Adult Care I Exam 2 Latest Version
2024 Exam Questions and Correct
Detailed Answers| A+ Grade
An older Asian client has mild dysphagia from a recent stroke.
The nurse plans the client's meals based on the need to:
A. Include as many of the client's favorite foods as possible
B. Have at least one serving of thick dairy
C. Eliminate the beer usually ingested every morning Correct
Answer A. Include as many of the client's favorite foods as
possible
You are a nurse who has just finished receiving morning report.
A 74-year-old female client two days post-op after knee-
replacement surgery is having shortness of breath. She has a
history of type II diabetes, chronic renal failure, and CHF. You
auscultate crackles in all lung fields. Her respirations are
36/min. and O2 sats are 90% on 10L by venti-mask. Which of
the following should the nurse do FIRST?
A. Call respiratory therapist and ask for suctioning
B. Check patient's ABG's from yesterday morning
C. Check patient's I&O
D. Check patient's blood glucose Correct Answer C. Check
patient's I&O
A client has a history of sleep apnea. Which is the most
appropriate question for the nurse to ask?
A. Do you have difficulty with daytime sleepiness?
B. Do you have a history of any kind of nasal obstruction?
C. Have you had a chest pain with or without activity?
D. Do you have a history of cardiac irregularities Correct
Answer A. Do you have difficulty with daytime sleepiness?
,A nurse is teaching a client who has a new prescription for
transdermal nitroglycerin to treat angina pectoris. Which of the
following instructions should the nurse include in the teaching?
a. Apply a new transdermal patch once a week.
b. Apply a new transdermal patch when chest pain is
experienced.
c. Apply the transdermal patch in the same location as the
previous patch.
d. Apply the transdermal patch in the morning Correct Answer
d. Apply the transdermal patch in the morning
A nurse is teaching the partner of a client who had an acute
myocardial infarction (MI) about the reason blood was drawn
from the client. Which of the following statements should the
nurse make regarding cardiac enzymes studies?
a. "Cardiac enzymes will identify the location of the MI"
b. "These tests help determine the degree of damage to the
heart tissues."
c. "Cardiac enzymes assist in diagnosing the presence of
pulmonary congestion."
d. "These tests will enable the provider to determine the heart
structure and mobility of the heart valves." Correct Answer b.
"These tests help determine the degree of damage to the heart
tissues."
This type of diet is used to mange electrolytes and fluids
A. Diabetic
B. High protein
C. Low fat
D. Renal Correct Answer D. Renal
Your patient is admitted to the ICU and is unable to eat by
mouth. The physician has ordered Total Parenteral Nutrition.
, The physician has ordered the following to be given D10% as
the base. He also orders amino acids, electrolytes, and insulin
to be added to the solution. Prior to administering the TPN you
need to have which of the following?
A. A peripheral line with an 18 g or larger
B. A blood glucose done 1 minute before administering it
C. A central line
D. Lipids Correct Answer C. A central line
A nurse is assessing a client's radial pulse and determines that
the pulse is irregular. Which of the following actions should the
nurse take?
A. Assess the apical pulse for a full minute
B. Assess the pedal pulses for a full minute
C. Assess the apical pulse with a Doppler device
D. Assess the pedal pulses with a Doppler device Correct
Answer A. Assess the apical pulse for a full minute
A nurse is caring for a client who is postoperative following an
open reduction and internal fixation of a fractured femur. Which
of the following actions is the most important for the nurse to
complete in the postoperative period?
A. Instruct the client on use of crutches
B. Perform neurovascular checks of the extremities
C. Direct the client to perform exercises of the ankle and toes
D. Medicate the client for pain Correct Answer B. Perform
neurovascular checks of the extremities
Mrs. Jones has been prepped for surgery and has just arrived
to the operating room. You assist Mrs. Jones to the table and
begin to prepare for the surgery. You know that Mrs. Jones is in
which operative phase at this time?
A. Perioperative phase
2024 Exam Questions and Correct
Detailed Answers| A+ Grade
An older Asian client has mild dysphagia from a recent stroke.
The nurse plans the client's meals based on the need to:
A. Include as many of the client's favorite foods as possible
B. Have at least one serving of thick dairy
C. Eliminate the beer usually ingested every morning Correct
Answer A. Include as many of the client's favorite foods as
possible
You are a nurse who has just finished receiving morning report.
A 74-year-old female client two days post-op after knee-
replacement surgery is having shortness of breath. She has a
history of type II diabetes, chronic renal failure, and CHF. You
auscultate crackles in all lung fields. Her respirations are
36/min. and O2 sats are 90% on 10L by venti-mask. Which of
the following should the nurse do FIRST?
A. Call respiratory therapist and ask for suctioning
B. Check patient's ABG's from yesterday morning
C. Check patient's I&O
D. Check patient's blood glucose Correct Answer C. Check
patient's I&O
A client has a history of sleep apnea. Which is the most
appropriate question for the nurse to ask?
A. Do you have difficulty with daytime sleepiness?
B. Do you have a history of any kind of nasal obstruction?
C. Have you had a chest pain with or without activity?
D. Do you have a history of cardiac irregularities Correct
Answer A. Do you have difficulty with daytime sleepiness?
,A nurse is teaching a client who has a new prescription for
transdermal nitroglycerin to treat angina pectoris. Which of the
following instructions should the nurse include in the teaching?
a. Apply a new transdermal patch once a week.
b. Apply a new transdermal patch when chest pain is
experienced.
c. Apply the transdermal patch in the same location as the
previous patch.
d. Apply the transdermal patch in the morning Correct Answer
d. Apply the transdermal patch in the morning
A nurse is teaching the partner of a client who had an acute
myocardial infarction (MI) about the reason blood was drawn
from the client. Which of the following statements should the
nurse make regarding cardiac enzymes studies?
a. "Cardiac enzymes will identify the location of the MI"
b. "These tests help determine the degree of damage to the
heart tissues."
c. "Cardiac enzymes assist in diagnosing the presence of
pulmonary congestion."
d. "These tests will enable the provider to determine the heart
structure and mobility of the heart valves." Correct Answer b.
"These tests help determine the degree of damage to the heart
tissues."
This type of diet is used to mange electrolytes and fluids
A. Diabetic
B. High protein
C. Low fat
D. Renal Correct Answer D. Renal
Your patient is admitted to the ICU and is unable to eat by
mouth. The physician has ordered Total Parenteral Nutrition.
, The physician has ordered the following to be given D10% as
the base. He also orders amino acids, electrolytes, and insulin
to be added to the solution. Prior to administering the TPN you
need to have which of the following?
A. A peripheral line with an 18 g or larger
B. A blood glucose done 1 minute before administering it
C. A central line
D. Lipids Correct Answer C. A central line
A nurse is assessing a client's radial pulse and determines that
the pulse is irregular. Which of the following actions should the
nurse take?
A. Assess the apical pulse for a full minute
B. Assess the pedal pulses for a full minute
C. Assess the apical pulse with a Doppler device
D. Assess the pedal pulses with a Doppler device Correct
Answer A. Assess the apical pulse for a full minute
A nurse is caring for a client who is postoperative following an
open reduction and internal fixation of a fractured femur. Which
of the following actions is the most important for the nurse to
complete in the postoperative period?
A. Instruct the client on use of crutches
B. Perform neurovascular checks of the extremities
C. Direct the client to perform exercises of the ankle and toes
D. Medicate the client for pain Correct Answer B. Perform
neurovascular checks of the extremities
Mrs. Jones has been prepped for surgery and has just arrived
to the operating room. You assist Mrs. Jones to the table and
begin to prepare for the surgery. You know that Mrs. Jones is in
which operative phase at this time?
A. Perioperative phase
