Exam 1: Adult Health

The nurse is gathering data on a client with obstructive sleep apnea.  Which findings are consistent with this client's diagnosis?  Select all that apply.

The clinic nurse evaluates the treatment plan of a client with long-standing rheumatoid arthritis.  Which question is most important for the nurse to ask?

The nurse reinforces the physical therapist's teaching regarding the use of a cane when caring for a client with osteoarthritis of the left knee.  Which client statement indicates the need for further teaching?

A nursing diagnosis of "ineffective airway clearance related to pain" is identified for a client who had open abdominal surgery 2 days ago.  Which intervention should the nurse implement first?

The nurse receives an obese client in the postanesthesia care unit who underwent a procedure under general anesthesia.  The nurse notes an oxygen saturation of 88%.  Which is the most appropriate initial intervention?

The nurse is caring for a client with a chest tube to evacuate a hemopneumothorax after a motor vehicle accident.  The drainage has been consistently 25-50 mL/hr for the majority of the shift.  However, over the past 2 hours there has been no drainage.  Which actions should the nurse take?  Select all that apply.

A nurse is reinforcing teaching with a client newly diagnosed with human immunodeficiency virus (HIV) about actions to prevent complications.  Which of the following statements indicate that teaching was effective?  Select all that apply.

The nurse is caring for a client with suspected pelvic inflammatory disease (PID).  When the nurse is obtaining the client's health history, which of the following questions would provide pertinent data about the client's risk factors for PID?  Select all that apply.

The clinic nurse is caring for an elderly client who is overweight and being treated for hypertension.  What is most important for the nurse to emphasize to prevent a stroke (acute brain attack)?

The nurse assesses a client diagnosed with chronic kidney disease who had an internal arteriovenous fistula performed on the left arm yesterday.  Which assessment finding would require immediate follow-up?

The nurse is caring for a client on the organ donation waiting list for cardiac transplantation.  Which teaching topic is most important for the nurse to emphasize at this time?

A client has potential radiation contamination from a disaster.  The nurse should monitor for which of the following related to this contamination?  Select all that apply.

The nurse in the outpatient procedure unit is caring for a client immediately post bronchoscopy.  Which assessment data indicate that the nurse needs to contact the health care provider immediately?

A home health nurse visits a client with chronic obstructive pulmonary disease.  The nurse teaches the client to use abdominal breathing to perform the "huff" cough technique to facilitate secretion removal.  Place the steps in the correct order.  All options must be used.

A client has an allergy skin test that is positive for dust mites.  The nurse provides instruction on environmental interventions the client can use to control symptoms by reducing exposure to this allergen.  Which intervention would be described in this teaching?

The nurse cares for a transgender client who is prescribed estrogen therapy.  Which side effect is most important for the nurse to report to the health care provider?

A client with chronic heart failure calls the clinic to report a weight gain of 3 lb (1.36 kg) over the last 2 days.  Which information is most important for the nurse to ask this client?

The nurse is caring for a client diagnosed with influenza who has had high fever, muscle aches, headache, and sore throat for 36 hours.  The health care provider prescribes ibuprofen and oseltamivir.  Which of the following actions by the nurse are appropriate?  Select all that apply.

A client with chest pain is diagnosed with acute pericarditis by the health care provider.  The nurse explains that the pain will improve with which of the following?

The nurse working on an orthopedic unit is receiving report on 4 clients with recent fractures.  Which client should the nurse assess first?