Exam 1: Adult Health

A client is in suspected shock state from major trauma.  Which parameters best indicate the adequacy of peripheral perfusion?  Select all that apply.

A student nurse asks why enteral (tube) feedings, rather than total parenteral nutrition (TPN), are being administered to a client with sepsis and respiratory failure.  Which is the best response by the registered nurse?

Which subjective or objective assessment finding would the nurse expect to find in a client with severe aortic stenosis?

The nurse cares for a client with type 2 diabetes mellitus.  The client is alert and oriented but also shaky, pale, and diaphoretic.  The client's fingerstick blood glucose is 50 mg/dL (2.8 mmol/L).  Which of the following is the best next step the nurse can take?

A nurse is reviewing the laboratory results of a client admitted for an asthma exacerbation.  Elevation of which of these cells indicates that the client's asthma may have been triggered by an allergic response?

A client has been given instructions about collecting a urine specimen to test creatinine clearance.  The client indicates correct understanding of the specimen collection procedure by making which statement?

A nurse on an orthopedic unit is caring for four clients with a casted extremity.  Which client does the nurse prioritize to see first?

A nurse in the intensive care unit is caring for a postoperative cardiac transplant client.  What intervention is most important to include in the plan of care?

A 28-year-old client is seeking advice from the nurse about why she has not been able to conceive.  The client is discouraged and states that she has been "trying to get pregnant for 4 months."  Which statement by the nurse is best?

The public health nurse provides care for a client on a directly observed therapy (DOT) program to treat tuberculosis (TB).  Which option best describes the care the nurse provides on this program?

A client with chronic kidney disease has a subcutaneous arteriovenous fistula (AVF) placed in the nondominant left wrist for hemodialysis.  Which of the following statements indicate the client understands how to care for the fistula properly?  Select all that apply.

The nurse practicing in an out-patient clinic cares for a client recently diagnosed with hyperthyroidism.  Which diet-related teaching should the nurse add to the client's plan of care?  Select all that apply.

The nurse assessing a client with an upper gastrointestinal bleed would expect the client's stool to have which appearance?

Which clinical finding would the nurse anticipate in a client with chronic venous insufficiency?

The nurse on the medical-surgical unit receives report on assigned clients.  Which client warrants immediate attention?

The client has increased intracranial pressure with cerebral edema, and mannitol is administered.  Which assessment should the nurse make to evaluate if a complication from the mannitol is occurring?

The clinic nurse is reviewing the plan of care with a client who has phenylketonuria (PKU) and plans to become pregnant this year.  Which statement from the client requires the nurse to intervene?

A client with stroke symptoms has a blood pressure of 240/124 mm Hg.  The nurse prepares the prescribed nicardipine intravenous (IV) infusion solution correctly to yield 0.1 mg/mL.  The nurse then administers the initial prescription to infuse at 5 mg/hr by setting the infusion pump at 50 mL/hr.  What is the nurse's priority action at this time?

The nurse is conducting a pain assessment on a client with dysuria.  Which pain description is most likely associated with pyelonephritis?

For which client is it most important for the nurse to provide teaching on ways to prevent the spread of the condition?