Adult Health III Final Exam questions with
correct verified detailed Answers latest
update 2025
The nurse has repositioned a client that has a ventriculostomy system
for monitoring increased intercranial pressure (ICP). Which of the
following actions should be a priority for the nurse to take?
a. monitor the waveform
b. ensure the system is level with the client's foramen of Monro
c. administer pain medication to the client
d. obtain a sample of cerebral spinal fluid (CSF) from the system ---
correct answer ---Answer: b
An 81-year-old patient who has been in the intensive care unit (ICU)
for a week is now stable and transfer to the progressive care unit is
planned. On rounds, the nurse notices that the patient has new onset
confusion. What should the nurse plan to do?
a. give PRN lorazepam (Ativan) and cancel the transfer
b. inform the receiving nurse and then transfer the patient
c. notify the healthcare provider and postpone the transfer
d. obtain an order for restraints as needed and transfer the patient ---
correct answer ---Answer: b (c?)
,The nurse is planning a staff education conference about shock. Which
of the following information would be appropriate for the nurse to
include in the conference?
a. IV fluid administration is important for all types of shock
b. the client is not experiencing shock if the skin is warm
c. shock is the same thing as sepsis
d. shock may manifest as anxiety --- correct answer ---Answer: d
The nurse is teaching the spouse of a client who has expressive
aphasia following a stroke about facilitating communication. Which of
the following information should the nurse include in the teaching?
a. ask questions like, "Do you want his or that for dinner?" while
giving some options, instead of "What do you want for dinner?"
b. you should give your spouse as many options as possible and then
say, "Just point to what you want"
c. if your spouse becomes frustrated, it is best to say "okay" and then
walk away for a short while
d. let your spouse write down everything to avoid exhaustion and
confusion --- correct answer ---Answer: a
The nurse is admitting a client with a diagnosis of gastrointestinal
(GI) bleed who is in the compensatory stage of shock. Which of the
following assessment findings should the nurse expect to find?
a. hyperactive bowel sounds
b. cool, clammy skin
c. increased urinary output
, d. decreased heart rate --- correct answer ---Answer: b
The nurse who is taking care of a client with burns is asked by a
family member why the client is losing so much weight. The client is
currently in the intermediate phase of recovery. Which of the
following would be the most appropriate response by the nurse?
a. the client actually has not lost weight, but there has been a change
in the distribution of the client's body fat
b. the client is on a calorie-restricted diet in order to divert energy to
wound healing
c. the client's body has consumed the fat deposits for fuel, because the
client's calorie intake is lower than normal
d. the client lost a lot of fluids while being treated in the emergency
phase of burn care --- correct answer ---Answer: c
The nurse is caring for a client with bacteremia who has progressed
from systemic inflammatory response syndrome (SIRS) to multiple
organ disfunction syndrome (MODS). Which of the following actions
should the nurse be prepared to take? Select all that apply.
a. obtain a prescription for a blood specimen for hepatitis B serology
b. administer a prescribed intravenous proton pump inhibitor
c. initiate prescribed enteral feedings
d. witness consent for dialysis catheter placement
e. monitor the client often for signs of sepsis --- correct answer ---
Answer: b, c, d (e?)
correct verified detailed Answers latest
update 2025
The nurse has repositioned a client that has a ventriculostomy system
for monitoring increased intercranial pressure (ICP). Which of the
following actions should be a priority for the nurse to take?
a. monitor the waveform
b. ensure the system is level with the client's foramen of Monro
c. administer pain medication to the client
d. obtain a sample of cerebral spinal fluid (CSF) from the system ---
correct answer ---Answer: b
An 81-year-old patient who has been in the intensive care unit (ICU)
for a week is now stable and transfer to the progressive care unit is
planned. On rounds, the nurse notices that the patient has new onset
confusion. What should the nurse plan to do?
a. give PRN lorazepam (Ativan) and cancel the transfer
b. inform the receiving nurse and then transfer the patient
c. notify the healthcare provider and postpone the transfer
d. obtain an order for restraints as needed and transfer the patient ---
correct answer ---Answer: b (c?)
,The nurse is planning a staff education conference about shock. Which
of the following information would be appropriate for the nurse to
include in the conference?
a. IV fluid administration is important for all types of shock
b. the client is not experiencing shock if the skin is warm
c. shock is the same thing as sepsis
d. shock may manifest as anxiety --- correct answer ---Answer: d
The nurse is teaching the spouse of a client who has expressive
aphasia following a stroke about facilitating communication. Which of
the following information should the nurse include in the teaching?
a. ask questions like, "Do you want his or that for dinner?" while
giving some options, instead of "What do you want for dinner?"
b. you should give your spouse as many options as possible and then
say, "Just point to what you want"
c. if your spouse becomes frustrated, it is best to say "okay" and then
walk away for a short while
d. let your spouse write down everything to avoid exhaustion and
confusion --- correct answer ---Answer: a
The nurse is admitting a client with a diagnosis of gastrointestinal
(GI) bleed who is in the compensatory stage of shock. Which of the
following assessment findings should the nurse expect to find?
a. hyperactive bowel sounds
b. cool, clammy skin
c. increased urinary output
, d. decreased heart rate --- correct answer ---Answer: b
The nurse who is taking care of a client with burns is asked by a
family member why the client is losing so much weight. The client is
currently in the intermediate phase of recovery. Which of the
following would be the most appropriate response by the nurse?
a. the client actually has not lost weight, but there has been a change
in the distribution of the client's body fat
b. the client is on a calorie-restricted diet in order to divert energy to
wound healing
c. the client's body has consumed the fat deposits for fuel, because the
client's calorie intake is lower than normal
d. the client lost a lot of fluids while being treated in the emergency
phase of burn care --- correct answer ---Answer: c
The nurse is caring for a client with bacteremia who has progressed
from systemic inflammatory response syndrome (SIRS) to multiple
organ disfunction syndrome (MODS). Which of the following actions
should the nurse be prepared to take? Select all that apply.
a. obtain a prescription for a blood specimen for hepatitis B serology
b. administer a prescribed intravenous proton pump inhibitor
c. initiate prescribed enteral feedings
d. witness consent for dialysis catheter placement
e. monitor the client often for signs of sepsis --- correct answer ---
Answer: b, c, d (e?)
