ADULT HEALTH II EXAM 3 NEWEST 2025/2026 WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED
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The client diagnosed with Buerger's disease (thromboangitis obliterans) asks the
nurse, "What is the worst thing that could happen if I don't quit smoking? I love
my cigarettes." Which statement is the nurses best response?
a. "You are concerned about quitting smoking. Let's sit down and talk about it.
b. "Many clients end up having to have an amputation, especially a leg."
c. "You should consider attending a smoking cessation program."
d. "Your coronary arteries could block and cause a heart attack." - ANSWER-B.
"Many clients end up having to have an amputation, especially a leg."
Smoking aggravates Buerger's disease. Aggravated or severe Buerger's disease can
lead to arterial occlusion caused by superficial thrombophlebitis resulting in poor
would healing and poor circulation. This can lead to the need for amputation.
Buerger's disease affects the arteries and veins in the upper and lower
extremities-- not the coronary arteries.
The client diagnosed with subclavian steal syndrome has undergone surgery.
Which assessment data would warrant immediate intervention by the nurse?
a. The client's pedal pulse on the left leg is absent.
b. The client complains of numbness in the right hand.
c. The client's brachial pulse is strong and bounding.
d. The client's capillary refill time (CRT) is less than three (3) seconds. - ANSWER-B.
The client complains of numbness in the right hand.
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Subclavian steal syndrome affects the upper extremities only. Occurs from
subclavian artery occlusion or stenosis; therefor any abnormal neurovascular
assessment would warrant intervention
The client with left-sided mastectomy is diagnosed with elephantiasis of the left
arm. Which signs/symptoms should the nurse expect to assess?
a. edematous arm from the axillary area to the fingertips.
b. painful, edematous, reddened lower forearm
c. tented skin turgor over the entire left arm.
d. Nipple retraction and peur d'orange skin. - ANSWER-A. edematous arm from
the axillary area to the fingertips.
Elephantitis is obstruction of the lymphatic vessels that causes chronic fibrosis,
thickening of the subcutaneous tissue, and hypertrophy of the skin; this condition
causes chronic edema of the extremity that recedes only slightly with elevation.
The nurse is caring for a client on strict bed rest. Which intervention is priority
when caring for this patient?
a. encourage them to drink fluids
b. perform active range of motion exercises
c. elevate the head of the bed to 45*
d. provide a high fiber diet to the client - ANSWER-B. Perform active range of
motion exercises
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Preventing deep vein thrombosis is the priority nursing intervention bc the client
is on strict bed rest. Range of motion exercises should be done every four (4)
hours.
The nurse is caring for clients on a medical floor. Which client will the nurse assess
first?
a. The client with an abdominal aneurysm who is constipated.
b. The client on bed rest who ambulated to the bathroom.
c. The client with essential hypertension who has epistaxis and a headache.
d. The client with arterial occlusive disease who has a decreased pedal pulse. -
ANSWER-c. The client with essential hypertension who has epistaxis and a
headache.
A bloody nose and headache indicate the client is experiencing a very high blood
pressure and should be assessed first because of a possible myocardial infarction/
stroke.
The UAP is applying elastic compression stockings to the client. Which action by
the UAP would warrant immediate intervention by the nurse?
a. The UAP is putting the stockings on while the client is in the chair.
b. The UAP inserted two (2) fingers under the proximal end of the stocking.
c. The UAP elevated the feet while lying down prior to putting on the stockings.
d. The UAP made sure the toes were warm after putting the stockings on. -
ANSWER-a. The UAP is putting the stockings on while the client is in the chair.
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Stocking should be applied after the legs have been elevated for a period of time;
when the amount of blood in the legs would be at the lowest-- therefor the nurse
would intervene when the UAP is trying to put stockings on while the client is in
the chair.
The nurse is teaching the client with peripheral vascular disease. Which
interventions should the nurse discuss with the client. (Select all that apply)
a. Wash your feet in antimicrobial soap
b. Wear comfortable, well fitting shoes
c. Cut your toenail in an arch
d. Keep the area between the toes dry
e. Use a heating pad when feet are cold. - ANSWER-B, D. Wear comfortable fitting
shoes & keep the area between the toes dry.
Comfortable shoes prevent blisters or ulcerations on the feet. Moisture between
the toes increases fungal growth; leading to tissue breakdown.
Antimicrobial soap is harsh and can dry the skin; the client should use mild soap at
room temperature water. Toenails should be trimmed straight across; arch
increases risk for ingrown toenails. Clients with PVD have decreased sensation in
the feet and should not use a heating pad.
Which referral would be most appropriate for the client diagnosed with thoracic
outlet syndrome?
a. Physical therapist
b. Thoracic surgeon
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