Adult Health lll Exam 3 Answers
1. The nurse has provided dietary education to a client with gallbladder disease. The
nurse should reinforce teaching if the client chose which of the following food choices
for a meal?
a. The patient should avoid fried foods such as fried chicken, as fatty foods
may bring on an episode of cholecystitis.
2. The nurse provided teaching for a client who is scheduled to have a laparoscopic
cholecystectomy. Which of the following statements by the client would indicate
a correct understanding of the teaching?
a. The client having a laparoscopic cholecystectomy can shower 24 to 48 hours
after the procedure and is usually discharged if there are no complications the
same day or day after the procedure.
3. The nurse has taught a client with diabetes mellitus, type 1 (DM-1) about exercise and
glucose control. Which of the following actions by the client would indicate the need
for further teaching?
a. When the client is ketonic, exercise may result in an increase in blood
glucose level.
4. The nurse is caring for a client who fell at home and is diagnosed with a right hip
fracture. Which of the following would be most important for the nurse to
assess? a. Because impaired circulation can cause permanent damage,
neurovascular
assessment of the affected leg is always a priority assessment.
5. The nurse is assessing an assigned client with a left fractured femur for
complications. Which of the following findings would require immediate action by
the nurse?
a. Fat emboli may occur with fractures of the long bones and pelvis which can
be fatal.
6. The nurse in the ED is caring for a client who has a closed lower extremity fracture
that has just been realigned and splinted by the physician. Which of the following
actions should the nurse take first?
pg. 1
, a. Palpating for a dorsalis pedis pulse is an appropriate way to assess
arterial circulation in a fractured lower extremity.
7. The nurse is preparing an conference about agents of terrorism. Which of the
following information should the nurse include in the conference? Select all that
apply.
a. Explosive devices can include TNT, dynamite and cause blast, crush or
penetrating injuries.
b. Nerve agent poisoning can be treated with atropine and pralidoxime chloride.
c. Radioactive dispersal devices (RDDs) include a mix of explosives and radioactive
material like pellets.
pg. 2
, 8. The nurse working in the ED is caring for a female client who has a spiral fracture to the
right arm and ecchymosis to the right eye. The clients spouse states the client fell at
home and the nurse notes the client has multiple ED visits in the last 6 months for other
injuries. Which of the following actions would be most appropriate for the nurse to
take? Select all that apply.
a. The nurse should report the findings to the charge nurse who will then call
the appropriate agencies to investigate the suspected abuse.
b. The nurse should also attempt to interview the client alone so the client feels
safe answering questions honestly.
c. The nurse can additionally provide information to the client about legal rights
and a safe house or escape plan.
9. The nurse is participating in a mass causality drill. Which of the following clients should
the nurse see first?
a. (Abd pain, weak thready pulse, and cap refill of 3-4 sec) The client is showing
signs of decreased perfusion but is treatable and if not treated immediately
they could have life-threatening complications.
10. A nurse is providing triage at a disaster site of a workplace explosion. A 40-year-old
client is burned over 65% of the body; the burns are second and third-degree burns,
but the client is conscious. The nurse should tag the client with which of the following
triage colors?
a. The client would be triaged blue due to the unlikelihood of survival.
11. The nurse is providing care for a client who survived near drowning. Which of
the following interventions should be a priority for the nurse to take?
a. Maslow’s hierarchy air/oxygen is the most important thing needed to
maintain life.
12. The nurse is providing discharge teaching for the parent of an 18-month-old toddler
who was brought into the ED after being found face down in the bathtub by the
parent. The toddler fully recovered and is ready for discharge. Which of the following
information should the nurse include during discharge teaching?
a. The nurse should reinforce to the parents that an 18-month-old shouldn’t be
left unattended in the bathtub even for a few minutes, to prevent accidental
drowning.
13. The nurse is caring for a client who was involved in a workplace accident and has a
penetrating wound of the chest that led to acute respiratory failure. Which of the
pg. 3
1. The nurse has provided dietary education to a client with gallbladder disease. The
nurse should reinforce teaching if the client chose which of the following food choices
for a meal?
a. The patient should avoid fried foods such as fried chicken, as fatty foods
may bring on an episode of cholecystitis.
2. The nurse provided teaching for a client who is scheduled to have a laparoscopic
cholecystectomy. Which of the following statements by the client would indicate
a correct understanding of the teaching?
a. The client having a laparoscopic cholecystectomy can shower 24 to 48 hours
after the procedure and is usually discharged if there are no complications the
same day or day after the procedure.
3. The nurse has taught a client with diabetes mellitus, type 1 (DM-1) about exercise and
glucose control. Which of the following actions by the client would indicate the need
for further teaching?
a. When the client is ketonic, exercise may result in an increase in blood
glucose level.
4. The nurse is caring for a client who fell at home and is diagnosed with a right hip
fracture. Which of the following would be most important for the nurse to
assess? a. Because impaired circulation can cause permanent damage,
neurovascular
assessment of the affected leg is always a priority assessment.
5. The nurse is assessing an assigned client with a left fractured femur for
complications. Which of the following findings would require immediate action by
the nurse?
a. Fat emboli may occur with fractures of the long bones and pelvis which can
be fatal.
6. The nurse in the ED is caring for a client who has a closed lower extremity fracture
that has just been realigned and splinted by the physician. Which of the following
actions should the nurse take first?
pg. 1
, a. Palpating for a dorsalis pedis pulse is an appropriate way to assess
arterial circulation in a fractured lower extremity.
7. The nurse is preparing an conference about agents of terrorism. Which of the
following information should the nurse include in the conference? Select all that
apply.
a. Explosive devices can include TNT, dynamite and cause blast, crush or
penetrating injuries.
b. Nerve agent poisoning can be treated with atropine and pralidoxime chloride.
c. Radioactive dispersal devices (RDDs) include a mix of explosives and radioactive
material like pellets.
pg. 2
, 8. The nurse working in the ED is caring for a female client who has a spiral fracture to the
right arm and ecchymosis to the right eye. The clients spouse states the client fell at
home and the nurse notes the client has multiple ED visits in the last 6 months for other
injuries. Which of the following actions would be most appropriate for the nurse to
take? Select all that apply.
a. The nurse should report the findings to the charge nurse who will then call
the appropriate agencies to investigate the suspected abuse.
b. The nurse should also attempt to interview the client alone so the client feels
safe answering questions honestly.
c. The nurse can additionally provide information to the client about legal rights
and a safe house or escape plan.
9. The nurse is participating in a mass causality drill. Which of the following clients should
the nurse see first?
a. (Abd pain, weak thready pulse, and cap refill of 3-4 sec) The client is showing
signs of decreased perfusion but is treatable and if not treated immediately
they could have life-threatening complications.
10. A nurse is providing triage at a disaster site of a workplace explosion. A 40-year-old
client is burned over 65% of the body; the burns are second and third-degree burns,
but the client is conscious. The nurse should tag the client with which of the following
triage colors?
a. The client would be triaged blue due to the unlikelihood of survival.
11. The nurse is providing care for a client who survived near drowning. Which of
the following interventions should be a priority for the nurse to take?
a. Maslow’s hierarchy air/oxygen is the most important thing needed to
maintain life.
12. The nurse is providing discharge teaching for the parent of an 18-month-old toddler
who was brought into the ED after being found face down in the bathtub by the
parent. The toddler fully recovered and is ready for discharge. Which of the following
information should the nurse include during discharge teaching?
a. The nurse should reinforce to the parents that an 18-month-old shouldn’t be
left unattended in the bathtub even for a few minutes, to prevent accidental
drowning.
13. The nurse is caring for a client who was involved in a workplace accident and has a
penetrating wound of the chest that led to acute respiratory failure. Which of the
pg. 3
