ADULT HEALTH EXAM 1 PRACTICE QUESTIONS WITH SOLUTION AND RATIONALES UPDATED GRADED A+

ADULT HEALTH EXAM 1 PRACTICE
QUESTIONS WITH SOLUTION AND
RATIONALES 2026\2027 UPDATED
GRADED A+
A nurse is caring for a client who has bradycardia following a surgical
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procedure using spinal anesthesia. The nurse should plan to administer
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which of the following medications to the client?
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a. amiodarone
b. propranolol
c. methyldopa
d. epinephrine correct answer d. epinerphrine k, k, k, k,




(epinephrine is a vasopressor which would increase the client's heart rate
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and prevent cardiac arrest
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A nurse is planning care for a client who is postoperative and has a
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closed- wound drainage system in place. which of the following
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interventions should the nurse plan include?
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a. check the patency of the drain every 12 hours
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b. clamp the drain while the client is ambulating
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c. cleanse the drain plug with alcohol after emptying
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d. secure the drain to the client's bed sheet correct answer c. cleanse
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the drain plug with alcohol after emptying
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(after emptying the drain, the nurse should use one hand to compress
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the top and bottom of the device together and the other to cleanse the
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plug before placing it. Nurse should check amount, color, and type of
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drainage at least every 8 hours)
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A nurse is reviewing the medical record of a client who is scheduled for
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an elective surgery. Which of the following medications should the nurse
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expect the provider to discontinue prior to surgery to minimize the risk
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of complications?
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,a. cefazolin
b. digoxin
c. ondansetron
d. warfarin correct answer d. warfarin k, k, k, k,




( the nurse should anticipate that they will discontinue warfarin because it
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increases the risk of bleeding during and following surgery. digoxin
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does not increase client's risk for surgical complications)
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a surgical nurse enters a surgical suite to ensure surgical asepsis is
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maintained. which of the following requires intervention by the nurse?
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a. the scrub technologist is wearing a watch under his scrubs
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b. the circulating nurse opens dressing packages before applying
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sterile gloves
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c. the surgeon has her hands folded 2 inches above her waist
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d. the holding area nurse is performing client educaiton correct answer
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a. the scrub technologist is wearing a watch under his scrubs
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(finger and wrist jewelry are likely contaminated with microorganisms and
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bacteria)
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A nurse is providing discharge instructions for a client who is
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postoperative following abdominal surgery. Which of the following client
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statements indicates an understanding of the teaching?
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a. "I will have an increase in yellow-colored drainage from my incision for
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2 weeks"
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b. "I will eat foods that are high in protein and vitamin C during
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my recovery"
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c. "I should avoid taking OTC pain medication if my pain is not severe
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d. "I will remain on bed rest until my follow-up appointment with my
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doctor correct answer b. "I will eat foods that are high in protein and
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vitamin C during my recovery (which promotes wound healing)
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A nurse is caring for a client who is preoperative and is asking multiple
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questions about the risks of the procedure. Which of the following
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actions should the nurse take?
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a. explain the risks and benefits of the surgery to the client
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,b. Ask the surgeon to speak to the client for verification
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c. reassure the client that the procedure is necessary for recovery
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d. notify the circulating nurse that the client has questions about
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the procedure correct answer b. ask the surgeon to speak to the
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client for clarification
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(It is the responsibility of the surgeon to explain the risks and benefits of
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the surgery.)
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A nurse is assessing a client who is 2 days postop following a total
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prostatectomy. The nurse notes that the client's right calf is red,
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edematous, and warm to the touch. Which of the following actions
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should the nurse take?
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a. apply an ice pack to the client's right calf
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b. elevate the client's right extremity k, k, k, k,


c. administer testosterone to the client k, k, k, k,


d. gently massage the client's right calf correct answer b. elevate the
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client's right extremity (These findings suggest the client has deep-
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vein thrombosis. The nurse should keep the client's right extremity
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elevated to promote venous return.)
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A nurse is caring for a client who has a surgical wound with a Penrose
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drain in place. Which of the following interventions should the nurse plan
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to perform?
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a. cut a slit in a 4-inch gauze pad to place around the drain
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b. use sterile technique when performing dressing changes
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c. establish a clamping schedule prior to removal k, k, k, k, k, k,


d. apply negative pressure when emptying the drain correct answer b.
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use the sterile technique when performing dressing changes
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(The nurse should change the Penrose drain dressing using the surgical
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aseptic technique. A drain sponge should be used around a Penrose
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drain. A gauze pad should never be cut and used around a drain due to
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the risk of dressing fibers becoming embedded in the wound. Establish a
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clamping schedule prior to removal.
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Clamping a Penrose drain can lead to infection. A Penrose drain is an
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open system and drains by gravity.)
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, A nurse is assessing the client's recovery from spinal anesthesia. Which
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of the following sensations should the nurse expect to return to the client
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first?
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a. pain
b. cold
c. touch
d. warmth correct answer c. touch k, k, k, k,




(first touch, then pain, then warmth, then cold)
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A nurse is caring for a client who is 12 hour postop from a gastrectomy
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and has an NG tube set to continuous low suction. Which of the
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following findings requires intervention by the nurse?
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a. gastric distention k,


b. absent bowel sounds k, k,


c. urine output of 150 mL over the last 4 hours
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d. yellow drainage in the NG tube correct answer a. gastric distention
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(Gastric distention is an indication that the NG tube is not patent. The
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nurse should check the tubing for kinks, blockages, and loose
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connections. The nurse should also reposition the client to facilitate
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drainage. The nurse should avoid removing or irrigating the tube unless
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directed to do so by the surgeon.)
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A nurse is providing teaching for a client who is scheduled to undergo
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moderate sedation for a bronchoscopy. The nurse should verify that the
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client understands the procedure when the client states the following?
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a. "I will need a bowel prep the day before the procedure"
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b. "I will drink plenty of fluids he morning of the procedure
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c. "I can eat as soon as the procedure is over."
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d. "I can expect to feel sleepy for several hours after the procedure."
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correct answer d. "I can expect to feel sleepy for several hours after
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the procedure."
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A nurse is monitoring a client who received succinylcholine during a
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surgical procedure. Which of the following actions should the nurse take
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if the client develops manifestations of malignant hyperthermia?
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