Care of the Adult Exam #1 ACTUAL
QUESTIONS AND CORRECT ANSWERS
Which blood pressure (BP) finding by the nurse indicates that no changes in therapy are
needed for a patient with stage 1 hypertension who has a history of diabetes mellitus?
A. 102/60 mm Hg
B. 128/76 mm Hg
C. 139/90 mm Hg
D. 136/82 mm Hg - Correct answers✔✔D. 136/82 mm Hg
A 56-year-old patient who has no previous history of hypertension or other health problems
suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP, it is
appropriate for the nurse to tell the patient that
A. a BP recheck should be scheduled in a few weeks.
B. dietary sodium and fat content should be decreased.
C. there is an immediate danger of a stroke and hospitalization will be required.
D. diagnosis of a possible cause, treatment, and ongoing monitoring will be needed. - Correct
answers✔✔D. diagnosis of a possible cause, treatment, and ongoing monitoring will be needed
Which action should the nurse take when administering the initial dose of oral labetalol
(Normodyne) to a patient with hypertension?
A. Encourage the use of hard candy to prevent dry mouth.
B. Instruct the patient to ask for help if heart palpitations occur.
C. Ask the patient to request assistance when getting out of bed.
,D. Teach the patient that headaches may occur with this medication. - Correct answers✔✔C. Ask
the patient to request assistance when getting out of bed
A 73-year-old patient with chronic atrial fibrillation develops sudden severe pain, pulselessness,
pallor, and coolness in the right leg. The nurse should notify the health care provider and
immediately
A. apply a compression stocking to the leg.
B. elevate the leg above the level of the heart.
C. assist the patient in gently exercising the leg.
D. keep the patient in bed in the supine position. - Correct answers✔✔D. keep the patient in bed
in the supine position
A patient at the clinic says, "I have always taken a walk after dinner, but lately my leg cramps
and hurts after just a few minutes of starting. The pain goes away after I stop walking, though."
The nurse should
A. check for the presence of tortuous veins bilaterally on the legs.
B. ask about any skin color changes that occur in response to cold.
C. assess for unilateral swelling, redness, and tenderness of either leg.
D. assess for the presence of the dorsalis pedis and posterior tibial pulses. - Correct
answers✔✔D. assess for the presence of the dorsalis pedis and posterior tibial pulses.
When you FEEL a vibration when assessing a pulse - Correct answers✔✔Thrill
When developing a teaching plan for a 61-year-old man with the following risk factors for
coronary artery disease (CAD), the nurse should focus on the
A. family history of coronary artery disease.
, B. increased risk associated with the patient's gender.
C. increased risk of cardiovascular disease as people age.
D. elevation of the patient's low-density lipoprotein (LDL) level. - Correct answers✔✔D.
elevation of the patient's low-density lipoprotein (LDL) level.
Which assessment data collected by the nurse who is admitting a patient with chest pain suggest
that the pain is caused by an acute myocardial infarction (AMI)?
A. The pain increases with deep breathing.
B. The pain has lasted longer than 30 minutes.
C. The pain is relieved after the patient takes nitroglycerin.
D. The pain is reproducible when the patient raises the arms. - Correct answers✔✔B. the pain
has lasted longer than 30 minutes
A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute
myocardial infarction (AMI). Which laboratory test should the nurse monitor to help determine
whether the patient has had an AMI?
A. Myoglobin
B. Homocysteine
C. C-reactive protein
D. Cardiac-specific troponin - Correct answers✔✔D. Cardiac-specific troponin
After the nurse has finished teaching a patient about the use of sublingual nitroglycerin
(Nitrostat), which patient statement indicates that the teaching has been effective?
A. "I can expect some nausea as a side effect of nitroglycerin."
QUESTIONS AND CORRECT ANSWERS
Which blood pressure (BP) finding by the nurse indicates that no changes in therapy are
needed for a patient with stage 1 hypertension who has a history of diabetes mellitus?
A. 102/60 mm Hg
B. 128/76 mm Hg
C. 139/90 mm Hg
D. 136/82 mm Hg - Correct answers✔✔D. 136/82 mm Hg
A 56-year-old patient who has no previous history of hypertension or other health problems
suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP, it is
appropriate for the nurse to tell the patient that
A. a BP recheck should be scheduled in a few weeks.
B. dietary sodium and fat content should be decreased.
C. there is an immediate danger of a stroke and hospitalization will be required.
D. diagnosis of a possible cause, treatment, and ongoing monitoring will be needed. - Correct
answers✔✔D. diagnosis of a possible cause, treatment, and ongoing monitoring will be needed
Which action should the nurse take when administering the initial dose of oral labetalol
(Normodyne) to a patient with hypertension?
A. Encourage the use of hard candy to prevent dry mouth.
B. Instruct the patient to ask for help if heart palpitations occur.
C. Ask the patient to request assistance when getting out of bed.
,D. Teach the patient that headaches may occur with this medication. - Correct answers✔✔C. Ask
the patient to request assistance when getting out of bed
A 73-year-old patient with chronic atrial fibrillation develops sudden severe pain, pulselessness,
pallor, and coolness in the right leg. The nurse should notify the health care provider and
immediately
A. apply a compression stocking to the leg.
B. elevate the leg above the level of the heart.
C. assist the patient in gently exercising the leg.
D. keep the patient in bed in the supine position. - Correct answers✔✔D. keep the patient in bed
in the supine position
A patient at the clinic says, "I have always taken a walk after dinner, but lately my leg cramps
and hurts after just a few minutes of starting. The pain goes away after I stop walking, though."
The nurse should
A. check for the presence of tortuous veins bilaterally on the legs.
B. ask about any skin color changes that occur in response to cold.
C. assess for unilateral swelling, redness, and tenderness of either leg.
D. assess for the presence of the dorsalis pedis and posterior tibial pulses. - Correct
answers✔✔D. assess for the presence of the dorsalis pedis and posterior tibial pulses.
When you FEEL a vibration when assessing a pulse - Correct answers✔✔Thrill
When developing a teaching plan for a 61-year-old man with the following risk factors for
coronary artery disease (CAD), the nurse should focus on the
A. family history of coronary artery disease.
, B. increased risk associated with the patient's gender.
C. increased risk of cardiovascular disease as people age.
D. elevation of the patient's low-density lipoprotein (LDL) level. - Correct answers✔✔D.
elevation of the patient's low-density lipoprotein (LDL) level.
Which assessment data collected by the nurse who is admitting a patient with chest pain suggest
that the pain is caused by an acute myocardial infarction (AMI)?
A. The pain increases with deep breathing.
B. The pain has lasted longer than 30 minutes.
C. The pain is relieved after the patient takes nitroglycerin.
D. The pain is reproducible when the patient raises the arms. - Correct answers✔✔B. the pain
has lasted longer than 30 minutes
A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute
myocardial infarction (AMI). Which laboratory test should the nurse monitor to help determine
whether the patient has had an AMI?
A. Myoglobin
B. Homocysteine
C. C-reactive protein
D. Cardiac-specific troponin - Correct answers✔✔D. Cardiac-specific troponin
After the nurse has finished teaching a patient about the use of sublingual nitroglycerin
(Nitrostat), which patient statement indicates that the teaching has been effective?
A. "I can expect some nausea as a side effect of nitroglycerin."
