©JASONMcCONNELL 2025 ALL RIGHTS RESERVED
Advanced Adult Health Exam 1 Practice
Questions and Answers 100% Pass
1. On a hot humid day, an emergency department nurse is caring for a client who is confused
and has these vital signs: temperature 104.1° F (40.1° C), pulse 132 beats/min, respirations 26
breaths/min, blood pressure 106/66 mm Hg. Which action should the nurse take?
a. Encourage the client to drink cool water or sports drinks.
b. Start an intravenous line and infuse 0.9% saline solution.
c. Administer acetaminophen (Tylenol) 650 mg orally.
d. Encourage rest and re-assess in 15 minutes. - ANS ANS: B
The client demonstrates signs of heat stroke. This is a medical emergency and priority care
includes oxygen therapy, IV infusion with 0.9% saline solution, insertion of a urinary catheter,
and aggressive interventions to cool the client, including external cooling and internal cooling
methods. Oral hydration would not be appropriate for a client who has symptoms of heat
stroke because oral fluids would not provide necessary rapid rehydration, and the confused
client would be at risk for aspiration. Acetaminophen would not decrease this client's
temperature or improve the client's symptoms. The client needs immediate medical treatment;
therefore, rest and re-assessing in 15 minutes is inappropriate.
2. While at a public park, a nurse encounters a person immediately after a bee sting. The
person's lips are swollen, and wheezes are audible. Which action should the nurse take first?
a. Elevate the site and notify the person's next of kin.
b. Remove the stinger with tweezers and encourage rest.
c. Administer diphenhydramine (Benadryl) and apply ice.
d. Administer an EpiPen from the first aid kit and call 911. - ANS ANS: D
1
, ©JASONMcCONNELL 2025 ALL RIGHTS RESERVED
The client's swollen lips indicate that anaphylaxis may be developing, and this is a medical
emergency. 911 should be called immediately, and the client transported to the emergency
department as quickly as possible. If an EpiPen is available, it should be administered at the first
sign of an anaphylactic reaction. The other answers do not provide adequate interventions to
treat airway obstruction due to anaphylaxis.
3. A client presents to the emergency department after prolonged exposure to the cold. The
client is difficult to arouse and speech is incoherent. Which action should the nurse take first?
a. Reposition the client into a prone position.
b. Administer warmed intravenous fluids to the client.
c. Wrap the client's extremities in warm blankets.
d. Initiate extracorporeal rewarming via hemodialysis. - ANS ANS: B
Moderate hypothermia manifests with muscle weakness, increased loss of coordination, acute
confusion, apathy, incoherence, stupor, and impaired clotting. Moderate hypothermia should
be treated by core rewarming methods, which include administration of warm IV fluids, heated
oxygen, and heated peritoneal, pleural, gastric, or bladder lavage, and by positioning the client
in a supine position to prevent orthostatic changes. The client's trunk should be warmed prior
to the extremities to prevent peripheral vasodilation. Extracorporeal warming with
cardiopulmonary bypass or hemodialysis is a treatment for severe hypothermia.
4. An emergency department nurse cares for a middle-aged mountain climber who is confused
and exhibits bizarre behaviors. After administering oxygen, which priority intervention should
the nurse implement?
a. Administer dexamethasone (Decadron).
b. Complete a mini-mental state examination.
c. Prepare the client for computed tomography of the brain.
d. Request a psychiatric consult. - ANS ANS: A
The client is exhibiting signs of mountain sickness and high altitude cerebral edema (HACE).
Dexamethasone (Decadron) reduces cerebral edema by acting as an anti-inflammatory in the
central nervous system. The other interventions will not treat mountain sickness or HACE.
2
, ©JASONMcCONNELL 2025 ALL RIGHTS RESERVED
5. An emergency department nurse assesses a client admitted after a lightning strike. Which
assessment should the nurse complete first?
a. Electrocardiogram (ECG)
b. Wound inspection
c. Creatinine kinase
d. Computed tomography of head - ANS ANS: A
Clients who survive an immediate lightning strike can have serious myocardial injury, which can
be manifested by ECG and myocardial perfusion abnormalities. The nurse should prioritize the
ECG. Other assessments should be completed but are not the priority.
6. A nurse teaches a community health class about water safety. Which statement by a
participant indicates that additional teaching is needed?
a. "I can go swimming all by myself because I am a certified lifeguard."
b. "I cannot leave my toddler alone in the bathtub for even a minute."
c. "I will appoint one adult to supervise the pool at all times during a party."
d. "I will make sure that there is a phone near my pool in case of an emergency." - ANS ANS:
A
People should never swim alone, regardless of lifeguard status. The other statements indicate
good understanding of the teaching.
7. A provider prescribes a rewarming bath for a client who presents with partial-thickness
frostbite. Which action should the nurse take prior to starting this treatment?
a. Administer intravenous morphine.
b. Wrap the limb with a compression dressing.
c. Massage the frostbitten areas.
d. Assess the limb for compartment syndrome. - ANS ANS: A
Rapid rewarming in a water bath is recommended for all instances of partial-thickness and full-
thickness frostbite. Clients experience severe pain during the rewarming process and nurses
should administer intravenous analgesics.
3
Advanced Adult Health Exam 1 Practice
Questions and Answers 100% Pass
1. On a hot humid day, an emergency department nurse is caring for a client who is confused
and has these vital signs: temperature 104.1° F (40.1° C), pulse 132 beats/min, respirations 26
breaths/min, blood pressure 106/66 mm Hg. Which action should the nurse take?
a. Encourage the client to drink cool water or sports drinks.
b. Start an intravenous line and infuse 0.9% saline solution.
c. Administer acetaminophen (Tylenol) 650 mg orally.
d. Encourage rest and re-assess in 15 minutes. - ANS ANS: B
The client demonstrates signs of heat stroke. This is a medical emergency and priority care
includes oxygen therapy, IV infusion with 0.9% saline solution, insertion of a urinary catheter,
and aggressive interventions to cool the client, including external cooling and internal cooling
methods. Oral hydration would not be appropriate for a client who has symptoms of heat
stroke because oral fluids would not provide necessary rapid rehydration, and the confused
client would be at risk for aspiration. Acetaminophen would not decrease this client's
temperature or improve the client's symptoms. The client needs immediate medical treatment;
therefore, rest and re-assessing in 15 minutes is inappropriate.
2. While at a public park, a nurse encounters a person immediately after a bee sting. The
person's lips are swollen, and wheezes are audible. Which action should the nurse take first?
a. Elevate the site and notify the person's next of kin.
b. Remove the stinger with tweezers and encourage rest.
c. Administer diphenhydramine (Benadryl) and apply ice.
d. Administer an EpiPen from the first aid kit and call 911. - ANS ANS: D
1
, ©JASONMcCONNELL 2025 ALL RIGHTS RESERVED
The client's swollen lips indicate that anaphylaxis may be developing, and this is a medical
emergency. 911 should be called immediately, and the client transported to the emergency
department as quickly as possible. If an EpiPen is available, it should be administered at the first
sign of an anaphylactic reaction. The other answers do not provide adequate interventions to
treat airway obstruction due to anaphylaxis.
3. A client presents to the emergency department after prolonged exposure to the cold. The
client is difficult to arouse and speech is incoherent. Which action should the nurse take first?
a. Reposition the client into a prone position.
b. Administer warmed intravenous fluids to the client.
c. Wrap the client's extremities in warm blankets.
d. Initiate extracorporeal rewarming via hemodialysis. - ANS ANS: B
Moderate hypothermia manifests with muscle weakness, increased loss of coordination, acute
confusion, apathy, incoherence, stupor, and impaired clotting. Moderate hypothermia should
be treated by core rewarming methods, which include administration of warm IV fluids, heated
oxygen, and heated peritoneal, pleural, gastric, or bladder lavage, and by positioning the client
in a supine position to prevent orthostatic changes. The client's trunk should be warmed prior
to the extremities to prevent peripheral vasodilation. Extracorporeal warming with
cardiopulmonary bypass or hemodialysis is a treatment for severe hypothermia.
4. An emergency department nurse cares for a middle-aged mountain climber who is confused
and exhibits bizarre behaviors. After administering oxygen, which priority intervention should
the nurse implement?
a. Administer dexamethasone (Decadron).
b. Complete a mini-mental state examination.
c. Prepare the client for computed tomography of the brain.
d. Request a psychiatric consult. - ANS ANS: A
The client is exhibiting signs of mountain sickness and high altitude cerebral edema (HACE).
Dexamethasone (Decadron) reduces cerebral edema by acting as an anti-inflammatory in the
central nervous system. The other interventions will not treat mountain sickness or HACE.
2
, ©JASONMcCONNELL 2025 ALL RIGHTS RESERVED
5. An emergency department nurse assesses a client admitted after a lightning strike. Which
assessment should the nurse complete first?
a. Electrocardiogram (ECG)
b. Wound inspection
c. Creatinine kinase
d. Computed tomography of head - ANS ANS: A
Clients who survive an immediate lightning strike can have serious myocardial injury, which can
be manifested by ECG and myocardial perfusion abnormalities. The nurse should prioritize the
ECG. Other assessments should be completed but are not the priority.
6. A nurse teaches a community health class about water safety. Which statement by a
participant indicates that additional teaching is needed?
a. "I can go swimming all by myself because I am a certified lifeguard."
b. "I cannot leave my toddler alone in the bathtub for even a minute."
c. "I will appoint one adult to supervise the pool at all times during a party."
d. "I will make sure that there is a phone near my pool in case of an emergency." - ANS ANS:
A
People should never swim alone, regardless of lifeguard status. The other statements indicate
good understanding of the teaching.
7. A provider prescribes a rewarming bath for a client who presents with partial-thickness
frostbite. Which action should the nurse take prior to starting this treatment?
a. Administer intravenous morphine.
b. Wrap the limb with a compression dressing.
c. Massage the frostbitten areas.
d. Assess the limb for compartment syndrome. - ANS ANS: A
Rapid rewarming in a water bath is recommended for all instances of partial-thickness and full-
thickness frostbite. Clients experience severe pain during the rewarming process and nurses
should administer intravenous analgesics.
3
