Adult Health 2 Exam 1 Questions and Answers
A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower
leg to be pale and cool, with a 1+ pedal pulse. What action would the nurse perform
first?
a. Assess the neurovascular status of the right leg.
b. Document the findings in the patient's chart.
c. Elevate the left leg on at least two pillows.
d. Notify the primary health care provider immediately. - ANSWER -A
A hospitalized client's strength of the upper extremities is rated at a 4. What does the
nurse understand about this client's ability to perform activities of daily living (ADLs)?
a. The client is able to perform ADLs but not lift some items.
b. The client is unable to perform ADLs alone.
c. No difficulties are expected with ADLs.
d. The client would need almost total assistance with ADLs. - ANSWER -C
An older client is distressed at body changes related to kyphosis. What response by the
nurse is appropriate?
a. Ask the client to explain more about these feelings.
b. Explain that these changes are irreversible.
c. Offer to help select clothes to hide the deformity.
d. Tell the client that safety is more important than looks. - ANSWER -A
The nurse is taking a history from an older client who reports having frequent falls.
Which dietary habit could be contributing to the client's problem?
a. Consumes high-protein foods.
b. Eats few concentrated sweets.
c. Limits fatty or greasy foods.
d. Avoids dairy products. - ANSWER -D
The client's electronic health record indicates genu varum. What does the nurse
understand this term to mean?
a. Bow-legged
b. Fluid accumulation
c. Knock-kneed
d. Spinal curvature - ANSWER -A
The nurse is teaching a client who had a left humeral biopsy about home care. Which
statement by the client indicatesunderstanding of the nurse's teaching?
a. "I will take my opioids only when I have severe pain."
b. "I will keep my left arm elevated for 24 hours."
c. "I will watch for tenderness and warmth around the biopsy site."
d. "I will report any discomfort to my primary health care provider immediately." -
ANSWER -C
, The nurse is teaching assistive personnel (AP) about the risk for osteoporosis
associated with race or ethnicity. Which population typically has a decreased incidence
of osteoporosis when compared to Euro-Americans?
a. Irish Americans
b. African Americans
c. American Indians
d. Asian Americans - ANSWER -B
A female client is preparing to have open magnetic resonance imaging (MRI) of the
spine. What action(s) by the nurse is (are) most important to assess before the test?
(Select all that apply.)
a. Ask if the client has a history of kidney disease.
b. Ask the client if she could possibly be pregnant.
c. Ensure that the patient has no metal or electronic implants.
d. Assess the client for the ability to communicate.
e. Assess the client for a history of claustrophobia. - ANSWER -A, B, C, D
The nurse is reviewing the laboratory profile for a client who has muscular dystrophy.
Which laboratory value(s) would the nurse expect to be elevated? (Select all that apply.)
a. Calcium (Ca)
b. Phosphate (PO4)
c. Creatine kinase (CK)
d. Lactic dehydrogenase (LDH)
e. Aspartate aminotransferase (AST)
f. Aldolase (ALD) - ANSWER -C, D, E, F
An older client's serum calcium level is 8.7 mg/dL (2.18 mmol/L). What possible
etiology(ies) does the nurse consider for this result? (Select all that apply.)
a. Good dietary intake of calcium and vitamin D
b. Normal age-related decrease in serum calcium
c. Possible occurrence of osteoporosis or osteopenia
d. Potential for metastatic cancer or Paget disease
e. Recent bone fracture in a healing stage - ANSWER -B, C
When assessing gait, what feature(s) would the nurse inspect? (Select all that apply.)
a. Balance
b. Ease of stride
c. Goniometer readings
d. Length of stride
e. Steadiness - ANSWER -A, B, D, E
The nurse takes a history on a male client reporting chronic back pain. Which factor(s)
in the client's history may have contributed to his pain? (Select all that apply.)
a. Had a motor vehicle crash 10 years ago.
b. Played football in college and high school.
c. Has installed carpet and other flooring for 30 years.
, d. Typically takes walks 3 to 4 days each week.
e. Eats two servings of dark, green leafy vegetables daily. - ANSWER -A, B, C
The nurse is caring for an older client who has kyphosis and a widened gait. For which
health problems is the client at risk?
a. Osteoporosis
b. Contracture
c. Osteopenia
d. Falls - ANSWER -D
The nurse is teaching assistant personnel (AP) about care of an older ambulatory adult
who has osteopenia. Which statement by the AP indicates understanding of the
teaching?
a. "I will tell the client to change positions frequently to prevent pressure injury."
b. "I will remind the client to take frequent walks to strengthen bones."
c. "I will assist the client with activities of daily living as needed."
d. "I will apply warm compresses to the joints to relieve pain." - ANSWER -B
A client has a bone density score of -2.8. What intervention would the nurse anticipate
based on this assessment?
a. Asking the client to complete a food diary
b. Planning to teach about bisphosphonates
c. Scheduling another scan in 2 years
d. Scheduling another scan in 6 months - ANSWER -B
The nurse teaches assistive personnel (AP) about care of an older adult diagnosed
with osteoporosis. What teaching would the nurse include?
a. "Teach the client to eat high-calcium foods in the diet."
b. "Assist the client with activities of daily living."
c. "Osteoporosis places the client is at risk for fractures."
d. "The client should stay in bed to prevent falling." - ANSWER -C
A client has been advised to perform weight-bearing exercises to help slow bone loss,
but has not followed this advice. What response by the nurse is appropriate at this time?
a. Ask the client about fear of falling.
b. Instruct the client to increase calcium.
c. Suggest other exercises the client can do.
d. Tell the client to try weight lifting. - ANSWER -A
The nurse is caring for several clients with osteoporosis. For which client would
bisphosphonates not be a good option?
a. Client with diabetes who has a serum creatinine of 0.8 mg/dL (61 mcmol/L).
b. Client who recently fell and has vertebral compression fractures.
c. Hypertensive client who takes calcium channel blockers.
d. Client with a spinal cord injury who cannot tolerate sitting up. - ANSWER -D
A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower
leg to be pale and cool, with a 1+ pedal pulse. What action would the nurse perform
first?
a. Assess the neurovascular status of the right leg.
b. Document the findings in the patient's chart.
c. Elevate the left leg on at least two pillows.
d. Notify the primary health care provider immediately. - ANSWER -A
A hospitalized client's strength of the upper extremities is rated at a 4. What does the
nurse understand about this client's ability to perform activities of daily living (ADLs)?
a. The client is able to perform ADLs but not lift some items.
b. The client is unable to perform ADLs alone.
c. No difficulties are expected with ADLs.
d. The client would need almost total assistance with ADLs. - ANSWER -C
An older client is distressed at body changes related to kyphosis. What response by the
nurse is appropriate?
a. Ask the client to explain more about these feelings.
b. Explain that these changes are irreversible.
c. Offer to help select clothes to hide the deformity.
d. Tell the client that safety is more important than looks. - ANSWER -A
The nurse is taking a history from an older client who reports having frequent falls.
Which dietary habit could be contributing to the client's problem?
a. Consumes high-protein foods.
b. Eats few concentrated sweets.
c. Limits fatty or greasy foods.
d. Avoids dairy products. - ANSWER -D
The client's electronic health record indicates genu varum. What does the nurse
understand this term to mean?
a. Bow-legged
b. Fluid accumulation
c. Knock-kneed
d. Spinal curvature - ANSWER -A
The nurse is teaching a client who had a left humeral biopsy about home care. Which
statement by the client indicatesunderstanding of the nurse's teaching?
a. "I will take my opioids only when I have severe pain."
b. "I will keep my left arm elevated for 24 hours."
c. "I will watch for tenderness and warmth around the biopsy site."
d. "I will report any discomfort to my primary health care provider immediately." -
ANSWER -C
, The nurse is teaching assistive personnel (AP) about the risk for osteoporosis
associated with race or ethnicity. Which population typically has a decreased incidence
of osteoporosis when compared to Euro-Americans?
a. Irish Americans
b. African Americans
c. American Indians
d. Asian Americans - ANSWER -B
A female client is preparing to have open magnetic resonance imaging (MRI) of the
spine. What action(s) by the nurse is (are) most important to assess before the test?
(Select all that apply.)
a. Ask if the client has a history of kidney disease.
b. Ask the client if she could possibly be pregnant.
c. Ensure that the patient has no metal or electronic implants.
d. Assess the client for the ability to communicate.
e. Assess the client for a history of claustrophobia. - ANSWER -A, B, C, D
The nurse is reviewing the laboratory profile for a client who has muscular dystrophy.
Which laboratory value(s) would the nurse expect to be elevated? (Select all that apply.)
a. Calcium (Ca)
b. Phosphate (PO4)
c. Creatine kinase (CK)
d. Lactic dehydrogenase (LDH)
e. Aspartate aminotransferase (AST)
f. Aldolase (ALD) - ANSWER -C, D, E, F
An older client's serum calcium level is 8.7 mg/dL (2.18 mmol/L). What possible
etiology(ies) does the nurse consider for this result? (Select all that apply.)
a. Good dietary intake of calcium and vitamin D
b. Normal age-related decrease in serum calcium
c. Possible occurrence of osteoporosis or osteopenia
d. Potential for metastatic cancer or Paget disease
e. Recent bone fracture in a healing stage - ANSWER -B, C
When assessing gait, what feature(s) would the nurse inspect? (Select all that apply.)
a. Balance
b. Ease of stride
c. Goniometer readings
d. Length of stride
e. Steadiness - ANSWER -A, B, D, E
The nurse takes a history on a male client reporting chronic back pain. Which factor(s)
in the client's history may have contributed to his pain? (Select all that apply.)
a. Had a motor vehicle crash 10 years ago.
b. Played football in college and high school.
c. Has installed carpet and other flooring for 30 years.
, d. Typically takes walks 3 to 4 days each week.
e. Eats two servings of dark, green leafy vegetables daily. - ANSWER -A, B, C
The nurse is caring for an older client who has kyphosis and a widened gait. For which
health problems is the client at risk?
a. Osteoporosis
b. Contracture
c. Osteopenia
d. Falls - ANSWER -D
The nurse is teaching assistant personnel (AP) about care of an older ambulatory adult
who has osteopenia. Which statement by the AP indicates understanding of the
teaching?
a. "I will tell the client to change positions frequently to prevent pressure injury."
b. "I will remind the client to take frequent walks to strengthen bones."
c. "I will assist the client with activities of daily living as needed."
d. "I will apply warm compresses to the joints to relieve pain." - ANSWER -B
A client has a bone density score of -2.8. What intervention would the nurse anticipate
based on this assessment?
a. Asking the client to complete a food diary
b. Planning to teach about bisphosphonates
c. Scheduling another scan in 2 years
d. Scheduling another scan in 6 months - ANSWER -B
The nurse teaches assistive personnel (AP) about care of an older adult diagnosed
with osteoporosis. What teaching would the nurse include?
a. "Teach the client to eat high-calcium foods in the diet."
b. "Assist the client with activities of daily living."
c. "Osteoporosis places the client is at risk for fractures."
d. "The client should stay in bed to prevent falling." - ANSWER -C
A client has been advised to perform weight-bearing exercises to help slow bone loss,
but has not followed this advice. What response by the nurse is appropriate at this time?
a. Ask the client about fear of falling.
b. Instruct the client to increase calcium.
c. Suggest other exercises the client can do.
d. Tell the client to try weight lifting. - ANSWER -A
The nurse is caring for several clients with osteoporosis. For which client would
bisphosphonates not be a good option?
a. Client with diabetes who has a serum creatinine of 0.8 mg/dL (61 mcmol/L).
b. Client who recently fell and has vertebral compression fractures.
c. Hypertensive client who takes calcium channel blockers.
d. Client with a spinal cord injury who cannot tolerate sitting up. - ANSWER -D
