NSG 3250 Adult Health Exam
NSG 3250 Adult Health Exam 2 Newest
/NSG 3250 Exam 2 Preparation/ NSG 3250
Exam 2 Practice Exam With 350 Complete
Questions And Correct Answers |Already
Graded A+||Brand New Versions!!
1. On a hot humid day, an emergency department nurse is caring for a client who is
confused and has these vital signs: temperature 104.1° F (40.1° C), pulse 132
beats/min, respirations 26 breaths/min, blood pressure 106/66 mm Hg. Which
action should the nurse take?
a. Encourage the client to drink cool water or sports drinks.
b. Start an intravenous line and infuse 0.9% saline solution.
A+ TEST BANK 1
, NSG 3250 Adult Health Exam
c. Administer acetaminophen (Tylenol) 650 mg orally.
d. Encourage rest and re-assess in 15 minutes. –
Correct Answer :ANS: B
The client demonstrates signs of heat stroke. This is a medical emergency and
priority care includes oxygen therapy, IV infusion with 0.9% saline solution,
insertion of a urinary catheter, and aggressive interventions to cool the client,
including external cooling and internal cooling methods. Oral hydration would not
be appropriate for a client who has symptoms of heat stroke because oral fluids
would not provide necessary rapid rehydration, and the confused client would be
at risk for aspiration. Acetaminophen would not decrease this client's temperature
or improve the client's symptoms. The client needs immediate medical treatment;
therefore, rest and re-assessing in 15 minutes is inappropriate.
2. While at a public park, a nurse encounters a person immediately after a bee
sting. The person's lips are swollen, and wheezes are audible. Which action should
the nurse take first?
a. Elevate the site and notify the person's next of kin.
b. Remove the stinger with tweezers and encourage rest.
c. Administer diphenhydramine (Benadryl) and apply ice.
d. Administer an EpiPen from the first aid kit and call 911. –
Correct Answer :ANS: D
The client's swollen lips indicate that anaphylaxis may be developing, and this is a
medical emergency. 911 should be called immediately, and the client transported
to the emergency department as quickly as possible. If an EpiPen is available, it
should be administered at the first sign of an anaphylactic reaction. The other
A+ TEST BANK 2
, NSG 3250 Adult Health Exam
answers do not provide adequate interventions to treat airway obstruction due to
anaphylaxis.
3. A client presents to the emergency department after prolonged exposure to the
cold. The client is difficult to arouse and speech is incoherent. Which action should
the nurse take first?
a. Reposition the client into a prone position.
b. Administer warmed intravenous fluids to the client.
c. Wrap the client's extremities in warm blankets.
d. Initiate extracorporeal rewarming via hemodialysis. –
Correct Answer :ANS: B
Moderate hypothermia manifests with muscle weakness, increased loss of
coordination, acute confusion, apathy, incoherence, stupor, and impaired clotting.
Moderate hypothermia should be treated by core rewarming methods, which
include administration of warm IV fluids, heated oxygen, and heated peritoneal,
pleural, gastric, or bladder lavage, and by positioning the client in a supine position
to prevent orthostatic changes. The client's trunk should be warmed prior to the
extremities to prevent peripheral vasodilation. Extracorporeal warming with
cardiopulmonary bypass or hemodialysis is a treatment for severe hypothermia.
4. An emergency department nurse cares for a middle-aged mountain climber who
is confused and exhibits bizarre behaviors. After administering oxygen, which
priority intervention should the nurse implement?
a. Administer dexamethasone (Decadron).
b. Complete a mini-mental state examination.
A+ TEST BANK 3
, NSG 3250 Adult Health Exam
c. Prepare the client for computed tomography of the brain.
d. Request a psychiatric consult. –
Correct Answer :ANS: A
The client is exhibiting signs of mountain sickness and high altitude cerebral edema
(HACE). Dexamethasone (Decadron) reduces cerebral edema by acting as an anti-
inflammatory in the central nervous system. The other interventions will not treat
mountain sickness or HACE.
5. An emergency department nurse assesses a client admitted after a lightning
strike. Which assessment should the nurse complete first?
a. Electrocardiogram (ECG)
b. Wound inspection
c. Creatinine kinase
d. Computed tomography of head –
Correct Answer :ANS: A
Clients who survive an immediate lightning strike can have serious myocardial
injury, which can be manifested by ECG and myocardial perfusion abnormalities.
The nurse should prioritize the ECG. Other assessments should be completed but
are not the priority.
6. A nurse teaches a community health class about water safety. Which statement
by a participant indicates that additional teaching is needed?
a. "I can go swimming all by myself because I am a certified lifeguard."
b. "I cannot leave my toddler alone in the bathtub for even a minute."
A+ TEST BANK 4
NSG 3250 Adult Health Exam 2 Newest
/NSG 3250 Exam 2 Preparation/ NSG 3250
Exam 2 Practice Exam With 350 Complete
Questions And Correct Answers |Already
Graded A+||Brand New Versions!!
1. On a hot humid day, an emergency department nurse is caring for a client who is
confused and has these vital signs: temperature 104.1° F (40.1° C), pulse 132
beats/min, respirations 26 breaths/min, blood pressure 106/66 mm Hg. Which
action should the nurse take?
a. Encourage the client to drink cool water or sports drinks.
b. Start an intravenous line and infuse 0.9% saline solution.
A+ TEST BANK 1
, NSG 3250 Adult Health Exam
c. Administer acetaminophen (Tylenol) 650 mg orally.
d. Encourage rest and re-assess in 15 minutes. –
Correct Answer :ANS: B
The client demonstrates signs of heat stroke. This is a medical emergency and
priority care includes oxygen therapy, IV infusion with 0.9% saline solution,
insertion of a urinary catheter, and aggressive interventions to cool the client,
including external cooling and internal cooling methods. Oral hydration would not
be appropriate for a client who has symptoms of heat stroke because oral fluids
would not provide necessary rapid rehydration, and the confused client would be
at risk for aspiration. Acetaminophen would not decrease this client's temperature
or improve the client's symptoms. The client needs immediate medical treatment;
therefore, rest and re-assessing in 15 minutes is inappropriate.
2. While at a public park, a nurse encounters a person immediately after a bee
sting. The person's lips are swollen, and wheezes are audible. Which action should
the nurse take first?
a. Elevate the site and notify the person's next of kin.
b. Remove the stinger with tweezers and encourage rest.
c. Administer diphenhydramine (Benadryl) and apply ice.
d. Administer an EpiPen from the first aid kit and call 911. –
Correct Answer :ANS: D
The client's swollen lips indicate that anaphylaxis may be developing, and this is a
medical emergency. 911 should be called immediately, and the client transported
to the emergency department as quickly as possible. If an EpiPen is available, it
should be administered at the first sign of an anaphylactic reaction. The other
A+ TEST BANK 2
, NSG 3250 Adult Health Exam
answers do not provide adequate interventions to treat airway obstruction due to
anaphylaxis.
3. A client presents to the emergency department after prolonged exposure to the
cold. The client is difficult to arouse and speech is incoherent. Which action should
the nurse take first?
a. Reposition the client into a prone position.
b. Administer warmed intravenous fluids to the client.
c. Wrap the client's extremities in warm blankets.
d. Initiate extracorporeal rewarming via hemodialysis. –
Correct Answer :ANS: B
Moderate hypothermia manifests with muscle weakness, increased loss of
coordination, acute confusion, apathy, incoherence, stupor, and impaired clotting.
Moderate hypothermia should be treated by core rewarming methods, which
include administration of warm IV fluids, heated oxygen, and heated peritoneal,
pleural, gastric, or bladder lavage, and by positioning the client in a supine position
to prevent orthostatic changes. The client's trunk should be warmed prior to the
extremities to prevent peripheral vasodilation. Extracorporeal warming with
cardiopulmonary bypass or hemodialysis is a treatment for severe hypothermia.
4. An emergency department nurse cares for a middle-aged mountain climber who
is confused and exhibits bizarre behaviors. After administering oxygen, which
priority intervention should the nurse implement?
a. Administer dexamethasone (Decadron).
b. Complete a mini-mental state examination.
A+ TEST BANK 3
, NSG 3250 Adult Health Exam
c. Prepare the client for computed tomography of the brain.
d. Request a psychiatric consult. –
Correct Answer :ANS: A
The client is exhibiting signs of mountain sickness and high altitude cerebral edema
(HACE). Dexamethasone (Decadron) reduces cerebral edema by acting as an anti-
inflammatory in the central nervous system. The other interventions will not treat
mountain sickness or HACE.
5. An emergency department nurse assesses a client admitted after a lightning
strike. Which assessment should the nurse complete first?
a. Electrocardiogram (ECG)
b. Wound inspection
c. Creatinine kinase
d. Computed tomography of head –
Correct Answer :ANS: A
Clients who survive an immediate lightning strike can have serious myocardial
injury, which can be manifested by ECG and myocardial perfusion abnormalities.
The nurse should prioritize the ECG. Other assessments should be completed but
are not the priority.
6. A nurse teaches a community health class about water safety. Which statement
by a participant indicates that additional teaching is needed?
a. "I can go swimming all by myself because I am a certified lifeguard."
b. "I cannot leave my toddler alone in the bathtub for even a minute."
A+ TEST BANK 4
