Adult nursing I – midterm Exam
Practice Questions and Answers
The nurse utilizing evidence-base practice (EBP) considers which factors
when planning care? (select all that apply)
a. Cost-saving measures
b. Values of the client
c. Nurse's expertise
d. Client preferences
e. Research findings - Answer✔️✔️-b. Values of the client
c. Nurse's expertise
d. Client preferences
e. Research findings
A nursing student working in an Adult Care for Elders unit learns that
frailty in the older population includes which components? (Select all that
apply)
A health care provider prescribes genetic testing for a client who has a
family history of colorectal cancer. Which action should the nurse take
before scheduling the client for the procedure?
a. Assess if the client is prepared for the risk of psychological side effects.
b. Respect the client's right not to share the results of the genetic test.
c. Confirm that informed consent was obtained and placed on the client's
chart.
d. Provide genetic counseling to the client and the client's family members.
- Answer✔️✔️-c. Confirm that informed consent was obtained and placed on
the client's chart.
An older client had hip replacement surgery and the surgeon prescribed
morphine sulfate for pain. The client is allergic to morphine and reports
pain and muscle spasms. When the nurse calls the surgeon, which
medication should he or she suggest in place of the morphine?
d. Ketorolac (Toradol) - Answer✔️✔️-c. Hydromorphone hydrochloride
(Dilaudid)
Cyclobenzaprine (used for muscle spasms), ketorolac, and meperidine
(both used for pain) are all on the Beers list of potentially inappropriate
medications for use in older adults and should not be suggested. The nurse
should suggest hydromorphone hydrochloride.
A nurse cares for a client of Asian descent who is prescribed warfarin
(Coumadin). What action should the nurse perform first?
a. Schedule an international normalized ratio (INR) test to be completed
each day.
b. Teach the client about bleeding precautions, including frequent checks
for any bruising.
c. Initiate fall precautions and strict activity limitations.
d. Confirm the prescription starts warfarin at a lower-than-normal dose. -
Answer✔️✔️-d. Confirm the prescription starts warfarin at a lower-than-
normal dose.
Most individuals of Asian heritage have a single nucleotide polymorphism
in the CYP2C19 gene that results in low activity of the enzyme produced.
This mutation greatly reduces the metabolism of warfarin, leading to
increased bleeding risks and other serious side effects. Any person of Asian
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