Final Exam Practice Questions Adult 1 Questions With
Complete Solutions
During care of the patient with extreme obesity, what is most
important for the nurse to do?
a. avoid any reference to the patient's weight to avoid
embarrassing the patient
b. emphasize to the patient how important it is to lose weight to
maintain health
c. plan for necessary modifications in equipment and nursing
techniques for starting care
d. recognize that a full assessment may not be possible because
of numerous layers of skinfolds
c. plan for necessary modifications in equipment and nursing
techniques for starting care
The nurse is admitting a patient for bariatric surgery. Which
finding in a patient's history should be brough to the surgeon's
attention before proceeding with further patient preparation?
a. hypertension
b. untreated depression
c. multiple attempts to lose weight
d. sleep apnea treated with CPAP
b. untreated depression
What is a postoperative nursing intervention for the obese
patient who has had bariatric surgery?
a. irrigation and repositioning the NG tube as needed
,b. delaying ambulation until the patient has enough strength to
support self
c. keeping the patient positioned on the side to facilitate
respiratory function
d. providing adequate support to the incision during coughing
and deep breathing
d. providing adequate support to the incision during coughing
and deep breathing
Which statement accurately describes Graves' disease?
a. exophthalmos occurs in Graves' disease
b. it is an uncommon form of hyperthyroidism
c. manifestations of hyperthyroidism occur from tissue
desensitization to the sympathetic nervous system
d. diagnostic testing in the patient with Graves' disease will
reveal an increased thyroid-stimulating hormone level
a. exophthalmos occurs in Graves' disease
A patient is admitted to the hospital with acute thyrotoxicosis.
On physical assessment of the patient, what should the nurse
expect to find?
a. hoarseness and laryngeal stridor
b. bulging eyeballs and dysrhythmias
c. increased temperature and signs of heart failure
d. lethargy progressing suddenly to impaired consciousness
c. increased temperature and signs of heart failure
What medication is given in thyrotoxicosis to block the effects
of the sympathetic nervous stimulation of the thyroid hormones?
,a. potassium iodine
b. propylthiouracil
c. propranolol
d. radioactive iodine
c. propranolol
What is a cause of primary hypothyroidism in adults?
a. malignant or benign thyroid nodules
b. surgical removal or failure of the pituitary gland
c. surgical removal or radiation of the thyroid gland
d. autoimmune-induced atrophy of the thyroid gland
d. autoimmune-induced atrophy of the thyroid gland
A patient with hypothyroidism is treated with levothyroxine.
What should the nurse include with teaching the patient about
this therapy?
a. explain that alternate-day dosage may be used if side effects
occur
b. provide written instruction for all information related to the
drug therapy
c. tell the patient that the drug must be taken until the hormone
balance is reestablished
b. provide written instruction for all information related to the
drug therapy
Which information from a 70-yr-old patient during a health
history indicates to the nurse that the patient should be screened
for hepatitis C?
a.The patient had a blood transfusion in 2005
, b.The patient used IV drugs about 20 years ago.
c. The patient frequently eats in fast-food restaurants.
d.The patient traveled to a country with poor sanitation
b.The patient used IV drugs about 20 years ago.
A hospitalized Native American patient tells the nurse that later
in the day a medicine man from his tribe is coming to perform a
healing ceremony to return his world to balance. What should
the nurse recognize about this situation?
a.Traditional rituals may meet the patient's spiritual needs
b.The patient does not adhere to an organized, formal religion
c.The patient may be putting his health in jeopardy by relying on
rituals
d.Native American medicine cannot alter the progression of the
patient's physical illness.
a.Traditional rituals may meet the patient's spiritual needs
Which intervention will the nurse include in the plan of care for
a patient who is diagnosed with a lung abscess?
a. Assist the patient with chest physiotherapy and postural
drainage.
b. Teach the patient to avoid the use of over-the-counter
expectorants.
c. Notify the health care provider immediately about any bloody
or foul-smelling sputum.
d. Teach about the need for prolonged antibiotic therapy after
discharge from the hospital
d. Teach about the need for prolonged antibiotic therapy after
discharge from the hospital
Complete Solutions
During care of the patient with extreme obesity, what is most
important for the nurse to do?
a. avoid any reference to the patient's weight to avoid
embarrassing the patient
b. emphasize to the patient how important it is to lose weight to
maintain health
c. plan for necessary modifications in equipment and nursing
techniques for starting care
d. recognize that a full assessment may not be possible because
of numerous layers of skinfolds
c. plan for necessary modifications in equipment and nursing
techniques for starting care
The nurse is admitting a patient for bariatric surgery. Which
finding in a patient's history should be brough to the surgeon's
attention before proceeding with further patient preparation?
a. hypertension
b. untreated depression
c. multiple attempts to lose weight
d. sleep apnea treated with CPAP
b. untreated depression
What is a postoperative nursing intervention for the obese
patient who has had bariatric surgery?
a. irrigation and repositioning the NG tube as needed
,b. delaying ambulation until the patient has enough strength to
support self
c. keeping the patient positioned on the side to facilitate
respiratory function
d. providing adequate support to the incision during coughing
and deep breathing
d. providing adequate support to the incision during coughing
and deep breathing
Which statement accurately describes Graves' disease?
a. exophthalmos occurs in Graves' disease
b. it is an uncommon form of hyperthyroidism
c. manifestations of hyperthyroidism occur from tissue
desensitization to the sympathetic nervous system
d. diagnostic testing in the patient with Graves' disease will
reveal an increased thyroid-stimulating hormone level
a. exophthalmos occurs in Graves' disease
A patient is admitted to the hospital with acute thyrotoxicosis.
On physical assessment of the patient, what should the nurse
expect to find?
a. hoarseness and laryngeal stridor
b. bulging eyeballs and dysrhythmias
c. increased temperature and signs of heart failure
d. lethargy progressing suddenly to impaired consciousness
c. increased temperature and signs of heart failure
What medication is given in thyrotoxicosis to block the effects
of the sympathetic nervous stimulation of the thyroid hormones?
,a. potassium iodine
b. propylthiouracil
c. propranolol
d. radioactive iodine
c. propranolol
What is a cause of primary hypothyroidism in adults?
a. malignant or benign thyroid nodules
b. surgical removal or failure of the pituitary gland
c. surgical removal or radiation of the thyroid gland
d. autoimmune-induced atrophy of the thyroid gland
d. autoimmune-induced atrophy of the thyroid gland
A patient with hypothyroidism is treated with levothyroxine.
What should the nurse include with teaching the patient about
this therapy?
a. explain that alternate-day dosage may be used if side effects
occur
b. provide written instruction for all information related to the
drug therapy
c. tell the patient that the drug must be taken until the hormone
balance is reestablished
b. provide written instruction for all information related to the
drug therapy
Which information from a 70-yr-old patient during a health
history indicates to the nurse that the patient should be screened
for hepatitis C?
a.The patient had a blood transfusion in 2005
, b.The patient used IV drugs about 20 years ago.
c. The patient frequently eats in fast-food restaurants.
d.The patient traveled to a country with poor sanitation
b.The patient used IV drugs about 20 years ago.
A hospitalized Native American patient tells the nurse that later
in the day a medicine man from his tribe is coming to perform a
healing ceremony to return his world to balance. What should
the nurse recognize about this situation?
a.Traditional rituals may meet the patient's spiritual needs
b.The patient does not adhere to an organized, formal religion
c.The patient may be putting his health in jeopardy by relying on
rituals
d.Native American medicine cannot alter the progression of the
patient's physical illness.
a.Traditional rituals may meet the patient's spiritual needs
Which intervention will the nurse include in the plan of care for
a patient who is diagnosed with a lung abscess?
a. Assist the patient with chest physiotherapy and postural
drainage.
b. Teach the patient to avoid the use of over-the-counter
expectorants.
c. Notify the health care provider immediately about any bloody
or foul-smelling sputum.
d. Teach about the need for prolonged antibiotic therapy after
discharge from the hospital
d. Teach about the need for prolonged antibiotic therapy after
discharge from the hospital
