lOMoARcPSD|3013804
lOMoARcPSD|3013804
Adult Health II Final
1 The nurse should assess the patient with left-side heart failure for which
findings? (SATA)
Paroxysmal nocturnal dyspnea
Right upper quadrant pain
Crackles in the lungs
Regular vein distention
Fatigue
Orthopnea
2 A patient is being screened for diabetes and has two recent fasting blood glucose results
of 132mg/dL (7.33mmol/L) and 146mg/dL (8.10mmol/L) How should these result be
interpreted?
The fasting blood glucose tests should be repeated two more times
These results indicate diabetes mellitus. Follow-up is required
These are normal results. No further action is needed
The patient should be scheduled for a hemoglobin A1c(HbA1C)test
3 A nurse is assessing a patient for a suspected anaphylactic reaction following a CT scan
with contrast media. For which of the following patient findings should the nurse
intervene first?
Stridor
Urticaria
Vomiting
Hypotension
, lOMoARcPSD|3013804
4 A nurse is caring for a patient who is undergoing initial peritoneal dialysis. Which of
the following should the nurse report immediately to the provider?
Blood-tinged dialysate outflow
Cloudy dialysate outflow
Dialysate leakage during inflow
Report of discomfort during dialysate inflow
5 A nurse is caring for a patient who has a traumatic brain injury. Which of the following
findings should the nurse identify as an indication of increased intracranial
pressure(ICP)?
Amnesia
Tachycardia
Altered level of consciousness
Hypotension
6 A nurse is caring for a patient with diabetes mellitus who is prescribed regular insulin
via a sliding scale. After administering the correct dose at 0715, the nurse should ensure
the patient receives breakfast by which of the following times?
0720
0815
0745
0730
8 A patient who has been treated for type 1 diabetes mellitus for five years reports
numbness and tingling in the lower extremities. What should the nurse teach this
patient?
Soak your feet daily
Massage your lower extremities daily
Keep your feet elevated whenever possible
Inspect your feet daily
, lOMoARcPSD|3013804
9 The mortality rate for burns is highest in the elderly population. What factors put
the very elderly at a high risk? (SATA)
Elderly tend to heal more slowly
The elderly person has a greater proportion of body surface area per amount of body mass
The elderly person has less physiological reserves
Elderly patients have thicker skin
Elderly patients have comorbidities
10 A patient with heart failure has met with his primary provider and begun
treatment with an angiotensin-converting enzyme (ACE) inhibitor. When the patient
begins treatment, the nurse should prioritize what assessment?
Oxygen saturation
Blood pressure
Level of consciousness
Assessment for nausea
11 The home health nurse visits a patient with a diagnosis of type 1 diabetes mellitus. The
patient relates a history of vomiting and diarrhea and tells the nurse that no food has been
consumed for the last 24 hours. Which additional statement by the patient indicates a
need for further teaching?
“ I was monitoring my blood glucose every 3to 4 hours”
“ I had to stop my insulin”
“ I called the doctor because of these symptoms”
“ I have been increasing my fluid intake”
lOMoARcPSD|3013804
Adult Health II Final
1 The nurse should assess the patient with left-side heart failure for which
findings? (SATA)
Paroxysmal nocturnal dyspnea
Right upper quadrant pain
Crackles in the lungs
Regular vein distention
Fatigue
Orthopnea
2 A patient is being screened for diabetes and has two recent fasting blood glucose results
of 132mg/dL (7.33mmol/L) and 146mg/dL (8.10mmol/L) How should these result be
interpreted?
The fasting blood glucose tests should be repeated two more times
These results indicate diabetes mellitus. Follow-up is required
These are normal results. No further action is needed
The patient should be scheduled for a hemoglobin A1c(HbA1C)test
3 A nurse is assessing a patient for a suspected anaphylactic reaction following a CT scan
with contrast media. For which of the following patient findings should the nurse
intervene first?
Stridor
Urticaria
Vomiting
Hypotension
, lOMoARcPSD|3013804
4 A nurse is caring for a patient who is undergoing initial peritoneal dialysis. Which of
the following should the nurse report immediately to the provider?
Blood-tinged dialysate outflow
Cloudy dialysate outflow
Dialysate leakage during inflow
Report of discomfort during dialysate inflow
5 A nurse is caring for a patient who has a traumatic brain injury. Which of the following
findings should the nurse identify as an indication of increased intracranial
pressure(ICP)?
Amnesia
Tachycardia
Altered level of consciousness
Hypotension
6 A nurse is caring for a patient with diabetes mellitus who is prescribed regular insulin
via a sliding scale. After administering the correct dose at 0715, the nurse should ensure
the patient receives breakfast by which of the following times?
0720
0815
0745
0730
8 A patient who has been treated for type 1 diabetes mellitus for five years reports
numbness and tingling in the lower extremities. What should the nurse teach this
patient?
Soak your feet daily
Massage your lower extremities daily
Keep your feet elevated whenever possible
Inspect your feet daily
, lOMoARcPSD|3013804
9 The mortality rate for burns is highest in the elderly population. What factors put
the very elderly at a high risk? (SATA)
Elderly tend to heal more slowly
The elderly person has a greater proportion of body surface area per amount of body mass
The elderly person has less physiological reserves
Elderly patients have thicker skin
Elderly patients have comorbidities
10 A patient with heart failure has met with his primary provider and begun
treatment with an angiotensin-converting enzyme (ACE) inhibitor. When the patient
begins treatment, the nurse should prioritize what assessment?
Oxygen saturation
Blood pressure
Level of consciousness
Assessment for nausea
11 The home health nurse visits a patient with a diagnosis of type 1 diabetes mellitus. The
patient relates a history of vomiting and diarrhea and tells the nurse that no food has been
consumed for the last 24 hours. Which additional statement by the patient indicates a
need for further teaching?
“ I was monitoring my blood glucose every 3to 4 hours”
“ I had to stop my insulin”
“ I called the doctor because of these symptoms”
“ I have been increasing my fluid intake”
