ADULT HEALTH III LATEST 2026 EXAMINATION SET
QUESTIONS AND SOLUTIONS GUARANTEE A+
✔✔A nurse is preparing to administer intermittent enteral tube feedings to a client. In
what order should the nurse perform the following actions before beginning feeding?
A. Flush tubing with 30 mL of water
B. Place the client in Fowler's position
C. Check residual
D. Verify tube placement - ✔✔B. Place the client in Fowler's position
D. Verify tube placement
C. Check residual
A. Flush tubing with 30 mL of water
✔✔A nurse is caring for an adolescent who has type 1 diabetes mellitus. Which of the
following actions should the nurse take to assess for Somogyi phenomenon?
A. Monitor blood glucose levels during the night
B. Check for urinary ketones at the same time each day for 1 week
C. Perform an oral glucose tolerance test after administering a dose of insulin
D. Compare current glycosylated hemoglobin level with the level at the time of diagnosis
- ✔✔A. Monitor blood glucose levels during the night
✔✔A client reports constipation during a routine check up. The client was previously
encouraged to increase his intake of mineral supplements. Which of the following
minerals should the nurse identify as the cause of constipation?
A. Phosphorus
B. Potassium
C. Magnesium
D. Calcium - ✔✔D. Calcium
✔✔A nurse is planning dietary teaching for a client who has dumping syndrome
following a gastrectomy. Which of the following interventions should the nurse include in
the client's plan of care?
A. Use simple sugars to sweeten food
B. Remain upright for one hour following meals
C. Limit eating three large meals per day
D. Select grains with less than 2 g fiber per serving - ✔✔D. Select grains with less than
2 g fiber per serving
✔✔A nurse is developing an educational program about the glycemic index of foods for
clients who have diabetes mellitus. Which of the following foods should the nurse
identify as having the highest glycemic index?
,A. Sweet corn
B. Macaroni
C. Baked potato
D. Peanuts - ✔✔C. Baked potato
✔✔A nurse in a clinic is providing nutritional counseling to a client who wants to lose
weight. The nurse should identify that which of the following statements indicates the
client understands the counseling?
A. "I will taste my foods while I am cooking."
B. "I will exclude breads and pastries from my diet."
C. "I will make a list before I go grocery shopping."
D. "I will skip lunch if I am too busy to have something healthy." - ✔✔C. "I will make a
list before I go grocery shopping."
✔✔A nurse is reviewing laboratory findings of a client who has acute pancreatitis.
Which of the following is an expected finding?
A. Increased serum calcium
B. Decreased serum bilirubin
C. Increased serum glucose
D. Decreased serum alkaline phosphatase - ✔✔C. Increased serum glucose
✔✔A nurse is performing dietary teaching with a client who has a family history of
cardiovascular disease. Which of the following statements should the nurse include in
the teaching?
A. "Restrict your dietary potassium intake."
B. "Increase your dietary fiber intake."
C. "Increase your intake of trans fatty acids."
D. "Restrict your protein intake." - ✔✔B. "Increase your dietary fiber intake."
✔✔A nurse is reviewing the laboratory results of a client who has a pressure ulcer.
Which if the following findings should indicate to the nurse that the client is at risk for
impaired wound healing?
A. Hgb 15 g/dL
B. Serum albumin 3.0 g/dL
C. Prothrombin time 11.5 seconds
D. WBC 6,000/mm3 - ✔✔B. Serum albumin 3.0 g/dL
✔✔A nurse is assessing a client who is suspected of having lactose intolerance. Which
of the following is an expected finding?
, A. Flatulence
B. Bloody stools
C. Hyperemesis
D. Steatorrhea - ✔✔A. Flatulence
✔✔A nurse in a long term care facility is monitoring a client who has Parkinson's
disease during mealtime. Which of the following findings should the nurse identify as a
priority?
A. The client eats all his cake and a few bites of bead
B. The client drools while eating
C. The client's hand trembles when he holds his spoon
D. The client chooses to sit alone during the meal - ✔✔B. The client drools while eating
✔✔A nurse is updating a plan of care for a client who is receiving intermittent enteral
feedings and is experiencing diarrhea. Which of the following interventions should the
nurse include in the plan of care?
A. Discard the client's opened cans of formula within 48 hours
B. Administer the client's formula cold
C. Feed the client in small frequent volumes
D. Consider a low-calorie formula for the client - ✔✔C. Feed the client in small frequent
volumes
✔✔A nurse is caring for a client who is receiving total parenteral nutrition through a
peripherally inserted canal catheter. The pharmacist informs the nurse that there will be
a delay in delivering the next bag of TPN solution. Which of the following actions should
the nurse take?
A. Slow the rate of the current infusion
B. Infuse 0.9% sodium chloride when the current infusion ends
C. Infuse dextrose 10% in water when current infusion ends
D. Remove tubing and flush the access device when the current infusion ends - ✔✔C.
Infuse dextrose 10% in water when current infusion ends
✔✔A nurse in an acute care facility is planning care for a client who has chosen to
follow Islamic dietary laws during Ramadan. Which of the following actions should the
nurse plan to take?
A. Place the client on NPO status during nighttime hours
B. Provide a snack for the client after sunset
C. Offer the client hot tea with daytime meals
D. Allow the client to eat privately with his family each day at 1300 - ✔✔B. Provide a
snack for the client after sunset
QUESTIONS AND SOLUTIONS GUARANTEE A+
✔✔A nurse is preparing to administer intermittent enteral tube feedings to a client. In
what order should the nurse perform the following actions before beginning feeding?
A. Flush tubing with 30 mL of water
B. Place the client in Fowler's position
C. Check residual
D. Verify tube placement - ✔✔B. Place the client in Fowler's position
D. Verify tube placement
C. Check residual
A. Flush tubing with 30 mL of water
✔✔A nurse is caring for an adolescent who has type 1 diabetes mellitus. Which of the
following actions should the nurse take to assess for Somogyi phenomenon?
A. Monitor blood glucose levels during the night
B. Check for urinary ketones at the same time each day for 1 week
C. Perform an oral glucose tolerance test after administering a dose of insulin
D. Compare current glycosylated hemoglobin level with the level at the time of diagnosis
- ✔✔A. Monitor blood glucose levels during the night
✔✔A client reports constipation during a routine check up. The client was previously
encouraged to increase his intake of mineral supplements. Which of the following
minerals should the nurse identify as the cause of constipation?
A. Phosphorus
B. Potassium
C. Magnesium
D. Calcium - ✔✔D. Calcium
✔✔A nurse is planning dietary teaching for a client who has dumping syndrome
following a gastrectomy. Which of the following interventions should the nurse include in
the client's plan of care?
A. Use simple sugars to sweeten food
B. Remain upright for one hour following meals
C. Limit eating three large meals per day
D. Select grains with less than 2 g fiber per serving - ✔✔D. Select grains with less than
2 g fiber per serving
✔✔A nurse is developing an educational program about the glycemic index of foods for
clients who have diabetes mellitus. Which of the following foods should the nurse
identify as having the highest glycemic index?
,A. Sweet corn
B. Macaroni
C. Baked potato
D. Peanuts - ✔✔C. Baked potato
✔✔A nurse in a clinic is providing nutritional counseling to a client who wants to lose
weight. The nurse should identify that which of the following statements indicates the
client understands the counseling?
A. "I will taste my foods while I am cooking."
B. "I will exclude breads and pastries from my diet."
C. "I will make a list before I go grocery shopping."
D. "I will skip lunch if I am too busy to have something healthy." - ✔✔C. "I will make a
list before I go grocery shopping."
✔✔A nurse is reviewing laboratory findings of a client who has acute pancreatitis.
Which of the following is an expected finding?
A. Increased serum calcium
B. Decreased serum bilirubin
C. Increased serum glucose
D. Decreased serum alkaline phosphatase - ✔✔C. Increased serum glucose
✔✔A nurse is performing dietary teaching with a client who has a family history of
cardiovascular disease. Which of the following statements should the nurse include in
the teaching?
A. "Restrict your dietary potassium intake."
B. "Increase your dietary fiber intake."
C. "Increase your intake of trans fatty acids."
D. "Restrict your protein intake." - ✔✔B. "Increase your dietary fiber intake."
✔✔A nurse is reviewing the laboratory results of a client who has a pressure ulcer.
Which if the following findings should indicate to the nurse that the client is at risk for
impaired wound healing?
A. Hgb 15 g/dL
B. Serum albumin 3.0 g/dL
C. Prothrombin time 11.5 seconds
D. WBC 6,000/mm3 - ✔✔B. Serum albumin 3.0 g/dL
✔✔A nurse is assessing a client who is suspected of having lactose intolerance. Which
of the following is an expected finding?
, A. Flatulence
B. Bloody stools
C. Hyperemesis
D. Steatorrhea - ✔✔A. Flatulence
✔✔A nurse in a long term care facility is monitoring a client who has Parkinson's
disease during mealtime. Which of the following findings should the nurse identify as a
priority?
A. The client eats all his cake and a few bites of bead
B. The client drools while eating
C. The client's hand trembles when he holds his spoon
D. The client chooses to sit alone during the meal - ✔✔B. The client drools while eating
✔✔A nurse is updating a plan of care for a client who is receiving intermittent enteral
feedings and is experiencing diarrhea. Which of the following interventions should the
nurse include in the plan of care?
A. Discard the client's opened cans of formula within 48 hours
B. Administer the client's formula cold
C. Feed the client in small frequent volumes
D. Consider a low-calorie formula for the client - ✔✔C. Feed the client in small frequent
volumes
✔✔A nurse is caring for a client who is receiving total parenteral nutrition through a
peripherally inserted canal catheter. The pharmacist informs the nurse that there will be
a delay in delivering the next bag of TPN solution. Which of the following actions should
the nurse take?
A. Slow the rate of the current infusion
B. Infuse 0.9% sodium chloride when the current infusion ends
C. Infuse dextrose 10% in water when current infusion ends
D. Remove tubing and flush the access device when the current infusion ends - ✔✔C.
Infuse dextrose 10% in water when current infusion ends
✔✔A nurse in an acute care facility is planning care for a client who has chosen to
follow Islamic dietary laws during Ramadan. Which of the following actions should the
nurse plan to take?
A. Place the client on NPO status during nighttime hours
B. Provide a snack for the client after sunset
C. Offer the client hot tea with daytime meals
D. Allow the client to eat privately with his family each day at 1300 - ✔✔B. Provide a
snack for the client after sunset
