(SU) NSG3037 Caring for Adults I - Complete Midterm Guide (SU) NSG3037 Caring for Adults I - Complete Midterm Guide (SU) NSG3037 Caring for Adults I - Complete Midterm Guide
,1. A 65-year-old male patient with chronic obstructive pulmonary
disease (COPD) is admitted to the hospital. Which of the following
assessments is a priority?
- A) Check blood pressure
- B) Assess oxygen saturation levels
- C) Evaluate dietary intake
- D) Measure peripheral edema
Correct Answer: B) Assess oxygen saturation levels
Rationale: In patients with COPD, monitoring oxygen saturation
is critical to ensure adequate oxygenation and to recognize potential
respiratory failure.
2. Which medication is often prescribed to manage hypertension
in older adults due to reduced renal functioning?
- A) Furosemide
- B) Lisinopril
- C) Diltiazem
- D) Metoprolol
Correct Answer: B) Lisinopril
Rationale: Lisinopril, an ACE inhibitor, is beneficial in older
adults as it can protect renal function while managing hypertension.
, 3. During a patient assessment, the nurse notes a loud, wheezing
sound upon expiration. This finding is most commonly associated
with:
- A) Asthma
- B) pneumonia
- C) pleural effusion
- D) heart failure
Correct Answer: A) Asthma
Rationale: Wheezing is typically related to bronchoconstriction,
which is common in asthma patients.
4. Which of the following lab results would most likely indicate a
risk for acute renal failure in a 70-year-old patient?
- A) Decreased serum creatinine
- B) Elevated blood urea nitrogen (BUN)
- C) Increased hemoglobin
- D) Normal electrolytes
Correct Answer: B) Elevated blood urea nitrogen (BUN)
Rationale: An elevated BUN level could indicate impaired
kidney function, which is a risk factor for acute renal failure.
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