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NR324 FINAL EXAM/NR-324 ADULT HEALTH 1 FINAL EXAM LATEST TEST BANK ACTUAL EXAM
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NR324 FINAL EXAM/NR-324 ADULT HEALTH 1 FINAL EXAM LATEST TEST BANK ACTUAL EXAM
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Name: Score:200 Multiple choice questions
Term 1 of 200
A patient who is taking rifampin (Rifadin) for tuberculosis calls the clinic and reports having
orange discolored urine and tears. Which is the best response by the nurse?
Suggest that the patient should report any changes in skin color.
Explain that orange discolored urine and tears are normal white taking this medication.
Instruct the patient to drink more water to dilute the color.
Advise the patient to stop taking the medication immediately.
Term 2 of 200
Which of the following is not an effect of aging on the nervous system?
Excessive fluid volume
Risk for infection
Tension
Urinary retention
Term 3 of 200
The nurse is preparing to witness the patient signing the operative consent form when the patient
says, "I do not really understand what the doctor said," which action is best for the nurse to take?
Notify the surgeon that the informed consent process is not complete
Reassure the patient that everything will be fine
Explain the surgery in detail to the patient
Ask the patient to sign the form anyway
,Term 4 of 200
An older adult patient who has colorectal cancer is receiving IV fluids at 175mL/hour in
conjunction with the prescribed chemotherapy. Which finding by the nurse is most important to
report to the health care provider?
Patient has audible crackles in the midline posterior chest
Patient has a low-grade fever but is comfortable
Patient reports feeling tired but is alert
Patient has a slight cough but is otherwise stable
Term 5 of 200
A patient admitted to the emergency department with severe fatigue and confusion. Laboratory
studies are done. Which laboratory value will require the most immediate action by the nurse?
Serum calcium is 18 mg/dL
Serum glucose is 250 mg/dl
Serum potassium is 4.0 meq/l
Serum sodium is 130 meq/l
Term 6 of 200
The nurse prepares to obtain a culture from a patient who has a possible fungal infection on the
foot. Which items should the nurse gather for this procedure?
Cotton-tipped applicators
Local anesthetic, syringe, and intradermal needle
Test tubes
Patch test instruments
,Term 7 of 200
In the postanesthesia care unit (PACU), a patient's vital signs are blood pressure 116/72, pulse 74,
respirations 12, and SpO2 91%. THe patient is sleepy but awakens easily. Which action should the
nurse take first?
Encourage the patient to take deep breaths
Administer a sedative to help the patient sleep
Notify the physician of the low blood pressure
Place the patient in a prone position
Term 8 of 200
As the nurse prepares a patient the morning of surgery, the patient refuses to remove a wedding
ring, saying, "I have never taken it off since the day I was married." Which response by the nurse is
the best?
Suggest that the patient give the ring to a family member to keep
Advise the patient to wear the ring during surgery
Tell the patient to remove the ring immediately
Ignore the patient's request about the ring
Term 9 of 200
The nurse determines that teaching about management of migraine headaches has been effective
when the patient says which of the following?
"i will exercise vigorously to relieve my headaches."
"i will avoid drinking water during a headache episode."
"I will lie down someplace dark and quiet when the headaches begin."
"i will take pain medication only after the headache is severe."
, Term 10 of 200
How should the nurse assess cranial nerves III, IV, and VI?
Test the patient's eye movements
Evaluate the patient's sense of smell
Check the patient's facial symmetry
Assess the patient's hearing ability
Definition 11 of 200
Administration of nystatin (Mycostatin) tablets
The nurse assesses a patient who had a total abdominal hysterectomy 2 days ago. Which
information about the patient is most important to communicate to the health care
provider?
A patient who takes a diuretic and a B-blocker to control blood pressure is scheduled for
breast reconstruction surgery. Which patient information is most important to communicate
to the health care provider before surgery?
When caring for a patient who has received a general anesthetic, the circulating nurse
notes red, raised wheals on the patient's arms. Which action should the nurse take
immediately?
A 38-year old woman receiving chemotherapy for breast cancer develops a candida
albicans oral infection. The nurse will anticipate the need for
Term 12 of 200
Which of the following is considered a flat bone?
Sternum
Mandible
Scapula
Clavicle
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