Exam 1: Adult Health

The nurse is reviewing a client's health history during a primary care visit.  Which of the following findings should the nurse identify as risk factors for developing hypertension?  Select all that apply.

A client is seen in the ambulatory care center for treatment of a second episode of acute gout.  Which lifestyle modifications would help prevent future exacerbations?  Select all that apply.

The nurse is performing a cardiac assessment on a client.  The nurse auscultates a loud blowing sound at the second intercostal space, right sternal border.  How should the nurse document this finding?

The nurse will implement which nursing actions when caring for a client recently diagnosed with a hiatal hernia?  Select all that apply.

The nurse reviews discharge teaching about residual limb care for a client who had a lower limb amputation.  Which of the following instructions should the nurse include?  Select all that apply.

The nurse is reviewing medical histories with several clients during a community health screening event.  Which of the following client statements indicate a risk factor for cervical cancer?  Select all that apply.

A client with rheumatoid arthritis (RA) tells the home health nurse, "My fatigue and stiffness are getting worse and I'm having trouble moving around, especially in the morning.  What can I do?"  Which intervention would be best for the client to perform first?

A 65-year-old client with end-stage renal disease comes to the emergency department after missing 5 hemodialysis sessions.  Serum potassium level is 7.5 mEq/L (7.5 mmol/L) and ECG shows tall, peaked T waves.  Which prescription will immediately protect the client from experiencing dysrhythmias associated with hyperkalemia?

A client is hospitalized with worsening chronic heart failure.  Which clinical manifestations does the admitting nurse most likely assess in this client?  Select all that apply.

A client is scheduled for allergy skin testing to identify asthmatic triggers.  Which medications should the nurse instruct the client to withhold before the test to ensure accurate results?  Select all that apply.

The clinic nurse is taking vital signs on a client who reports being fatigued every day and gaining weight lately despite not eating much.  The nurse should also ask about which symptoms?  Select all that apply.

A client admitted 3 days ago with upper gastrointestinal bleeding underwent an endoscopic procedure to stop the bleeding.  The client is started on a clear liquid diet today.  Which foods are appropriate for the nurse to offer the client?  Select all that apply.

The nurse is caring for a client after a motor vehicle accident.  The client's injuries include 2 fractured ribs and a concussion.  The nurse notes which of the following as expected neurological changes for the client with a concussion?  Select all that apply.

The nurse receives report on the assigned team of clients on the oncology unit.  All are receiving chemotherapy.  Which client should the nurse check on first?

A graduate nurse (GN) is caring for a client who underwent a total knee replacement 1 day earlier.  Which intervention by the GN would cause the supervising nurse to intervene?

The nurse provides discharge teaching to a client who had total hip replacement 4 days ago.  Which client statement indicates that additional teaching is necessary?

Which client finding is most important for the nurse to follow up?

The nurse assesses a newly admitted adult client on a neurological inpatient unit.  Which assessment findings require immediate follow-up by the nurse?  Select all that apply.

A nurse is caring for a client diagnosed with rheumatoid arthritis (RA).  Which assessment finding does the nurse expect to assess?

The nurse caring for multiple clients who underwent renal system diagnostic testing should report which post-procedure finding to the health care provider?