ADULT HEALTH 2 HESI NAXLEX PED MOST TESTED EXAM
QUESTIONS AND ANSWERS GRADED A+ ASSURED
SUCCESS
A nurse is caring for a client with DI. Which data warrants the most
immediate intervention by the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst Correct Answers a. Serum sodium of
185
The nurse is obtaining the admission history for a client with suspected
peptic ulcer disease (PUD). Which subjective data reported by the client
supports this medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4 months
Correct Answers c. upper mid-abdominal pain described as gnawing and
burning.
The nurse assess a client who is newly diagnosed with hyperthyroidism
and observes that the client's eyeballs are protuberant, causing a wide-
eyed appearance and eye discomfort. Based on this finding, which
action should the nurse include in this client's plan of care?
a. Assess for signs of increased intracranial pressure
,b. Prepare to administer intravenous levothyroxine
c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops Correct Answers d.
Obtain a prescription for artificial tear drops
To reduce the risk for pulmonary complication for a client with
Amyotrophic Lateral Sclerosis (ALS), which interventions should the
nurse implement? (Select all)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spriometer Correct Answers a. Perform
chest physiotherapy
b. Teach the client breathing exercises
e. Encourage use of incentive spriometer
A client hospitalized with heart failure (HF). Which intervention should
the nurse implement to improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level Correct Answers b. Place the client
in high fowler position
, A client who was involved in a motor vehicle collision is admitted with
a fractured left femur which is immobilized using a fracture traction
splint in preparation for an open reduction internal fixation (ORIF). The
nurse determines that the client's distal pulses are diminished in the left
foot. Which interventions should the nurse implement? (select all)
a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg.
c. Offer ice chips and oral clear liquids.
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
3. Administer oral antispasmodics and narcotic analgesics Correct
Answers a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
The healthcare provider prescribes diagnostic tests for a client whose
chest X-ray indicates pneumonia. Which diagnostic test should the nurse
review for implementation in the most therapeutic treatment of the
pneumonia?
a. Sputum culture and sensitivity
b. Blood cultures
c. Arterial blood gases (ABG)
d. Computerized tomography (CT) of the chest Correct Answers a.
Sputum culture and sensitivity
A client with a history of asthma and bronchitis arrives a the clinic with
shortness of breath, productive cough with thickened, tenacious mucous,
QUESTIONS AND ANSWERS GRADED A+ ASSURED
SUCCESS
A nurse is caring for a client with DI. Which data warrants the most
immediate intervention by the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst Correct Answers a. Serum sodium of
185
The nurse is obtaining the admission history for a client with suspected
peptic ulcer disease (PUD). Which subjective data reported by the client
supports this medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4 months
Correct Answers c. upper mid-abdominal pain described as gnawing and
burning.
The nurse assess a client who is newly diagnosed with hyperthyroidism
and observes that the client's eyeballs are protuberant, causing a wide-
eyed appearance and eye discomfort. Based on this finding, which
action should the nurse include in this client's plan of care?
a. Assess for signs of increased intracranial pressure
,b. Prepare to administer intravenous levothyroxine
c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops Correct Answers d.
Obtain a prescription for artificial tear drops
To reduce the risk for pulmonary complication for a client with
Amyotrophic Lateral Sclerosis (ALS), which interventions should the
nurse implement? (Select all)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spriometer Correct Answers a. Perform
chest physiotherapy
b. Teach the client breathing exercises
e. Encourage use of incentive spriometer
A client hospitalized with heart failure (HF). Which intervention should
the nurse implement to improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level Correct Answers b. Place the client
in high fowler position
, A client who was involved in a motor vehicle collision is admitted with
a fractured left femur which is immobilized using a fracture traction
splint in preparation for an open reduction internal fixation (ORIF). The
nurse determines that the client's distal pulses are diminished in the left
foot. Which interventions should the nurse implement? (select all)
a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg.
c. Offer ice chips and oral clear liquids.
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
3. Administer oral antispasmodics and narcotic analgesics Correct
Answers a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
The healthcare provider prescribes diagnostic tests for a client whose
chest X-ray indicates pneumonia. Which diagnostic test should the nurse
review for implementation in the most therapeutic treatment of the
pneumonia?
a. Sputum culture and sensitivity
b. Blood cultures
c. Arterial blood gases (ABG)
d. Computerized tomography (CT) of the chest Correct Answers a.
Sputum culture and sensitivity
A client with a history of asthma and bronchitis arrives a the clinic with
shortness of breath, productive cough with thickened, tenacious mucous,
