Exam 1: Adult Health

A nurse is making a presentation on skin cancer prevention with special focus on melanoma at a community health forum.  Which statements should the nurse include?  Select all that apply.

A nurse is caring for a college athlete who was recently diagnosed with moderate persistent asthma.  Which common asthma trigger should the nurse teach this client to avoid?

The nurse is preparing educational materials about histoplasmosis for a group of nursing students.  Which teaching point is appropriate for the nurse to include?

A client is admitted to the intensive care unit with diagnoses of a brain tumor complicated by transient diabetes insipidus.  Which client data related to this complication should the nurse expect?  Select all that apply.

An adult diagnosed with celiac disease 3 weeks ago was placed on a gluten-free diet.  The client returns for ambulatory care follow-up, reports continuation of symptoms, and does not seem to be responding to therapy.  Which is the best response by the nurse?

The nurse receives the assigned clients for today on a neurology unit.  The nurse should check on which client first?

The nurse is admitting a client with heart failure-related fluid overload.  Which action should the nurse complete first?

The nurse is caring for a client with scleroderma.  Which assessment finding indicates the most serious complication of the disease and requires priority intervention?

The nurse is caring for several clients in a women's health clinic.  Based on the data collected, which client's history is most concerning for an increased risk of endometrial cancer?

A client with myocardial infarction (MI) underwent successful revascularization with stent placement, is now chest pain free, and will be attending cardiac rehabilitation as an outpatient.  The client is embarrassed to talk to the health care provider (HCP) about resuming sexual relations after an MI.  What teaching should the nurse initiate with this client?

A client with a severe asthma exacerbation following influenza infection is transferred to the intensive care unit due to rapidly deteriorating respiratory status.  Which clinical manifestations support the nurse's assessment of impending respiratory failure?  Select all that apply.

The nurse reviews and reinforces an asthma action plan with a client who has moderate persistent asthma.  Which statement by the client indicates an understanding of how to follow a plan appropriately when peak expiratory flow (PEF) readings are in the green, yellow, or red zones?

A home health nurse is giving an infection control presentation on pulmonary tuberculosis (TB) disease to a group of home health aides.  Which statement made by a home health aide indicates an understanding about the mode of transmission of pulmonary TB?

The nurse is caring for a client at risk for aspiration pneumonia due to a stroke.  What nursing actions help prevent this potential complication during hospitalization?  Select all that apply.

A client newly diagnosed with osteomalacia is reviewing home care instructions with the nurse.  Which statements indicate the need for further instruction?  Select all that apply.

A cardiac catheterization was performed on a client 2 hours ago.  The catheter was inserted into the left femoral artery.  What signs of potential complications should the nurse report immediately to the health care provider (HCP)?  Select all that apply.

The nurse cares for a client admitted to the hospital due to confusion.  The client has a nonmetastatic lung mass and a diagnosis of syndrome of inappropriate antidiuretic hormone (SIADH).  Which action(s) should the nurse expect to implement?  Select all that apply.

The nurse is caring for a client with Bell palsy.  Which of the following assessment findings does the nurse expect?  Select all that apply.

The nurse cares for a client with type 1 diabetes mellitus who is obtunded and responding to only painful stimuli.  A STAT blood sample reveals a blood glucose level of 38 mg/dL (2.11 mmol/L).  Which initial action by the nurse is best?

An older client comes to the outpatient clinic for a routine physical examination and health screening.  Which findings does the nurse recognize as possible indications of colorectal cancer?  Select all that apply.