Adult Health Final Exam With Correct
Answers Updated 2025-2026 Version.
Graded A
________ participate in bone remodeling by assisting in the breakdown of
bone tissue. - ANS 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? - ANSCheck
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 -
ANSAdministration 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? - ANSThe
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
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nurse to communicate to the health care provider before the procedure? -
ANSThe 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? - ANS"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 - ANSthe 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: - ANScould 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? -
ANS"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
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improving the patient's oral intake? - ANSHave 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? -
ANSUrinary 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? - ANSFluid 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? - ANSThis 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? -
ANScheck 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 - ANSThe patients visitors bring in some fresh
peaches from home
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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? - ANSthe 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? -
ANSAdminister 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? - ANSDaily 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? -
ANSDiscuss 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? - ANSWhite 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? - ANSSerum calcium is 18 mg/dL
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