Nursing 310 - Adult Health Final Questions With Complete
Solutions
A 38-year-old women diagnosed with Rheumatoid Arthritis
takes naproxen and cyclosporine daily. Select all the symptoms
expected on physical exam.
A. Morning stiffness for an hour
B. Swelling and warmth in hands
C. Bilateral shoulder pain
D. Spongy long bones
E. Feet deformities Correct Answer B. Swelling and warmth in
hands
C. Bilateral shoulder pain
E. Feet deformities
A 48-year-old patient with a comminuted fracture of the left
femur has Buck's traction in place while waiting for surgery. To
assess for pressure areas on the patient's back and sacral area
and to provide skin care, the nurse should
A. loosen the traction and help the patient turn onto the
unaffected side.
B. place a pillow between the patient's legs and turn gently to
each side.
C. turn the patient partially to each side with the assistance of
another nurse.
D. have the patient lift the buttocks by bending and pushing with
the right leg. Correct Answer D. have the patient lift the
buttocks by bending and pushing with the right leg.
,A 65-year-old client is scheduled for open abdominal aneurysm
repair. What key assessment should be made by the nurse
preoperatively?
A. Assess and compare blood pressure in each arm.
B. Assess character and quality of peripheral pulses.
C. Assess for presence or absence of hair on the lower
extremities.
D. Assess for presence of bowel sounds. Correct Answer
Assess character and quality of peripheral pulses
A 70 year old patient has been recently diagnosed with a venous
ulcer. Which of the following is the nurse most likely to see
during his/her assessment?
A. An irregularly shaped wound
B. Lower extremities that are cool to the touch
C. A wound with smooth edges
E. A lack of hair growth on the lower extremities Correct
Answer An irregularly shaped wound
A 90-year-old female patient is scheduled to undergo a partial
mastectomy for the treatment of breast cancer. What nursing
diagnosis should the nurse prioritize when planning this patient's
postoperative care?
A. Risk for Delayed Growth and Development related to
prolonged hospitalization
B. Risk for Decisional Conflict related to discharge planning
C. Risk for Impaired Memory related to old age
,D. Risk for Infection related to reduced immune function
Correct Answer D. Risk for Infection related to reduced
immune function
A client diagnosed with chronic obstructive pulmonary disease
(COPD) is being discharged home. Which statement by the
client will require further education?
a. "When I am feeling short of breath, I will perform pursed lip
breathing"
b. "I need to stop smoking if I want to get any better"
c. "I will increase my oxygen flow rate until my oxygen
saturation is between 95-100%"
d. "I will take frequent rest periods during physical activity"
Correct Answer C. "I will increase my oxygen flow rate until
my oxygen saturation is between 95-100%"
A client diagnosed with end-stage renal disease comes to the
dialysis clinic for treatment. Which actions should the nurse take
to prepare the client for hemodialysis? Select all that apply
A. Administer subcutaneous heparin to decrease clotting during
dialysis
B. Administer the client's morning doses of carvedilol and
Lisinopril
C. Check the client's medical records to determine the last post-
dialysis weight
D. Obtain a set of client vital signs and the client's current
weight
, E. Palpate the fistula in the client's arm for a thrill and auscultate
for a bruit Correct Answer C. Check the client's medical
records to determine the last post-dialysis weight
D. Obtain a set of client vital signs and the client's current
weight
E. Palpate the fistula in the client's arm for a thrill and auscultate
for a bruit
A client has an arteriovenous (AV) fistula in place in the right
upper extremity for hemodialysis treatments. When planning
care for this client, which of the following measures should the
nurse implement to promote client safety?
A) Take blood pressures only on the right arm to ensure
accuracy
B) Use the fistula for all venipunctures and intravenous
infusions
C) Ensure that small clamps are attached to the AV fistula
dressing
D) Assess the fistula for the presence of a bruit and thrill every 4
hours Correct Answer D) Assess the fistula for the presence of
a bruit and thrill every 4 hours
A client has been diagnosed with abdominal aortic aneurysm
with less than 2 cm in size. To prevent aneurysm from growing,
or rupturing the nurse should anticipate what kind of treatment
for this patient? Select all that apply.
A) Beta blockers
B) Aspirin
C) Calcium channel blocker
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