerin.
D. The pain is reproducible when the pa ent raises the arms.
B. the pain has lasted longer than 30 minutes
A pa ent who has had chest pain for several hours is admi@ed with a diagnosis of rule out acute
myocardial infarc on (AMI). Which laboratory test should the nurse monitor to help determine
whether the pa ent has had an AMI?
, A. Myoglobin
B. Homocysteine
C. C-reac ve protein
D. Cardiac-specific troponin
D. Cardiac-specific troponin
A/er the nurse has finished teaching a pa ent about the use of sublingual nitroglycerin
(Nitrostat), which pa ent statement indicates that the teaching has been effec ve?
A. "I can expect some nausea as a side effect of nitroglycerin."
B. "I should only take the nitroglycerin if I start to have chest pain."
C. "I will call an ambulance if I s ll have pain a/er taking 3 nitroglycerin 5 minutes apart."
D. "Nitroglycerin helps prevent a clot from forming and blocking blood flow to my heart."
C. "I will call an ambulance if I s ll have pain a/er taking 3 nitroglycerin 5 minutes apart"
A pa ent with ST-segment eleva on in three con guous electrocardiographic (ECG) leads is
admi@ed to the emergency department (ED) and diagnosed as having an ST-segment-eleva on
myocardial infarc on (STEMI). Which ques on should the nurse ask to determine whether the
pa ent is a candidate for thromboly c therapy?
A. "Do you have any allergies?"
B. "Do you take aspirin on a daily basis?"
C. "What me did your chest pain begin?"
D. "Can you rate your chest pain using a 0 to 10 scale?"
C. "What me did your chest pain begin?"
While assis ng the pa ent with intermi@ent asthma to iden fy specific triggers of asthma, what
should the nurse explain?
A. Food and drug allergies do not manifest in respiratory symptoms
B. Exercised induced asthma seen only in individuals with sensi vity to cold air
C. Asthma a@acks are psychogenic in origin and can be controlled with relaxa on techniques
D. Viral upper respiratory infec ons are a common precipita ng factor in acute asthma a@acks
D. Viral upper respiratory infec ons are a common precipita ng factor in acute asthma a@acks
To decrease the pa ent's sense of panic during an acute asthma a@ack, what is the best ac on
for the nurse to do?
