ADULT HEALTH 1 EXAM ONE
PRACTICE QUESTIONS AND
ANSWERS VERIFIED 100%.
A lobectomy is scheduled for a patient with stage I non-small cell lung
cancer. The patient tells the nurse, "I would rather have chemotherapy
than surgery." Which response by the nurse is most appropriate?
a. "Are you afraid that the surgery will be very painful?"
b. "Did you have bad experiences with previous surgeries?"
c. "Tell me what you know about the treatments available."
d. "Surgery is the treatment of choice for stage I lung cancer." - correct
answerc. "Tell me what you know about the treatments available."
More assessment of the patient's concerns about surgery is indicated.
An open-ended response will elicit the most information from the
patient.
A nurse is assessing a newly admitted patient with chronic heart failure
who forgot to take
prescribed medications. The patient seems confused and short of
breath with peripheral
edema. Which assessment should the nurse complete first?
a. Skin turgor
b. Heart sounds
c. Mental status
d. Capillary refill - correct answerANS: C
,Increases in extracellular fluid (ECF) can lead to swelling of cells in the
central nervous
system, initially causing confusion, which may progress to coma or
seizures. Although skin
turgor, capillary refill, and heart sounds may also be affected by
increases in ECF, these are
signs that do not have as immediate impact on patient outcomes as
cerebral edema.
DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
A patient diagnosed with active tuberculosis (TB) is homeless and has a
history of alcohol abuse. Which intervention by the nurse will be most
effective in ensuring adherence with the treatment regimen?
a. Repeat warnings about the high risk for infecting others several
times.
b. Give the patient written instructions about how to take the
medications.
c. Arrange for a daily meal and drug administration at a community
center.
d. Arrange for the patient's friend to administer the medication on
schedule. - correct answerc. Arrange for a daily meal and drug
administration at a community center.
A patient experiences a chest wall contusion as a result of being struck
in the chest with a baseball bat. The emergency department nurse
would be most concerned if which finding is observed during the initial
assessment?
a. Paradoxical chest movement c. Heart rate of 110 beats/minute
b. Complaint of chest wall pain d. Large bruised area on the chest -
correct answera. Paradoxical chest movement
,Paradoxical chest movement indicates that the patient may have flail
chest, which can severely compromise gas exchange and can rapidly
lead to hypoxemia.
A patient has a magnesium level of 1.3 mg/dL. Which assessment
would help the nurse
identify a likely cause of this value?
a. Daily alcohol intake
b. Dietary protein intake
c. Multivitamin with minerals
d. Over-the-counter (OTC) laxative - correct answerANS: A
Hypomagnesemia is associated with alcoholism. Protein intake would
not have a significant
effect on magnesium level. OTC laxatives (such as milk of magnesia)
and use of
multivitamin/mineral supplements tend to increase magnesium levels.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
A patient has a serum calcium level of 7.0 mEq/L. Which assessment
finding is most
important for the nurse to report to the health care provider?
a. The patient is experiencing stridor.
b. The patient reports generalized fatigue.
c. The patient's bowels have not moved for 4 days.
d. The patient has numbness and tingling of the lips. - correct
answerANS: A
Hypocalcemia can cause laryngeal stridor, which may lead to
respiratory arrest. Rapid action
is required to correct the patient's calcium level. The other data are
also consistent with
hypocalcemia, but do not indicate a need for as immediate action as
laryngospasm.
, DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
A patient has acute bronchitis with a nonproductive cough and
wheezes. Which topic should the nurse plan to include in the teaching
plan?
a. Purpose of antibiotic therapy
b. Ways to limit oral fluid intake
c. Appropriate use of cough suppressants
d. Safety concerns with home O2 therapy - correct answerc.
Appropriate use of cough suppressants
Cough suppressants are frequently prescribed for acute bronchitis.
Because most acute bronchitis is viral in origin, antibiotics are not
prescribed unless there are systemic symptoms.
A patient has just been admitted with probable bacterial pneumonia
and sepsis. Which order should the nurse implement first?
a. Chest x-ray via stretcher
b. Blood cultures from two sites
c. Ciprofloxacin (Cipro) 400 mg IV
d. Acetaminophen (Tylenol) rectal suppository - correct answerb. Blood
cultures from two sites
Initiating antibiotic therapy rapidly is essential, but it is important that
the cultures be obtained before antibiotic administration.
A patient is admitted to the emergency department with an open stab
wound to the left chest. What action should the nurse take?
a. Keep the head of the patient's bed positioned flat.
b. Cover the wound tightly with an occlusive dressing.
c. Position the patient so that the left chest is dependent.
PRACTICE QUESTIONS AND
ANSWERS VERIFIED 100%.
A lobectomy is scheduled for a patient with stage I non-small cell lung
cancer. The patient tells the nurse, "I would rather have chemotherapy
than surgery." Which response by the nurse is most appropriate?
a. "Are you afraid that the surgery will be very painful?"
b. "Did you have bad experiences with previous surgeries?"
c. "Tell me what you know about the treatments available."
d. "Surgery is the treatment of choice for stage I lung cancer." - correct
answerc. "Tell me what you know about the treatments available."
More assessment of the patient's concerns about surgery is indicated.
An open-ended response will elicit the most information from the
patient.
A nurse is assessing a newly admitted patient with chronic heart failure
who forgot to take
prescribed medications. The patient seems confused and short of
breath with peripheral
edema. Which assessment should the nurse complete first?
a. Skin turgor
b. Heart sounds
c. Mental status
d. Capillary refill - correct answerANS: C
,Increases in extracellular fluid (ECF) can lead to swelling of cells in the
central nervous
system, initially causing confusion, which may progress to coma or
seizures. Although skin
turgor, capillary refill, and heart sounds may also be affected by
increases in ECF, these are
signs that do not have as immediate impact on patient outcomes as
cerebral edema.
DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
A patient diagnosed with active tuberculosis (TB) is homeless and has a
history of alcohol abuse. Which intervention by the nurse will be most
effective in ensuring adherence with the treatment regimen?
a. Repeat warnings about the high risk for infecting others several
times.
b. Give the patient written instructions about how to take the
medications.
c. Arrange for a daily meal and drug administration at a community
center.
d. Arrange for the patient's friend to administer the medication on
schedule. - correct answerc. Arrange for a daily meal and drug
administration at a community center.
A patient experiences a chest wall contusion as a result of being struck
in the chest with a baseball bat. The emergency department nurse
would be most concerned if which finding is observed during the initial
assessment?
a. Paradoxical chest movement c. Heart rate of 110 beats/minute
b. Complaint of chest wall pain d. Large bruised area on the chest -
correct answera. Paradoxical chest movement
,Paradoxical chest movement indicates that the patient may have flail
chest, which can severely compromise gas exchange and can rapidly
lead to hypoxemia.
A patient has a magnesium level of 1.3 mg/dL. Which assessment
would help the nurse
identify a likely cause of this value?
a. Daily alcohol intake
b. Dietary protein intake
c. Multivitamin with minerals
d. Over-the-counter (OTC) laxative - correct answerANS: A
Hypomagnesemia is associated with alcoholism. Protein intake would
not have a significant
effect on magnesium level. OTC laxatives (such as milk of magnesia)
and use of
multivitamin/mineral supplements tend to increase magnesium levels.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
A patient has a serum calcium level of 7.0 mEq/L. Which assessment
finding is most
important for the nurse to report to the health care provider?
a. The patient is experiencing stridor.
b. The patient reports generalized fatigue.
c. The patient's bowels have not moved for 4 days.
d. The patient has numbness and tingling of the lips. - correct
answerANS: A
Hypocalcemia can cause laryngeal stridor, which may lead to
respiratory arrest. Rapid action
is required to correct the patient's calcium level. The other data are
also consistent with
hypocalcemia, but do not indicate a need for as immediate action as
laryngospasm.
, DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
A patient has acute bronchitis with a nonproductive cough and
wheezes. Which topic should the nurse plan to include in the teaching
plan?
a. Purpose of antibiotic therapy
b. Ways to limit oral fluid intake
c. Appropriate use of cough suppressants
d. Safety concerns with home O2 therapy - correct answerc.
Appropriate use of cough suppressants
Cough suppressants are frequently prescribed for acute bronchitis.
Because most acute bronchitis is viral in origin, antibiotics are not
prescribed unless there are systemic symptoms.
A patient has just been admitted with probable bacterial pneumonia
and sepsis. Which order should the nurse implement first?
a. Chest x-ray via stretcher
b. Blood cultures from two sites
c. Ciprofloxacin (Cipro) 400 mg IV
d. Acetaminophen (Tylenol) rectal suppository - correct answerb. Blood
cultures from two sites
Initiating antibiotic therapy rapidly is essential, but it is important that
the cultures be obtained before antibiotic administration.
A patient is admitted to the emergency department with an open stab
wound to the left chest. What action should the nurse take?
a. Keep the head of the patient's bed positioned flat.
b. Cover the wound tightly with an occlusive dressing.
c. Position the patient so that the left chest is dependent.
