NU 216 Adult Health Final Exam Questions With Complete
Solutions
________ participate in bone remodeling by assisting in the
breakdown of bone tissue. Correct Answers Osteoclasts
A 20-year-old man with extensive facial injuries from a motor
vehicle crash is receiving tube feedings through a percutaneous
endoscopic gastrostomy (PEG). Which action will the nurse
include in the plan of care? Correct Answers Check the gastric
residual volume every 4-6 hours
A 38-year old woman receiving chemotherapy for breast cancer
develops a candida albicans oral infection. The nurse will
anticipate the need for Correct Answers Administration of
nystatin (Mycostatin) tablets
A 38-year-old female is admitted for an elective surgical
procedure. Which information obtained by the nurse during the
preoperative assessment is most important to report to the
anesthesiologist before surgery? Correct Answers The patient's
statement that her last menstrual period was 8 weeks previously
A 39-year-old patient with a suspected herniated intervertebral
disc is scheduled for a myelogram. Which information is most
important for the nurse to communicate to the health care
provider before the procedure? Correct Answers The patient
has an allergy to shellfish
A 46-year-old female with GERD is experiencing increasing
discomfort. Which patient statement indicates that additional
,teaching about GERD is needed? Correct Answers "I eat small
meals during the day and have a bedtime snack"
A 50-year-old man vomiting blood streaked fluid is admitted to
the hospital with acute gastritis. To determine possible risk
factors for gastritis, the nurse will ask the patient about Correct
Answers the use of NSAIDs
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, "I: Correct Answers
could choose nasal spray rather than injections of vitamin B12."
A 55-year-old patient with increasing dyspnea is being evaluated
for a possible diagnosis of chronic obstructive pulmonary
disease (COPD). When teaching a patient about pulmonary
function testing (PFT) for this condition, what is the most
important question the nurse should ask? Correct Answers
"Have you taken any bronchodilators in the past 6 hours?"
A 60-year-old man who is hospitalized with an abdominal
wound infection has only been eating about 50% of meals and
states, "Nothing on the menu sounds good." Which action by the
nurse will be most effective in improving the patient's oral
intake? Correct Answers Have family members bring in
favorite foods
A client comes to the primary care provider's office with the
complaints of urinating all the time, pain on urination, small
amounts of urine being passed when voiding, and a foul smell to
the urine. A urine specimen has been sent for analysis. Based on
,the signs and symptoms expressed by the client, which of the
following health problems would be anticipated? Correct
Answers Urinary tract infection
A client receiving total parenteral nutrition (TPN) exhibits
symptoms of congestive heart failure (CHF) and pulmonary
edema. Which complication of TPN is the client most likely
experiencing? Correct Answers Fluid volume overload
A client who is receiving total enteral nutrition (TEN) exhibits
acute confusion and shallow breathing and says, "I feel weak."
As the client begins to have a generalized seizure, how does the
nurse interpret this client's signs and symptoms? Correct
Answers This is refeeding syndrome
A dark-skinned patient has been admitted to the hospital with
chronic heart failure. How would the nurse best assess this
patient for cyanosis? Correct Answers check the lips and oral
mucous membranes
A hospitalized patient who has received chemotherapy for
leukemia develops neutropenia. Which observation by the nurse
would indicate a need for further teaching Correct Answers
The patients visitors bring in some fresh peaches from home
A new nurse performs a dressing change on a stage II left heel
pressure ulcer. Which action by the new nurse indicates a need
for further teaching about pressure ulcer care? Correct Answers
the new nurse cleans the ulcer with a sterile dressing soaked in
half-strength peroxide
, A nurse assists a patient on the first postoperative day to
ambulate, cough, deep breathe, and turn. Which action by the
nurse is most helpful? Correct Answers Administer ordered
analgesic medications before these activities
A nurse in the outpatient clinic is caring for a patient who has a
magnesium level of 1.3mg/dL. Which assessment would be
most important for the nurse to take? Correct Answers Daily
alcohol intake
A nurse is caring for a patient who smokes 2 packs/day. To
reduce the patient's risk of lung cancer, which action by the
nurse is the best? Correct Answers Discuss the risks associated
with cigarettes during every patient encounter
A nurse reviews the laboratory data for an older patient. The
nurse would be most concerned about which finding? Correct
Answers White blood cell (WBC) count of 2,800/ml
A patient admitted to the emergency department with severe
fatigue and confusion. Laboratory studies are done. Which
laboratory value will require the most immediate action by the
nurse? Correct Answers Serum calcium is 18 mg/dL
A patient from a long-term care facility is admitted to the
hospital with a sacral pressure ulcer. The base of the wound is
yellow and involves subcutaneous tissue. How should the nurse
classify this pressure ulcer? Correct Answers Stage III
Solutions
________ participate in bone remodeling by assisting in the
breakdown of bone tissue. Correct Answers Osteoclasts
A 20-year-old man with extensive facial injuries from a motor
vehicle crash is receiving tube feedings through a percutaneous
endoscopic gastrostomy (PEG). Which action will the nurse
include in the plan of care? Correct Answers Check the gastric
residual volume every 4-6 hours
A 38-year old woman receiving chemotherapy for breast cancer
develops a candida albicans oral infection. The nurse will
anticipate the need for Correct Answers Administration of
nystatin (Mycostatin) tablets
A 38-year-old female is admitted for an elective surgical
procedure. Which information obtained by the nurse during the
preoperative assessment is most important to report to the
anesthesiologist before surgery? Correct Answers The patient's
statement that her last menstrual period was 8 weeks previously
A 39-year-old patient with a suspected herniated intervertebral
disc is scheduled for a myelogram. Which information is most
important for the nurse to communicate to the health care
provider before the procedure? Correct Answers The patient
has an allergy to shellfish
A 46-year-old female with GERD is experiencing increasing
discomfort. Which patient statement indicates that additional
,teaching about GERD is needed? Correct Answers "I eat small
meals during the day and have a bedtime snack"
A 50-year-old man vomiting blood streaked fluid is admitted to
the hospital with acute gastritis. To determine possible risk
factors for gastritis, the nurse will ask the patient about Correct
Answers the use of NSAIDs
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, "I: Correct Answers
could choose nasal spray rather than injections of vitamin B12."
A 55-year-old patient with increasing dyspnea is being evaluated
for a possible diagnosis of chronic obstructive pulmonary
disease (COPD). When teaching a patient about pulmonary
function testing (PFT) for this condition, what is the most
important question the nurse should ask? Correct Answers
"Have you taken any bronchodilators in the past 6 hours?"
A 60-year-old man who is hospitalized with an abdominal
wound infection has only been eating about 50% of meals and
states, "Nothing on the menu sounds good." Which action by the
nurse will be most effective in improving the patient's oral
intake? Correct Answers Have family members bring in
favorite foods
A client comes to the primary care provider's office with the
complaints of urinating all the time, pain on urination, small
amounts of urine being passed when voiding, and a foul smell to
the urine. A urine specimen has been sent for analysis. Based on
,the signs and symptoms expressed by the client, which of the
following health problems would be anticipated? Correct
Answers Urinary tract infection
A client receiving total parenteral nutrition (TPN) exhibits
symptoms of congestive heart failure (CHF) and pulmonary
edema. Which complication of TPN is the client most likely
experiencing? Correct Answers Fluid volume overload
A client who is receiving total enteral nutrition (TEN) exhibits
acute confusion and shallow breathing and says, "I feel weak."
As the client begins to have a generalized seizure, how does the
nurse interpret this client's signs and symptoms? Correct
Answers This is refeeding syndrome
A dark-skinned patient has been admitted to the hospital with
chronic heart failure. How would the nurse best assess this
patient for cyanosis? Correct Answers check the lips and oral
mucous membranes
A hospitalized patient who has received chemotherapy for
leukemia develops neutropenia. Which observation by the nurse
would indicate a need for further teaching Correct Answers
The patients visitors bring in some fresh peaches from home
A new nurse performs a dressing change on a stage II left heel
pressure ulcer. Which action by the new nurse indicates a need
for further teaching about pressure ulcer care? Correct Answers
the new nurse cleans the ulcer with a sterile dressing soaked in
half-strength peroxide
, A nurse assists a patient on the first postoperative day to
ambulate, cough, deep breathe, and turn. Which action by the
nurse is most helpful? Correct Answers Administer ordered
analgesic medications before these activities
A nurse in the outpatient clinic is caring for a patient who has a
magnesium level of 1.3mg/dL. Which assessment would be
most important for the nurse to take? Correct Answers Daily
alcohol intake
A nurse is caring for a patient who smokes 2 packs/day. To
reduce the patient's risk of lung cancer, which action by the
nurse is the best? Correct Answers Discuss the risks associated
with cigarettes during every patient encounter
A nurse reviews the laboratory data for an older patient. The
nurse would be most concerned about which finding? Correct
Answers White blood cell (WBC) count of 2,800/ml
A patient admitted to the emergency department with severe
fatigue and confusion. Laboratory studies are done. Which
laboratory value will require the most immediate action by the
nurse? Correct Answers Serum calcium is 18 mg/dL
A patient from a long-term care facility is admitted to the
hospital with a sacral pressure ulcer. The base of the wound is
yellow and involves subcutaneous tissue. How should the nurse
classify this pressure ulcer? Correct Answers Stage III
