Exam 1: Adult Health

The client is scheduled to have a cardiac catheterization.  Which of the following findings would cause the nurse to question the safety of the test proceeding?  Select all that apply.

A client with chronic kidney disease has a large pleural effusion.  What findings characteristic of a pleural effusion does the nurse expect?  Select all that apply.

The nurse assessing a client notices pearly white plaque-like lesions on the mouth mucosa.  The nurse understands that which client is at highest risk for oral candidiasis?

The nurse is assessing a client with advanced amyotrophic lateral sclerosis.  Which of the following assessment findings does the nurse expect?  Select all that apply.

The clinic nurse performs an admission assessment on a client diagnosed with systemic lupus erythematosus (SLE).  Which characteristic cutaneous manifestation of SLE would the nurse most likely assess?

A client admitted with acute myocardial infarction suddenly displays air hunger, dyspnea, and coughing with frothy, pink-tinged sputum.  What would the nurse anticipate when auscultating the breath sounds of this client?

The nurse assesses several clients using the Glasgow Coma Scale.  Which scenario best demonstrates a correct application of this scale?

The nurse is providing education to a 32-year-old female client diagnosed with human papillomavirus (HPV).  Which client statement indicates a need for further instruction?

The nurse assesses a client with Cushing syndrome.  Which clinical manifestations should the nurse expect?  Select all that apply.

The nurse on the step-down cardiothoracic unit receives the change-of-shift hand-off report.  Which client should the nurse assess first?

The nurse is teaching an overweight 54-year-old client about ways to decrease symptoms of obstructive sleep apnea.  Which interventions would be most effective?  Select all that apply.

The nurse is caring for a client in the intensive care unit who suffered partial-thickness burns to 36% of the body.  During the first 24 hours, the nurse would anticipate which of the following assessments?

The nurse reviews the most current laboratory results of assigned clients.  Which result should the nurse report to the health care provider immediately?

The health care provider prescribes a multivitamin regimen that includes thiamine for a client with a history of chronic alcohol abuse.  The nurse is aware that thiamine is given to this client population for which purpose?

The nurse cares for a client with type 1 diabetes mellitus.  Which laboratory result is most important to report to the primary health care provider?

A client with chronic bronchitis tells the home health nurse of being exhausted all day due to coughing all night and being unable to sleep.  The client can feel thick mucus in the chest and throat.  Which interventions can the nurse suggest to help mobilize secretions and improve sleep?  Select all that apply.

The nurse reviews laboratory data for a client admitted to the emergency department with chest pain.  Which serum value requires the most immediate action by the nurse?

An obese client with diabetes who had a bowel resection 5 days ago says, "I felt like I split open when I was coughing."  On assessment, the nurse notes that the incision edges are separated and a loop of bowel is protruding through the wound.  Which nursing actions would be appropriate?  Select all that apply.

The nurse is assisting a client with asthma perform a peak flow meter measurement.  Place the instructions for measuring peak expiratory flow using a peak flow meter in the correct order.  All options must be used.

The emergency department nurse is assessing a client brought in after a car accident in which the client's head hit the steering column.  Which assessment findings would indicate that the triage nurse should apply spinal immobilization?  Select all that apply.