Adult Health Exam 1 Practice Questions With Complete
Solutions
. A nurse newly hired at a community hospital learns about
intentional hourly rounding during orientation. Which of the
following are known evidence-based outcomes from intentional
rounding? (Select all that apply.)
1. Reduction in nurse staffing requirements
2. Improved patient satisfaction
3. Reduction in patient falls
4. Increased costs
5. Reduction in patient call light use Correct Answers 2, 3, 5
A 52 year old woman just had a double mastectomy and you
need to obtain vital signs on this patient. Which of the choices
below is the best method of obtaining vital signs on this patient.
Oral temperature, B/P on left arm, count RR, and check radial
pusle.
Oral temperature, B/P on right arm, count RR, and check radial
pusle.
Axillary temperature, B/P on left arm, count RR, and check
radial pusle.
Oral temperature, B/P on leg, count RR, and check radial pusle.
Correct Answers Oral temperature, B/P on leg, count RR, and
check radial pusle.
A 52-year-old woman is admitted with pneumonia, dyspnea, and
discomfort in her left chest when taking deep breaths. She has
smoked for 35 years and recently lost over 10 lb. She is started
on intravenous antibiotics, high-protein shakes, and 2 L O2 via
,nasal cannula. Her most recent vital signs are HR 112, BP
138/82, RR 22, tympanic temperature 37.9°C (100.2° F), and
oxygen saturation 94%. Which vital signs reflect a positive
outcome of the treatment interventions? (Select all that apply.)
1. Temperature: 37° C (98.6° F)
2. Radial pulse: 98
3. Respiratory rate: 18
4. Oxygen saturation: 96%
5. Blood pressure: 134/78 Correct Answers 1. Temperature: 37°
C (98.6° F)
2. Radial pulse: 98
3. Respiratory rate: 18
4. Oxygen saturation: 96%
A 54 year old female came in the emergency room complaining
of a headache , dry cough, and feeling dizzy. She had the
following vital signs; temp 100.9, BP 130/88, HR 110, RR 26,
and O2 saturation 95%. What type of PPE would you wear when
caring for this patient?
N95 Respirator and gloves
Gown and gloves
surgical mask and gloves
Gloves, gown and mask Correct Answers surgical mask and
gloves
A clients feels lightheaded when getting out of bed in the
morning. The nurse obtains blood pressure readings in the
supine, sitting, and standing position. The nurse is assessing the
client for which of the following:
,Orthostatic hypotension, a decrease in systolic blood pressure
less than 10 mm hg with position changes
Orthostatic hypotension, a decrease in diastolic blood pressure
equal or greater than 10 mm hg with position changes
Orthostatic hypertension, an increase in systolic blood pressure
greater than 10 mm hg with position changes
Orthostatic hypertension, an increase in diastolic blood pressure
greater than 40 mm hg with position changes Correct Answers
Orthostatic hypotension, a decrease in diastolic blood pressure
equal or greater than 10 mm hg with position changes
A healthy adult patient tells the nurse that he obtained his blood
pressure in "one of those quick machines in the mall" and was
alarmed that it was 152/72 when his normal value ranges from
114/72 to 118/78. The nurse obtains a blood pressure of 116/76.
What would account for the blood pressure of 152/92? (Select
all that apply.)
1. Cuff too small
2. Arm positioned above heart level
3. Slow inflation of the cuff by the machine
4. Patient did not remove his long-sleeved shirt
5. Insufficient time between measurements Correct Answers 1,
5
A nurse is assessing a patient with activity intolerance for
possible orthostatic hypotension. Which finding will help
confirm orthostatic hypotension?
Blood pressure sitting 120/64; blood pressure 140/70 standing
Blood pressure sitting 126/64; blood pressure 120/58 standing
Blood pressure sitting 130/60; blood pressure 110/60 standing
, Blood pressure sitting 140/60; blood pressure 130/54 standing
Correct Answers Blood pressure sitting 130/60; blood pressure
110/60 standing
A nurse is assessing activity tolerance of a patient. Which areas
will the nurse assess? (Select all that apply.)
Skeletal abnormalities
Emotional factors
Pregnancy status
Race
Age Correct Answers Skeletal abnormalities
Emotional factors
Pregnancy status
Age
A nurse is assigned to care for an 82-year-old patient who will
be transferred from the hospital to a rehabilitation center. The
patient and her husband have selected the rehabilitation center
closest to their home. The nurse learns that the patient will be
discharged in 3 days and decides to make the referral on the day
of discharge. The nurse reviews the recommendations for
physical therapy and applies the information to fall prevention
strategies in the hospital. What discharge planning action by the
nurse has not been addressed correctly?
1. Patient and family involvement in referral
2. Timing of referral
3. Incorporation of referral discipline recommendations into plan
of care
4. Determination of discharge date Correct Answers 2
Solutions
. A nurse newly hired at a community hospital learns about
intentional hourly rounding during orientation. Which of the
following are known evidence-based outcomes from intentional
rounding? (Select all that apply.)
1. Reduction in nurse staffing requirements
2. Improved patient satisfaction
3. Reduction in patient falls
4. Increased costs
5. Reduction in patient call light use Correct Answers 2, 3, 5
A 52 year old woman just had a double mastectomy and you
need to obtain vital signs on this patient. Which of the choices
below is the best method of obtaining vital signs on this patient.
Oral temperature, B/P on left arm, count RR, and check radial
pusle.
Oral temperature, B/P on right arm, count RR, and check radial
pusle.
Axillary temperature, B/P on left arm, count RR, and check
radial pusle.
Oral temperature, B/P on leg, count RR, and check radial pusle.
Correct Answers Oral temperature, B/P on leg, count RR, and
check radial pusle.
A 52-year-old woman is admitted with pneumonia, dyspnea, and
discomfort in her left chest when taking deep breaths. She has
smoked for 35 years and recently lost over 10 lb. She is started
on intravenous antibiotics, high-protein shakes, and 2 L O2 via
,nasal cannula. Her most recent vital signs are HR 112, BP
138/82, RR 22, tympanic temperature 37.9°C (100.2° F), and
oxygen saturation 94%. Which vital signs reflect a positive
outcome of the treatment interventions? (Select all that apply.)
1. Temperature: 37° C (98.6° F)
2. Radial pulse: 98
3. Respiratory rate: 18
4. Oxygen saturation: 96%
5. Blood pressure: 134/78 Correct Answers 1. Temperature: 37°
C (98.6° F)
2. Radial pulse: 98
3. Respiratory rate: 18
4. Oxygen saturation: 96%
A 54 year old female came in the emergency room complaining
of a headache , dry cough, and feeling dizzy. She had the
following vital signs; temp 100.9, BP 130/88, HR 110, RR 26,
and O2 saturation 95%. What type of PPE would you wear when
caring for this patient?
N95 Respirator and gloves
Gown and gloves
surgical mask and gloves
Gloves, gown and mask Correct Answers surgical mask and
gloves
A clients feels lightheaded when getting out of bed in the
morning. The nurse obtains blood pressure readings in the
supine, sitting, and standing position. The nurse is assessing the
client for which of the following:
,Orthostatic hypotension, a decrease in systolic blood pressure
less than 10 mm hg with position changes
Orthostatic hypotension, a decrease in diastolic blood pressure
equal or greater than 10 mm hg with position changes
Orthostatic hypertension, an increase in systolic blood pressure
greater than 10 mm hg with position changes
Orthostatic hypertension, an increase in diastolic blood pressure
greater than 40 mm hg with position changes Correct Answers
Orthostatic hypotension, a decrease in diastolic blood pressure
equal or greater than 10 mm hg with position changes
A healthy adult patient tells the nurse that he obtained his blood
pressure in "one of those quick machines in the mall" and was
alarmed that it was 152/72 when his normal value ranges from
114/72 to 118/78. The nurse obtains a blood pressure of 116/76.
What would account for the blood pressure of 152/92? (Select
all that apply.)
1. Cuff too small
2. Arm positioned above heart level
3. Slow inflation of the cuff by the machine
4. Patient did not remove his long-sleeved shirt
5. Insufficient time between measurements Correct Answers 1,
5
A nurse is assessing a patient with activity intolerance for
possible orthostatic hypotension. Which finding will help
confirm orthostatic hypotension?
Blood pressure sitting 120/64; blood pressure 140/70 standing
Blood pressure sitting 126/64; blood pressure 120/58 standing
Blood pressure sitting 130/60; blood pressure 110/60 standing
, Blood pressure sitting 140/60; blood pressure 130/54 standing
Correct Answers Blood pressure sitting 130/60; blood pressure
110/60 standing
A nurse is assessing activity tolerance of a patient. Which areas
will the nurse assess? (Select all that apply.)
Skeletal abnormalities
Emotional factors
Pregnancy status
Race
Age Correct Answers Skeletal abnormalities
Emotional factors
Pregnancy status
Age
A nurse is assigned to care for an 82-year-old patient who will
be transferred from the hospital to a rehabilitation center. The
patient and her husband have selected the rehabilitation center
closest to their home. The nurse learns that the patient will be
discharged in 3 days and decides to make the referral on the day
of discharge. The nurse reviews the recommendations for
physical therapy and applies the information to fall prevention
strategies in the hospital. What discharge planning action by the
nurse has not been addressed correctly?
1. Patient and family involvement in referral
2. Timing of referral
3. Incorporation of referral discipline recommendations into plan
of care
4. Determination of discharge date Correct Answers 2
