ADULT HEALTH MIDTERM 1 QUESTIONS AND CORRECT ANSWE
A cclient cadmitted cto cthe cunit cis cvisibly canxious. cWhen cassessing cthis cclient, cthe cnurse cshould
ccardiovascular ceffect cproduced cby cthe csympathetic cnervous csystem?
a. cSyncope
b. cDecreased cblood cpressure
c. cIncreased cheart crate
d. cDecreased crespiratory crate c- cCORRECT cANS✔✔c. cIncreased cheart crate
A cyoung cadult carrives cin cthe cemergency cdepartment c(ED) cwith cmultiple cabrasions cafter ca cmo
can cinitial cblood cpressure c(BP) cof c180/98. cWhich cof cthe cfollowing cinterventions cshould cthe cnur
a. cDiscuss cthe cneed cfor chospital cadmission cfor cthe cB/P
b. cStart can cintravenous cline cto cgive cantihypertensive cmedications
c. cDiscuss cthe crisks cassociated cwith chypertension
d. cRecheck cthe cblood cpressure cbefore cthe cPT cis cdischarged c- cCORRECT cANS✔✔d. cRecheck
cthe cPT cis cdischarged
A cpatient cwith cdiabetes cstates, c"I cdon't cunderstand cwhy cI ccan't ckeep cmy cblood csugar cunder cc
cWhich cresponse cby cthe cnurse cis cappropriate?
a. c"Your cdiet cis cdifferent cwhen cyou care csick cand cthat cis cthe ccause cof cthe cincreased cglucose c
b. c"Stressors csuch cas cillness ccause cthe crelease cof chormones cthat cincrease cblood csugar clevel
c. c"Increased cblood csugar coccurs cbecause cthe ckidneys ccan't cmetabolize cthe cglucose cwhen cyo
d. c"It cis cprobably ccoincidental cthat cyour cblood csugar cis chigh cwhen cyou care cill." c- cCORRECT c
cillness ccause cthe crelease cof chormones cthat cincrease cblood csugar clevel."
Which cof cthe cfollowing cis ca cphysiological cresponse cexperience cduring cthe cexhaustion cstage co
csyndrome?
a. cIncreased cmental calertness
b. cVasoconstriction
c. cThe cinitiation cof cneuroendocrine cactivity
d. cDecreased cblood cpressure c- cCORRECT cANS✔✔d. cDecreased cblood cpressure
Nursing cinterventions cappropriate cto cthe cGAS cexhaustion cstate cinclude cwhich cof cthe cfollowing
a. cPlanning ccare cto cbest cconserve cthe cpatient's cenergy
b. cAssessment cfor crespiratory cdisorders csuch cas casthma
c. cMonitoring cof cexacerbation cof ccompulsive critual cbehaviours
d. cFrequent cassessment cof cpain cmanagement crelated cto cheadaches
e. cPlanned cperiods cto creinforce caffective crelaxation ctechniques c- cCORRECT cANS✔✔a. cPlanni
, Which cclient cis cat cgreatest crisk cfor crespiratory cdepression cwhile creceiving copioids?
a. cAn celderly cclient cwith ca chip cfracture
b. cA cclient cwith ca cheroin caddiction cand cback cpain
c. cA cyoung cclient cwith cadvanced cmultiple cmyeloma
d. cA cmiddle-aged cclient cwith costeoarthritis cand cearly cchronic cobstructive cpulmonary cdisease c-
celderly cclient cwith ca chip cfracture
When ctitrating can canalgesic cto cmanage cpain, cwhat cis cthe cpriority cgoal?
a. cEnsure cthat cthe cdrug cis cadequate cto cmeet cthe cclient's csubjective cneeds
b. cTitrate cupward cuntil cthe cclient cis cpain cfree
c. cTitrate cdownward cto cprevent ctoxicity
d. cAdminister csmallest cdose cthat cprovides crelief cwith cfewest cside ceffects c- cCORRECT cANS✔✔
cthat cprovides crelief cwith cfewest cside ceffects
After cadministering coxycodone cfor ccomplaints cof cpain, cwhich cof cthe cfollowing cinterventions cwo
cthe cnurse cto ccomplete cbefore cleaving cthe cpatient's croom?
a. cLeave cthe coverbed clight con cat cthe clow csetting
b. cEnsure cthat cthe cupper ctwo csiderails care craised
c. cOffer cto cturn con cthe ctelevision cto cprovide cdistraction
d. cEnsure cthe cdocumentation cof cintake cand coutput cis caccurate c- cCORRECT cANS✔✔b. cEnsur
care craised
Which cof cthe cfollowing cassessments cis cof chighest cpriority cfor cthe cnurse cto ccomplete cbefore ca
a. cPain crating
b. cBlood cpressure
c. cRespiratory crate
d. cLevel cof cconsciousness c- cCORRECT cANS✔✔c. cRespiratory crate
To creduce cthe crisk cof cadverse ceffects, cthe cnurse cshould cdo cwhich cof cthe cfollowing cwhen ccari
cmorphine csulphate cvia cpatient-controlled canalgesia c(PCA)?
a. cTeach cthe ccaregiver cnot cto cpush cthe cbutton cfor cthe cpatient
b. cInstruct cthe cpatient cnot cto cpush cthe cbutton ctoo cfrequently
c. cAsk cthe cpatient cto cdo cdeep cbreathing cexercises cevery chour
d. cAdminister cmedications cto cprevent cthe coccurrence cof cdiarrhea c- cCORRECT cANS✔✔a. cTea
cthe cbutton cfor cthe cpatient
A cpatient cadmitted cwith cmetastatic clung ccancer cis cordered cto creceive cmorphine csulphate cfor cp
cfor cwhich cof cthe cfollowing ccommon cadverse creactions cto cthis cmedication?
a. cConstipation
b. cAgitation
c. cDiarrhea
d. cUrinary cincontinence c- cCORRECT cANS✔✔a. cConstipation
What cmanifestation cshould cthe cnurse cidentify cas cthe cmost cserious ccomplications cassociated cw
a. cAnorexia, cnausea, cand cvomiting
b. cGeneralized cweakness, cmuscle ccramps, cand ctwitching
c. cLethargy, cacute cconfusion, cand cdecreased clevel cof cconsciousness
d. cTachycardia, cweak, cthready cpulses, cand cdecreased cblood cpressure c- cCORRECT cANS✔✔c
cand cdecreased clevel cof cconsciousness
The cnurse cis cassessing ca cpatient cexperiencing cdyspnea cand ccrackles con causcultation. cWhat ca
cmanifestations cwould cthe cnurse cexpect cto cnote cin cthis cpatient?
a. cWeight closs cand cdry cskin
b. cFlat cneck cand chand cveins
c. cDecreased curine coutput cand cincreased crespirations
A cclient cadmitted cto cthe cunit cis cvisibly canxious. cWhen cassessing cthis cclient, cthe cnurse cshould
ccardiovascular ceffect cproduced cby cthe csympathetic cnervous csystem?
a. cSyncope
b. cDecreased cblood cpressure
c. cIncreased cheart crate
d. cDecreased crespiratory crate c- cCORRECT cANS✔✔c. cIncreased cheart crate
A cyoung cadult carrives cin cthe cemergency cdepartment c(ED) cwith cmultiple cabrasions cafter ca cmo
can cinitial cblood cpressure c(BP) cof c180/98. cWhich cof cthe cfollowing cinterventions cshould cthe cnur
a. cDiscuss cthe cneed cfor chospital cadmission cfor cthe cB/P
b. cStart can cintravenous cline cto cgive cantihypertensive cmedications
c. cDiscuss cthe crisks cassociated cwith chypertension
d. cRecheck cthe cblood cpressure cbefore cthe cPT cis cdischarged c- cCORRECT cANS✔✔d. cRecheck
cthe cPT cis cdischarged
A cpatient cwith cdiabetes cstates, c"I cdon't cunderstand cwhy cI ccan't ckeep cmy cblood csugar cunder cc
cWhich cresponse cby cthe cnurse cis cappropriate?
a. c"Your cdiet cis cdifferent cwhen cyou care csick cand cthat cis cthe ccause cof cthe cincreased cglucose c
b. c"Stressors csuch cas cillness ccause cthe crelease cof chormones cthat cincrease cblood csugar clevel
c. c"Increased cblood csugar coccurs cbecause cthe ckidneys ccan't cmetabolize cthe cglucose cwhen cyo
d. c"It cis cprobably ccoincidental cthat cyour cblood csugar cis chigh cwhen cyou care cill." c- cCORRECT c
cillness ccause cthe crelease cof chormones cthat cincrease cblood csugar clevel."
Which cof cthe cfollowing cis ca cphysiological cresponse cexperience cduring cthe cexhaustion cstage co
csyndrome?
a. cIncreased cmental calertness
b. cVasoconstriction
c. cThe cinitiation cof cneuroendocrine cactivity
d. cDecreased cblood cpressure c- cCORRECT cANS✔✔d. cDecreased cblood cpressure
Nursing cinterventions cappropriate cto cthe cGAS cexhaustion cstate cinclude cwhich cof cthe cfollowing
a. cPlanning ccare cto cbest cconserve cthe cpatient's cenergy
b. cAssessment cfor crespiratory cdisorders csuch cas casthma
c. cMonitoring cof cexacerbation cof ccompulsive critual cbehaviours
d. cFrequent cassessment cof cpain cmanagement crelated cto cheadaches
e. cPlanned cperiods cto creinforce caffective crelaxation ctechniques c- cCORRECT cANS✔✔a. cPlanni
, Which cclient cis cat cgreatest crisk cfor crespiratory cdepression cwhile creceiving copioids?
a. cAn celderly cclient cwith ca chip cfracture
b. cA cclient cwith ca cheroin caddiction cand cback cpain
c. cA cyoung cclient cwith cadvanced cmultiple cmyeloma
d. cA cmiddle-aged cclient cwith costeoarthritis cand cearly cchronic cobstructive cpulmonary cdisease c-
celderly cclient cwith ca chip cfracture
When ctitrating can canalgesic cto cmanage cpain, cwhat cis cthe cpriority cgoal?
a. cEnsure cthat cthe cdrug cis cadequate cto cmeet cthe cclient's csubjective cneeds
b. cTitrate cupward cuntil cthe cclient cis cpain cfree
c. cTitrate cdownward cto cprevent ctoxicity
d. cAdminister csmallest cdose cthat cprovides crelief cwith cfewest cside ceffects c- cCORRECT cANS✔✔
cthat cprovides crelief cwith cfewest cside ceffects
After cadministering coxycodone cfor ccomplaints cof cpain, cwhich cof cthe cfollowing cinterventions cwo
cthe cnurse cto ccomplete cbefore cleaving cthe cpatient's croom?
a. cLeave cthe coverbed clight con cat cthe clow csetting
b. cEnsure cthat cthe cupper ctwo csiderails care craised
c. cOffer cto cturn con cthe ctelevision cto cprovide cdistraction
d. cEnsure cthe cdocumentation cof cintake cand coutput cis caccurate c- cCORRECT cANS✔✔b. cEnsur
care craised
Which cof cthe cfollowing cassessments cis cof chighest cpriority cfor cthe cnurse cto ccomplete cbefore ca
a. cPain crating
b. cBlood cpressure
c. cRespiratory crate
d. cLevel cof cconsciousness c- cCORRECT cANS✔✔c. cRespiratory crate
To creduce cthe crisk cof cadverse ceffects, cthe cnurse cshould cdo cwhich cof cthe cfollowing cwhen ccari
cmorphine csulphate cvia cpatient-controlled canalgesia c(PCA)?
a. cTeach cthe ccaregiver cnot cto cpush cthe cbutton cfor cthe cpatient
b. cInstruct cthe cpatient cnot cto cpush cthe cbutton ctoo cfrequently
c. cAsk cthe cpatient cto cdo cdeep cbreathing cexercises cevery chour
d. cAdminister cmedications cto cprevent cthe coccurrence cof cdiarrhea c- cCORRECT cANS✔✔a. cTea
cthe cbutton cfor cthe cpatient
A cpatient cadmitted cwith cmetastatic clung ccancer cis cordered cto creceive cmorphine csulphate cfor cp
cfor cwhich cof cthe cfollowing ccommon cadverse creactions cto cthis cmedication?
a. cConstipation
b. cAgitation
c. cDiarrhea
d. cUrinary cincontinence c- cCORRECT cANS✔✔a. cConstipation
What cmanifestation cshould cthe cnurse cidentify cas cthe cmost cserious ccomplications cassociated cw
a. cAnorexia, cnausea, cand cvomiting
b. cGeneralized cweakness, cmuscle ccramps, cand ctwitching
c. cLethargy, cacute cconfusion, cand cdecreased clevel cof cconsciousness
d. cTachycardia, cweak, cthready cpulses, cand cdecreased cblood cpressure c- cCORRECT cANS✔✔c
cand cdecreased clevel cof cconsciousness
The cnurse cis cassessing ca cpatient cexperiencing cdyspnea cand ccrackles con causcultation. cWhat ca
cmanifestations cwould cthe cnurse cexpect cto cnote cin cthis cpatient?
a. cWeight closs cand cdry cskin
b. cFlat cneck cand chand cveins
c. cDecreased curine coutput cand cincreased crespirations
