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Adult health exam 1 practice questions
NR 324 ADULT HEALTH
Chamberlain University
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Fluid, Electrocytes, and acid base imbalances
On review of the clients' medical records, the nurse determines that which client is at risk for fluid volume excess? A. The client taking diuretics who has tenting of the skin B. The client with an ileostomy from a recent abdominal surgery C. The client who requires intermittent gastrointestinal suctioning D. The client with kidney disease and a 12-year history of diabetes mellitus
Which client is at risk for the development of a potassium level of 5 mEq/L (5 mmol/L)? A. The client with colitis B. The client with Cushing's syndrome C. The client who has been overusing laxatives D. The client who has sustained a traumatic burn
The nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client for manifestations of which disorder that the client is at risk for? A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory alkalosis
A client with a 3-day history of nausea and vomiting presents to the emergency department. The client is hypoventilating and has a respiratory rate of 10 breaths per minute. The electrocardiogram (ECG) monitor displays tachycardia, with a heart rate of 120 beats per minute. Arterial blood gases are drawn and the nurse reviews the results, expecting to note which finding? A. A decreased pH and an increased Paco₂ B. An increased pH and a decreased Paco₂ C. A decreased pH and a decreased HCO₃- D. An increased pH and an increased HCO₃-
The nurse notes that a client's arterial blood gas (ABG) results reveal a pH of 7 and a Paco2 of 30 mm Hg (30 mm Hg). The nurse monitors the client for which clinical manifestations associated with these ABG results? Select all that apply. A. Nausea B. Confusion C. Bradypnea D. Tachycardia E. Hyperkalemia F. Lightheadedness
- The health care provider has written these orders for a patient with a diagnosis of pulmonary edema. The patient's morning assessment reveals bounding peripheral pulses, a weight gain of 2 lb, pitting ankle edema, and moist crackles bilaterally. Which order takes priority at this time? A. Weigh the patient every morning. B. Maintain accurate intake and output records. C. Restrict fluids to 1500mL/day. D. Administer furosemide 40 mg IV push.
Respiratory The nurse is evaluating and assessing a patient with a diagnosis of chronic emphysema. The patient is receiving oxygen at a flow rate of 5 L/min by nasal cannula. Which finding concerns the nurse immediately? A. Fine bibasilar crackles B. Respiratory rate of 8 breaths/min C. Patient sitting up and leaning over the nightstand D. A large barrel chest
The nurse is providing care for a patient with recently diagnosed asthma. Which key points would the nurse be sure to include in the teaching plan for this patient? Select all that apply. A. Avoid potential environmental asthma triggers such as smoke B. Use the inhaler 30 minutes before exercising to prevent bronchospasm C. Wash all bedding in cold water to reduce and destroy dust mites D. Be sure to get at least 8 hours of rest and sleep every night E. Avoid foods prepared with monosodium glutamate F. Keep a symptom and intervention diary to learn specific triggers for your asthma
The nurse is teaching a client with emphysema about positions that help breathing during dyspneic episodes. The nurse instructs the client that which positions alleviate dyspnea? Select all that apply. A. Sitting up and leaning on a table B. Standing and leaning against a wall C. Lying supine with the feet elevated D. Sitting up with elbows resting on knees E. Lying on the back in a low-Fowler’s position
The nurse is caring for a client who is on strict bed rest and creates a plan of care with goals related to the prevention of deep vein thrombosis and pulmonary emboli. Which nursing action is most helpful in preventing these disorders from developing? A. Restricting fluids B. Placing a pillow under the knees C. Encouraging active range-of-motion exercises D. Applying a heating pad to the lower extremities
The nurse caring for a client with chronic obstructive pulmonary disease (COPD) anticipates which arterial blood gas (ABG) findings? A. pH, 7; PaO2, 90 mm Hg; CO2, 39 mEq/L; HCO3, 23 mEq/L B. pH, 7; PaO2, 85 mm Hg; CO2, 57 mEq/L; HCO3, 26 mEq/L C. pH, 7; PaO2, 82 mm Hg; CO2, 30 mEq/L; HCO3, 31 mEq/L D. pH, 7; PaO2, 95 mm Hg; CO2, 22 mEq/L; HCO3, 19 mEq/L
The emergency department nurse is monitoring a client who received treatment for a severe asthma attack. The nurse determines that the client's respiratory status has worsened if which is noted on assessment? A. Diminished breath sounds B. Wheezing during inhalation C. Wheezing during exhalation D. Wheezing throughout the lung fields
Which topics will the nurse plan to include in discharge teaching for a patient who has been admitted with heart failure? Select all that apply. A. How to monitor and record daily weight B. Importance of stopping exercise if heart rate increases C. Symptoms of worsening heart failure D. Purpose of chronic antibiotic therapy E. How to read food labels for sodium content F. Date and time for follow-up appointments
A patient who has just arrived in the emergency department reports substernal and left arm discomfort that has been going on for about 3 hours. Which laboratory test will be most useful in determining whether the nurse should anticipate implementing the acute coronary syndrome standard protocol? A. Creatine kinase MB level B. Troponin I level C. Myoglobin level D. C-reactive protein level
The emergency department nurse is caring for a patient who was just admitted with left anterior chest pain, suggesting possible acute myocardial infarction (MI). Which action will the nurse take first? A. Insert an IV catheter. B. Auscultate heart sounds. C. Administer sublingual nitroglycerin. D. Draw blood for troponin I measurement.
The nurse is caring for a hospitalized patient with heart failure who is receiving captopril and spironolactone. Which laboratory value will be most important to monitor? A. Sodium level B. Blood glucose level C. Potassium level D. Alkaline phosphatase level
Adult health exam 1 practice questions
Course: NR 324 ADULT HEALTH
University: Chamberlain University
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