ADULT FINAL EXAM PRACTICE
QUESTIONS
A 16 yo client comes into the ED with complaints of the "worst headache
ever." What is the priority action?
A. Ask parents about when the child first started having HAs
B. Assess pain by asking if the patient had been keeping a headache
diary
✅✅
C. Check the patient's blood glucose level
D. Schedule CT scan - -D. Schedule CT scan
A 20-yr-old male patient is admitted with a head injury after a collision
while playing football. After noting that the patient has developed clear
nasal drainage, which action should the nurse take?
A. Have the patient gently blow the nose
B. Check the drainage for glucose content
C. Teach the patient that rhinorrhea is expected after head injury
✅✅
D. Obtain a specimen of the fluid to send for culture and sensitivity -
-B. Check the drainage for glucose content
A 27-year-old patient is hospitalized with new onset of Guillain-Barre
syndrome. The most essential assessment for the nurse to carry out is
a. determining level of consciousness
b. checking strength of the extremities
✅✅
c. observing respiratory rate and effort
d. monitoring the cardiac rate and rhythm - -c. observing
respiratory rate and effort
A 27-year-old patient who has been treated for status epilepticus in the
emergency department will be transferred to the medical nursing unit.
Which equipment should the nurse have available in the patients
assigned room (select all that apply)
A. Side rail pads
B. Tongue blade
C. Oxygen mask
D. Suction tubing
E. Urinary catheter
,F. Nasogastric tube - ✅✅-A. Side rail pads
C. Oxygen mask
D. Suction tubing
A 29 year old woman has been prescribed 2 weeks of high dose
prednisone therapy. Which information about the prednisone is most
important for the nurse to include?
A. Weigh yourself daily to monitor for weight gain
B. The prednisone dose should be decreased gradually
C. A weight-bearing exercise program will help minimize risk for
osteoporosis
✅✅
D. Call the HCP if you have mood changes with the prednisone -
-B. The prednisone dose should be decreased gradually
A 32-year-old patient who has hand an open reduction and fixation of left
lower leg fractures continues to complain of severe pain in the leg 15
minutes after receiving the prescribed IV morphine. Pulses are faintly
palpable and the foot is cool. Which action should the nurse take next?
A. Notify the healthcare provider
B. Assess the incision for redness
✅✅
C. Reposition the left leg on pillows
D. Check the patients blood pressure - -A. Notify the healthcare
provider
compartment syndrome
A 38-year-old woman has newly diagnosed multiple sclerosis and asks
the nurse what is going to happen to her. What is the best response by
the nurse?
a. "You will have either periods of attacks and remissions or progressive
nerve damage over time"
b. "You need to plan for a continuous loss of movement, sensory
functions, and mental capacities"
c. "You will most likely have a steady course of chronic progressive
nerve damage that will change your personality"
✅✅
d. "It is common for people with MS to have an acute attack of weakness
and then not have any other symptoms for years." - -a. "You will
,have either periods of attacks and remissions or progressive nerve
damage over time"
A 38-yr-old patient who had a kidney transplant 8 years ago is receiving
the immunosuppressants tacrolimus (Prograf), cyclosporine
(Sandimmune), and prednisone. Which assessment data will be of most
concern to the nurse?
a. Skin is thin and fragile.
b. Blood pressure is 150/92.
✅✅
c. A nontender axillary lump.
d. Blood glucose is 144 mg/dL. - -c. A nontender axillary lump.
A 39-year-old patient whose work involves frequent lifting has a history
of chronic back pain. After the nurse has taught the patient about correct
body mechanics, which patient statement indicates that the teaching has
been effective?
A. I will keep my back straight to lift anything higher than my waist
B. I will begin doing exercises to strengthen the muscles of my back
C. I can try to sleep with my hips and knees extended to prevent back
strain
✅✅
D. I can tell my boss that I need to change a job where I can work at a
desk - -B. I will begin doing exercises to strengthen the muscles of
my back
A 42-year-old patient is admitted to the emergency department with a left
femur fracture. Which information obtained by the nurse is most
important to report to the healthcare provider?
A. Ecchymosis of the left thigh
B. Complaints of severe thigh pain
✅✅
C. Slow capillary refill of the left foot
D. Outward pointing toes on the left foot - -C. Slow capillary refill of
the left foot
Prolonged capillary refill may indicate complications such as arterial
damage or compartment syndrome
, A 46-year-old woman returns to clinic with recurrent dysuria after being
treated with trimethoprim and sulfamethoxazole for 3 days. Which action
will the nurse plan to take?
A. teach the patient to take the prescribed medications for 3 days
B. remind the patient about the need to drink 1 liter of fluids a day
C. obtain a midstream urine specimen for culture and sensitivity testing
✅✅
D. suggest that the patient use acetaminophen to treat the symptoms -
-C. obtain a midstream urine specimen for culture and sensitivity
testing
A 48-year-old patient with a comminuted fracture of the left femur has
Buck's traction in place while waiting for surgery. To assess for pressure
areas on the patients back and sacral area and to provide skin care, the
nurse should
A. loosen the traction and help the patient turn onto the unaffected side
B. place a pillow between the patients legs and turn gently to each side
C. turn the patient partially to each side with the assistance of another
nurse
✅✅
D. have the patient lift the buttocks by bending and pushing with the right
leg - -D. have the patient lift the buttocks by bending and pushing
with the right leg
A 52 year old patient has a new diagnosis of pernicious anemia. The
nurse determines that the patient understands the teaching about the
disorder when the patient states
a. I need to start eating more red meat and liver
b. I will stop having a glass of wine with dinner
c. I could choose nasal spray rather than injections of vitamin B12
✅✅
d. I will need to take a proton pump inhibitor such as omeprazole -
-c. I could choose nasal spray rather than injections of vitamin B12
A 55-yr-old patient with end-stage kidney disease (ESKD) is scheduled
to receive a prescribed dose of epoetin alfa. Which information should
the nurse report to the healthcare provider before giving the medication?
A. Creatinine 1.6
B. Oxygen sat 89
C. Hemoglobin 13
QUESTIONS
A 16 yo client comes into the ED with complaints of the "worst headache
ever." What is the priority action?
A. Ask parents about when the child first started having HAs
B. Assess pain by asking if the patient had been keeping a headache
diary
✅✅
C. Check the patient's blood glucose level
D. Schedule CT scan - -D. Schedule CT scan
A 20-yr-old male patient is admitted with a head injury after a collision
while playing football. After noting that the patient has developed clear
nasal drainage, which action should the nurse take?
A. Have the patient gently blow the nose
B. Check the drainage for glucose content
C. Teach the patient that rhinorrhea is expected after head injury
✅✅
D. Obtain a specimen of the fluid to send for culture and sensitivity -
-B. Check the drainage for glucose content
A 27-year-old patient is hospitalized with new onset of Guillain-Barre
syndrome. The most essential assessment for the nurse to carry out is
a. determining level of consciousness
b. checking strength of the extremities
✅✅
c. observing respiratory rate and effort
d. monitoring the cardiac rate and rhythm - -c. observing
respiratory rate and effort
A 27-year-old patient who has been treated for status epilepticus in the
emergency department will be transferred to the medical nursing unit.
Which equipment should the nurse have available in the patients
assigned room (select all that apply)
A. Side rail pads
B. Tongue blade
C. Oxygen mask
D. Suction tubing
E. Urinary catheter
,F. Nasogastric tube - ✅✅-A. Side rail pads
C. Oxygen mask
D. Suction tubing
A 29 year old woman has been prescribed 2 weeks of high dose
prednisone therapy. Which information about the prednisone is most
important for the nurse to include?
A. Weigh yourself daily to monitor for weight gain
B. The prednisone dose should be decreased gradually
C. A weight-bearing exercise program will help minimize risk for
osteoporosis
✅✅
D. Call the HCP if you have mood changes with the prednisone -
-B. The prednisone dose should be decreased gradually
A 32-year-old patient who has hand an open reduction and fixation of left
lower leg fractures continues to complain of severe pain in the leg 15
minutes after receiving the prescribed IV morphine. Pulses are faintly
palpable and the foot is cool. Which action should the nurse take next?
A. Notify the healthcare provider
B. Assess the incision for redness
✅✅
C. Reposition the left leg on pillows
D. Check the patients blood pressure - -A. Notify the healthcare
provider
compartment syndrome
A 38-year-old woman has newly diagnosed multiple sclerosis and asks
the nurse what is going to happen to her. What is the best response by
the nurse?
a. "You will have either periods of attacks and remissions or progressive
nerve damage over time"
b. "You need to plan for a continuous loss of movement, sensory
functions, and mental capacities"
c. "You will most likely have a steady course of chronic progressive
nerve damage that will change your personality"
✅✅
d. "It is common for people with MS to have an acute attack of weakness
and then not have any other symptoms for years." - -a. "You will
,have either periods of attacks and remissions or progressive nerve
damage over time"
A 38-yr-old patient who had a kidney transplant 8 years ago is receiving
the immunosuppressants tacrolimus (Prograf), cyclosporine
(Sandimmune), and prednisone. Which assessment data will be of most
concern to the nurse?
a. Skin is thin and fragile.
b. Blood pressure is 150/92.
✅✅
c. A nontender axillary lump.
d. Blood glucose is 144 mg/dL. - -c. A nontender axillary lump.
A 39-year-old patient whose work involves frequent lifting has a history
of chronic back pain. After the nurse has taught the patient about correct
body mechanics, which patient statement indicates that the teaching has
been effective?
A. I will keep my back straight to lift anything higher than my waist
B. I will begin doing exercises to strengthen the muscles of my back
C. I can try to sleep with my hips and knees extended to prevent back
strain
✅✅
D. I can tell my boss that I need to change a job where I can work at a
desk - -B. I will begin doing exercises to strengthen the muscles of
my back
A 42-year-old patient is admitted to the emergency department with a left
femur fracture. Which information obtained by the nurse is most
important to report to the healthcare provider?
A. Ecchymosis of the left thigh
B. Complaints of severe thigh pain
✅✅
C. Slow capillary refill of the left foot
D. Outward pointing toes on the left foot - -C. Slow capillary refill of
the left foot
Prolonged capillary refill may indicate complications such as arterial
damage or compartment syndrome
, A 46-year-old woman returns to clinic with recurrent dysuria after being
treated with trimethoprim and sulfamethoxazole for 3 days. Which action
will the nurse plan to take?
A. teach the patient to take the prescribed medications for 3 days
B. remind the patient about the need to drink 1 liter of fluids a day
C. obtain a midstream urine specimen for culture and sensitivity testing
✅✅
D. suggest that the patient use acetaminophen to treat the symptoms -
-C. obtain a midstream urine specimen for culture and sensitivity
testing
A 48-year-old patient with a comminuted fracture of the left femur has
Buck's traction in place while waiting for surgery. To assess for pressure
areas on the patients back and sacral area and to provide skin care, the
nurse should
A. loosen the traction and help the patient turn onto the unaffected side
B. place a pillow between the patients legs and turn gently to each side
C. turn the patient partially to each side with the assistance of another
nurse
✅✅
D. have the patient lift the buttocks by bending and pushing with the right
leg - -D. have the patient lift the buttocks by bending and pushing
with the right leg
A 52 year old patient has a new diagnosis of pernicious anemia. The
nurse determines that the patient understands the teaching about the
disorder when the patient states
a. I need to start eating more red meat and liver
b. I will stop having a glass of wine with dinner
c. I could choose nasal spray rather than injections of vitamin B12
✅✅
d. I will need to take a proton pump inhibitor such as omeprazole -
-c. I could choose nasal spray rather than injections of vitamin B12
A 55-yr-old patient with end-stage kidney disease (ESKD) is scheduled
to receive a prescribed dose of epoetin alfa. Which information should
the nurse report to the healthcare provider before giving the medication?
A. Creatinine 1.6
B. Oxygen sat 89
C. Hemoglobin 13
