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CAS Adult Health Exam Questions And Accurate Answers
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CAS Adult Health Exam Questions AndAccurate Answers
A nurse is teaching a client who is postoperative after CABG surgery and is receiving
opioid medications to control discomfort. Apart from pain management, which of the
following medication desired effects is most important for the client's recovery that the
nurse should identify?
-It minimizes the anxiety level of the client.
-It encourages deep breathing of the client.
-It improves the sleep of the client.
-It reduces the client's blood pressure. - ANSWER It encourages the client's deep
breathing
A nurse is caring for a client who is postoperative and is at risk for developing venous
thromboembolism. The nurse should teach the client to avoid doing which of the
following unsafe actions?
-Elevating her feet
-Massaging her legs
-Flexing her ankles
-Ambulating soon after surgery - ANSWER Massaging her legs
A nurse is performing an assessment on a client who has had a long history of smoking
and who is suspected of having laryngeal cancer. The nurse should expect the client to
relate that her earliest manifestation was
-dysphagia
,-hoarseness.
-dyspnea.
-weight loss - ANSWER hoarseness
A nurse is conducting an assessment on a client admitted with hyperthyroidism. The
client relates that over the past 2 months he has lost 5/4 kg (12lb), his appetite has
increased, he is perspiring much more than usual, he is fatigued, and his menstrual
cycle has become irregular; he is restless. Which of the following should the nurse do to
prevent a thyroid crisis?
Place the client in a quiet, low-stimulus environment.
Administer aspirin as ordered at the first sign of hyperthermia.
Keep the client NPO.
Monitor the client closely for hypocalcemia by carefully observing the client for signs of
hypocalcemia. ANSWER Provide a quiet, low-stimulus environment.
A client who experienced a cervical spinal cord injury in a fall is being cared for in the
emergency department by the nurse. For which of the following complications should
the nurse monitor the client for its development? SATA Hypotension Polyuria
Hyperthermia Absence of bowel sounds Weakened gag reflex ANSWER Hypotension
Absence of bowel sounds Weakened gag reflex
A nurse is caring for a client who has emphysema. Which of the following findings
should the nurse expect to assess in this client? SATA Dyspnea Bradycardia Barrel
chest Clubbing of the fingers Deep respirations - ANSWER Dyspnea Barrel Chest
Clubbing of the fingers
A nurse is educating a female client who is newly diagnosed with systemic lupus
erythematosus about the things that may precipitate an exacerbation of SLE. The nurse
should identify that the client needs further education when the client lists which of the
following as something that can precipitate SLE?
Sunlight
,Pregnancy
Infection
Exercise - ANSWER Exercise
The nurse is working in a burn treatment center and is caring for a client who was
admitted with circumferential burns to both lower extremities. The client is scheduled to
undergo an escharotomy. The client's spouse requests that the nurse explain the
procedure. Which of the following nursing responses is sufficient?
-There will be large incisions made in the eschar to enhance circulation
-The client will be placed in a shower and the dead tissue will be removed during this
procedure.
A piece of healthy skin will be removed from an unburned area and grafted over the
burned area."
Dead tissue will be non-surgically removed - ANSWER Large incisions will be made in
the eschar to improve circulation
Nurse is assessing a client who has hyperthyroidism. The nurse should expect the client
to report which of the following manifestations?
Sensitivity to cold
Constipation
Frequent mood changes
-Weight gain of 10lbs within 3 weeks - ANSWER Mood swings very frequently.
A nurse in an emergency department is caring for a client who had a seizure and
became unresponsive after stating they had a sudden and severe headache with
vomiting. The client's vital signs are blood pressure 198/110 mm Hg, pulse 82/min,
respirations 24/min, and a temperature of 38.2° C (100.8° F). Which neurologic disorder
should the nurse suspect? ANSWER hemorrhagic stroke
, The nurse working in the clinic is obtaining a history from a client who states that one
member of his family has just been diagnosed with pulmonary tuberculosis.
Sputum culture for AFB
Nucleic acid amplification test - NAAT
CT scan
Chest X-ray - Nucleic acid amplification test - NAAT
A nurse is caring for a client who is receiving total parenteral nutrition through a PICC
line. On assessment, the nurse notices that the client's arm is swollen above the site
where the PICC line was inserted. Which of the following should the nurse do first?
Measure the circumference of both upper arms.
Notify the provider who inserted the PICC line.
Remove the PICC line.
Apply a cold pack to the client's upper arm. ANSWER Measure the circumference of
both upper arms
A nurse is caring for an older adult client who had surgery for intestinal obstruction and
has NG tube to wall suction. which intervention should nurse include in postop plan of
care
Discontinue suction when assessing for peristalsis.
Irrigate the NG tube with 0.9% sodium chloride irrigation solution.
- Apply sequential compression devices to the bilateral lower extremities.
- Reposition the client side to side every 2 hr.
- Incentivise the use of an incentive spirometer every 2 hr while the client is awake. -
ANSWER -Stop suction during the assessment for peristalsis
-Irrigate the NG tube with 0.9% sodium chloride irrigation solution.
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