Exam 1: Adult Health

The nurse is caring for an adult client at the clinic who asks the nurse to look at a "black skin lesion."  What assessment findings would be a classic indication of a potential malignant skin neoplasm?  Select all that apply.

A client is brought to the emergency department after sustaining third-degree burns over 50% of the body.  Which solution is the best choice for fluid resuscitation in this client?

The nurse assesses a client with left-sided pneumonia who has an intermittent, productive cough with copious amounts of thick, yellow sputum.  Which of the following interventions help to facilitate secretion removal?  Select all that apply.

During the admission assessment of a client with a small-bowel obstruction, the nurse anticipates which clinical manifestations?  Select all that apply.

The nurse cares for a client with a pulmonary embolism.  Which of the following clinical manifestations would the nurse anticipate?  Select all that apply.

A healthy 50-year-old client asks the nurse, "What must I do in preparation for my screening colonoscopy?"  Which statements by the nurse correctly answer the client's question?  Select all that apply.

The home health nurses visits a 72-year-old client with pneumonia who was discharged from the hospital 3 days ago.  The client has less of a productive cough at night but now reports sharp chest pain with inspiration.  Which finding is most important for the nurse to report to the health care provider?

A nurse is discussing discharge education with a client after his fifth hospitalization for pulmonary edema caused by his congestive heart failure.  Which of the following statements indicates that further teaching is required?

The nurse assesses a female client with a diagnosis of primary adrenal insufficiency (Addison disease).  The nurse recognizes which finding associated with the disease?

A client with peripheral arterial disease is visiting the health clinic.  The nurse completes a health assessment.  Which statement by the client indicates a priority need for follow-up teaching?

A client is being discharged home after an open radical prostatectomy.  Which statement indicates a need for further teaching?

Which group of food selections would be the best choice for a client advancing to a full liquid diet 3 days after bariatric surgery?

The nurse receives new prescriptions for a client with right lower quadrant pain and suspected acute appendicitis.  Which prescription should the nurse implement first?

A client undergoes transurethral resection of the prostate for benign prostatic hyperplasia.  The client has a 3-way Foley catheter with continuous bladder irrigation.  Which assessment is the best indication that the bladder irrigation flow rate is productive?

The nurse is providing education to a client with a new prescription for progestin-only pills (POPs).  Which statement about POPs is appropriate for the nurse to include?

A nurse is preparing a presentation about behavioral modifications to support weight loss for clients at an obesity clinic.  Which of the following points should the nurse include in the teaching plan?  Select all that apply.

An elderly client reports shortness of breath with activity for the past 2 weeks.  The nurse reviews the admission laboratory results and identifies which value as the most likely cause of the client's symptoms?

The nurse provides education for caregivers of a client with Alzheimer disease.  Which instructions should the nurse include?  Select all that apply.

A client is admitted with severe acute pancreatitis.  While obtaining the client's blood pressure, the nurse notices a carpal spasm.  What laboratory result would the nurse assess in response to this symptom?

The nurse assesses for cancer risk factors during a screening event at a gastroenterology clinic.  Which of the following client statements include risk factors for esophageal cancer?  Select all that apply.