Adult Health 1 Final Exam Questions With Complete
Solutions
2. Arterial ulcers tend to be symmetrical and form a ___ whereas
venous ulcers tend to be asymmetrical and form a ___ Correct
Answers deep crater
shallow wound
A 5-year-old has been diagnosed with a severe walnut allergy
after experiencing an anaphylactic reaction. Which topic is the
nurse's priority when providing health education to the family?
A. carrying and epi pen
B. Beginning immunotherapy
C. Maintaining the child's immunization status
D. Avoiding all foods that have a high potential for allergies
Correct Answers A. carrying and epi pen
A 52-year-old client is scheduled for diagnostic testing to
address prolonged signs and symptoms of genitourinary
dysfunction. What signs and symptoms are particularly
suggestive of urinary tract disease? Select all that apply.
A. pain
B. gastrointestinal symptoms
C. changes in voiding
D. Petechiae
E. jaundice Correct Answers A. pain
B. gastrointestinal symptoms
C. changes in voiding
A 68 year-old man with a history of COPD and chronic carbon
dioxide retention presents to the emergency room complaining
,of worsening dyspnea and an increase in the frequency and
purulence of his sputum production over the past 2 days. His
oxygen saturation is 78% on room air. Before he is place on
supplemental oxygen, a room air arterial blood gas is drawn and
reveals: pH 7.25, PCO2 68, HCO3 31. What is going on with
this client:
A. metabolic acidosis
B. Respiratory acidosis with metabolic compensation
C. metabolic alkalosis
D. Respiratory alkalosis with metabolic compensation Correct
Answers B. Respiratory acidosis with metabolic compensation
A 70-year-old client is brought into the VA hospital with
complaints of severe nausea and weakness. Over the past week,
has been consuming large quantities of TUMS (calcium
carbonate). His ABG's reveal pH 7.45, PCO2 49, PO2 68,
HCO3- 34. What is going on with this client?
A. metabolic acidosis with the respiratory system compensating
B. metabolic alkalosis with the respiratory system
compensating. Correct Answers B. metabolic alkalosis with the
respiratory system compensating.
A 73-year-old client is admitted to the pulmonology unit of the
hospital. She was admitted with pleural effusion and was
"tapped" to drain the fluid to reduce her mediastinal pressure.
How much fluid is typically present between the pleurae, which
surround the lungs, to prevent friction rub?
A. 20 mL or less
B. no fluid
C. 20-30 ml
D. greater than 40 ml Correct Answers A. 20 mL or less
,A client comes to the emergency department with status
asthmaticus. His respiratory rate is 48 breaths/minute, and he is
wheezing. An arterial blood gas analysis reveals a pH of 7.52, a
partial pressure of arterial carbon dioxide (PaCO2) of 30 mm
Hg, PaO2 of 70 mm Hg, and bicarbonate (HCO3??') of 26
mEq/L. What disorder is indicated by these findings?
A. metabolic acidosis
B. respiratory alkalosis
C. metabolic alkalosis
D. respiratory acidosis Correct Answers B. respiratory alkalosis
A client experiencing a severe anxiety attack and
hyperventilating presents to the emergency department. The
nurse would expect the client's pH value to be:
A. 7.45
B. 7.30
C. 7.50 Correct Answers C. 7.50
A client has a history of chronic obstructive pulmonary disease
(COPD). Following a coughing episode, the client reports
sudden and unrelieved shortness of breath. What position should
the nurse help the client into?
A. tripod position
B. left lateral position
C. high fowler's position
D. semi-fowler's position Correct Answers A. tripod position
A client has a potassium level of 2.8. The doctor has ordered
Potassium IV push. What is the nurses next action? Select all
that apply.
, A. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT.
B. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT.
C. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT.
D. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT Correct Answers A. DO NOT GIVE
POTASSIUM IV PUSH. YOU WILL KILL YOUR PATIENT.
B. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT.
C. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT.
D. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT
A client has arrived on the telemetry floor following a cardiac
catheterization that was accessed through the client's femoral
artery. Which of the following actions should the nurse plan to
take?
A. Instruct the client to perform range-of-motion exercises to his
lower extremities.
B. Perform neurovascular checks with vital signs.
C. Ambulate the client 1 hr following the procedure.
D. Restrict the client's fluid intake. Correct Answers B. Perform
neurovascular checks with vital signs.
A client has had several diagnostic tests to determine if he has
systemic lupus erythematosus (SLE). What result is very
specific indicator of this diagnosis?
A. Positive Anti-dsDNA antibody test
Solutions
2. Arterial ulcers tend to be symmetrical and form a ___ whereas
venous ulcers tend to be asymmetrical and form a ___ Correct
Answers deep crater
shallow wound
A 5-year-old has been diagnosed with a severe walnut allergy
after experiencing an anaphylactic reaction. Which topic is the
nurse's priority when providing health education to the family?
A. carrying and epi pen
B. Beginning immunotherapy
C. Maintaining the child's immunization status
D. Avoiding all foods that have a high potential for allergies
Correct Answers A. carrying and epi pen
A 52-year-old client is scheduled for diagnostic testing to
address prolonged signs and symptoms of genitourinary
dysfunction. What signs and symptoms are particularly
suggestive of urinary tract disease? Select all that apply.
A. pain
B. gastrointestinal symptoms
C. changes in voiding
D. Petechiae
E. jaundice Correct Answers A. pain
B. gastrointestinal symptoms
C. changes in voiding
A 68 year-old man with a history of COPD and chronic carbon
dioxide retention presents to the emergency room complaining
,of worsening dyspnea and an increase in the frequency and
purulence of his sputum production over the past 2 days. His
oxygen saturation is 78% on room air. Before he is place on
supplemental oxygen, a room air arterial blood gas is drawn and
reveals: pH 7.25, PCO2 68, HCO3 31. What is going on with
this client:
A. metabolic acidosis
B. Respiratory acidosis with metabolic compensation
C. metabolic alkalosis
D. Respiratory alkalosis with metabolic compensation Correct
Answers B. Respiratory acidosis with metabolic compensation
A 70-year-old client is brought into the VA hospital with
complaints of severe nausea and weakness. Over the past week,
has been consuming large quantities of TUMS (calcium
carbonate). His ABG's reveal pH 7.45, PCO2 49, PO2 68,
HCO3- 34. What is going on with this client?
A. metabolic acidosis with the respiratory system compensating
B. metabolic alkalosis with the respiratory system
compensating. Correct Answers B. metabolic alkalosis with the
respiratory system compensating.
A 73-year-old client is admitted to the pulmonology unit of the
hospital. She was admitted with pleural effusion and was
"tapped" to drain the fluid to reduce her mediastinal pressure.
How much fluid is typically present between the pleurae, which
surround the lungs, to prevent friction rub?
A. 20 mL or less
B. no fluid
C. 20-30 ml
D. greater than 40 ml Correct Answers A. 20 mL or less
,A client comes to the emergency department with status
asthmaticus. His respiratory rate is 48 breaths/minute, and he is
wheezing. An arterial blood gas analysis reveals a pH of 7.52, a
partial pressure of arterial carbon dioxide (PaCO2) of 30 mm
Hg, PaO2 of 70 mm Hg, and bicarbonate (HCO3??') of 26
mEq/L. What disorder is indicated by these findings?
A. metabolic acidosis
B. respiratory alkalosis
C. metabolic alkalosis
D. respiratory acidosis Correct Answers B. respiratory alkalosis
A client experiencing a severe anxiety attack and
hyperventilating presents to the emergency department. The
nurse would expect the client's pH value to be:
A. 7.45
B. 7.30
C. 7.50 Correct Answers C. 7.50
A client has a history of chronic obstructive pulmonary disease
(COPD). Following a coughing episode, the client reports
sudden and unrelieved shortness of breath. What position should
the nurse help the client into?
A. tripod position
B. left lateral position
C. high fowler's position
D. semi-fowler's position Correct Answers A. tripod position
A client has a potassium level of 2.8. The doctor has ordered
Potassium IV push. What is the nurses next action? Select all
that apply.
, A. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT.
B. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT.
C. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT.
D. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT Correct Answers A. DO NOT GIVE
POTASSIUM IV PUSH. YOU WILL KILL YOUR PATIENT.
B. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT.
C. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT.
D. DO NOT GIVE POTASSIUM IV PUSH. YOU WILL KILL
YOUR PATIENT
A client has arrived on the telemetry floor following a cardiac
catheterization that was accessed through the client's femoral
artery. Which of the following actions should the nurse plan to
take?
A. Instruct the client to perform range-of-motion exercises to his
lower extremities.
B. Perform neurovascular checks with vital signs.
C. Ambulate the client 1 hr following the procedure.
D. Restrict the client's fluid intake. Correct Answers B. Perform
neurovascular checks with vital signs.
A client has had several diagnostic tests to determine if he has
systemic lupus erythematosus (SLE). What result is very
specific indicator of this diagnosis?
A. Positive Anti-dsDNA antibody test
