ROSEMAN EXAM 2 ASSESSMENT 2 FOR ADULT HEALTH II 192
QUESTIONS WITH VERIFIED ANSWERS 2026
Correct
Incorrect
1 of 192
Term
The following interventions are prescribed by the health care provider
for a patient who has respiratory distress and syncope after eating
strawberries. Which will the nurse complete first?
a. Give diphenhydramine.
b. Administer epinephrine.
c. Start continuous ECG monitoring.
d. Draw blood for complete blood count.
Give this one a go later!
c. Administer supplemental oxygen.
The initial actions of the nurse are focused on the ABCs—airway, breathing, and
circulation—and administration of O2 should be done first. The other actions should
be done as rapidly as possible after providing O2.
, b. Increased IV fluids
The decreased urine output suggests decreased renal perfusion and monitoring of
renal function is needed. There is no indication that infection is a concern, so
antibiotic therapy and a WBC count are not needed. The IV rate may be increased
because hypovolemia may be contributing to the patient's decreased urinary
output.
c. Maroon-colored liquid stool
Loose, bloody (maroon-colored) stools at this time may indicate intestinal ischemia
or infarction and should be reported immediately because the patient may need an
emergency bowel resection. The other findings are normal on the first
postoperative day after abdominal surgery.
b. Administer epinephrine.
Epinephrine rapidly causes peripheral vasoconstriction, dilates the bronchi,
and blocks the effects of histamine and reverses the vasodilation,
bronchoconstriction, and histamine release that cause the symptoms of
anaphylaxis. The other interventions are also appropriate but would not be the
first ones completed.
Don't know?
2 of 192
Term
A patient who has a history of a transfusion related acute lung injury
(TRALI) is to receive a transfusion of packed red blood cells (PRBCs).
Which action by the nurse will decrease the risk for TRALI for this
patient?
a. Infuse PRBCs slowly over 4 hours.
,b. Transfuse leukocyte-reduced PRBCs.
c. Administer the prescribed diuretic before the transfusion.
d. Give the PRN dose of antihistamine before the transfusion.
Give this one a go later!
b. Provide O2 at 100% per non-rebreather mask.
The first priority in the initial management of shock is maintenance of the airway and
ventilation. ECG monitoring, insertion of IV catheters, and obtaining blood for
transfusions should also be rapidly accomplished but only after actions to maximize
O2 delivery have been implemented.
b. Transfuse leukocyte-reduced PRBCs.
TRALI is caused by a reaction between the donor and the patient leukocytes
that causes pulmonary inflammation and capillary leaking. The other actions
may help prevent respiratory problems caused by circulatory overload or by
allergic reactions, but they will not prevent TRALI.
d. The patient's 29-yr-old brother died from a sudden cardiac arrest.
About half of all cases of hypertrophic CMP have a genetic basis, and it is the most
common cause of sudden cardiac death in otherwise healthy young people. The
information about the patient's brother will be helpful in planning care (e.g., an
automatic implantable cardioverter-defibrillator [AICD]) for the patient and in
counseling other family members. The patient should be counseled against the use
of stimulant drugs, but the limited past history indicates that the patient is not
currently at risk for cocaine use. Viral infections and CAD are risk factors for dilated
cardiomyopathy but not for hypertrophic CMP.
, b. Patient who has just returned to the unit after balloon valvuloplasty.
The patient who has just arrived after balloon valvuloplasty will need assessment for
complications such as bleeding and hypotension. The information about the other
patients is consistent with their diagnoses and does not indicate any complications
or need for urgent assessment or intervention.
Don't know?
3 of 192
Term
The nurse assesses a patient who had a total abdominal hysterectomy
2 days ago. Which information about the patient is most important to
communicate to the health care provider?
a. The patient's temperature is 100.3 F (37.9 C)
b. The patient's calf is swollen and warm to touch
c. The patient reports abdominal pain when ambulating
d. The patient has a fluid intake 600 mL greater then output
Give this one a go later!
c. Patient who had a mitral valve replacement with a mechanical valve
Current American Heart Association guidelines recommend the use of prophylactic
antibiotics before dental procedures for patients with prosthetic valves to prevent
infective endocarditis (IE). The other patients are not at risk for IE.
QUESTIONS WITH VERIFIED ANSWERS 2026
Correct
Incorrect
1 of 192
Term
The following interventions are prescribed by the health care provider
for a patient who has respiratory distress and syncope after eating
strawberries. Which will the nurse complete first?
a. Give diphenhydramine.
b. Administer epinephrine.
c. Start continuous ECG monitoring.
d. Draw blood for complete blood count.
Give this one a go later!
c. Administer supplemental oxygen.
The initial actions of the nurse are focused on the ABCs—airway, breathing, and
circulation—and administration of O2 should be done first. The other actions should
be done as rapidly as possible after providing O2.
, b. Increased IV fluids
The decreased urine output suggests decreased renal perfusion and monitoring of
renal function is needed. There is no indication that infection is a concern, so
antibiotic therapy and a WBC count are not needed. The IV rate may be increased
because hypovolemia may be contributing to the patient's decreased urinary
output.
c. Maroon-colored liquid stool
Loose, bloody (maroon-colored) stools at this time may indicate intestinal ischemia
or infarction and should be reported immediately because the patient may need an
emergency bowel resection. The other findings are normal on the first
postoperative day after abdominal surgery.
b. Administer epinephrine.
Epinephrine rapidly causes peripheral vasoconstriction, dilates the bronchi,
and blocks the effects of histamine and reverses the vasodilation,
bronchoconstriction, and histamine release that cause the symptoms of
anaphylaxis. The other interventions are also appropriate but would not be the
first ones completed.
Don't know?
2 of 192
Term
A patient who has a history of a transfusion related acute lung injury
(TRALI) is to receive a transfusion of packed red blood cells (PRBCs).
Which action by the nurse will decrease the risk for TRALI for this
patient?
a. Infuse PRBCs slowly over 4 hours.
,b. Transfuse leukocyte-reduced PRBCs.
c. Administer the prescribed diuretic before the transfusion.
d. Give the PRN dose of antihistamine before the transfusion.
Give this one a go later!
b. Provide O2 at 100% per non-rebreather mask.
The first priority in the initial management of shock is maintenance of the airway and
ventilation. ECG monitoring, insertion of IV catheters, and obtaining blood for
transfusions should also be rapidly accomplished but only after actions to maximize
O2 delivery have been implemented.
b. Transfuse leukocyte-reduced PRBCs.
TRALI is caused by a reaction between the donor and the patient leukocytes
that causes pulmonary inflammation and capillary leaking. The other actions
may help prevent respiratory problems caused by circulatory overload or by
allergic reactions, but they will not prevent TRALI.
d. The patient's 29-yr-old brother died from a sudden cardiac arrest.
About half of all cases of hypertrophic CMP have a genetic basis, and it is the most
common cause of sudden cardiac death in otherwise healthy young people. The
information about the patient's brother will be helpful in planning care (e.g., an
automatic implantable cardioverter-defibrillator [AICD]) for the patient and in
counseling other family members. The patient should be counseled against the use
of stimulant drugs, but the limited past history indicates that the patient is not
currently at risk for cocaine use. Viral infections and CAD are risk factors for dilated
cardiomyopathy but not for hypertrophic CMP.
, b. Patient who has just returned to the unit after balloon valvuloplasty.
The patient who has just arrived after balloon valvuloplasty will need assessment for
complications such as bleeding and hypotension. The information about the other
patients is consistent with their diagnoses and does not indicate any complications
or need for urgent assessment or intervention.
Don't know?
3 of 192
Term
The nurse assesses a patient who had a total abdominal hysterectomy
2 days ago. Which information about the patient is most important to
communicate to the health care provider?
a. The patient's temperature is 100.3 F (37.9 C)
b. The patient's calf is swollen and warm to touch
c. The patient reports abdominal pain when ambulating
d. The patient has a fluid intake 600 mL greater then output
Give this one a go later!
c. Patient who had a mitral valve replacement with a mechanical valve
Current American Heart Association guidelines recommend the use of prophylactic
antibiotics before dental procedures for patients with prosthetic valves to prevent
infective endocarditis (IE). The other patients are not at risk for IE.
