Exam 1: Adult Health

A client with throat cancer receives radiation therapy to the head and neck.  Which strategies are appropriate to increase oral intake?  Select all that apply.

The nurse prepares to administer IV vancomycin to an 80-year-old client with a methicillin-resistant Staphylococcus aureus infection.  The nurse should notify the health care provider about which serum laboratory results before administering the drug?  Select all that apply.

A nurse is teaching a client with a surgically repaired undescended testis about testicular self-examination (TSE).  Which instructions should be included in the teaching?  Select all that apply.

A client comes to the emergency department with severe dyspnea and a cough.  Vital signs are temperature 99.2 F (37.3 C), blood pressure 108/70 mm Hg, heart rate 88/min, and respirations 24/min.  The client has a history of chronic obstructive pulmonary disease (COPD) and chronic heart failure.  Which diagnostic test will be most useful to the nurse in determining if this is an exacerbation of heart failure?

The emergency department nurse cares for a client admitted with a diagnosis of hyperosmolar hyperglycemic state.  The nurse understands which characteristics are commonly associated with this complication?  Select all that apply.

The nurse receives report for 4 clients in the emergency department.  Which client should be seen first?

The nurse is caring for a client with increased intracranial pressure (ICP).  Which statement by the unlicensed assistive personnel would require immediate intervention by the nurse?

The nurse assesses a client with benign prostatic hyperplasia.  Which client statement requires further assessment?

Which nursing interventions would the nurse implement when caring for a client newly diagnosed with acute, viral hepatitis B?  Select all that apply.

The nurse is giving a presentation at a community health event.  The nurse should provide which instruction on how to prevent botulism?

The nurse is caring for a client in the immediate postoperative period following a carotid endarterectomy.  The client is drowsy with slurred speech.  Which assessment finding would cause the nurse to notify the healthcare provider immediately?

The nurse teaches a group of homeless community clients preventive measures related to transmission of hepatitis A.  Which of these measures would the nurse teach as the priority precaution to prevent transmission?

The spouse of an immunocompromised client is diagnosed with influenza virus infection.  The spouse asks the office nurse how long contact with the client should be avoided to prevent the infection from spreading.  What is the nurse's most appropriate response?

The home health nurse teaches an elderly client with dysphagia some strategies to help limit repeated hospitalizations for aspiration pneumonia.  Which statement indicates that the client needs further teaching?

In the intensive care unit, the nurse cares for a client who develops diabetes insipidus (DI) 2 days after pituitary adenoma removal via hypophysectomy.  Which intervention should the nurse implement?

A client was struck on the head by a baseball bat during a robbery attempt.  The nurse gives this report to the oncoming nurse at shift change and conveys that the client's current Glasgow Coma Scale (GCS) score is a "10."  Which client assessment is most important for the reporting nurse to include?

The nurse is caring for a female client newly diagnosed with epilepsy who has been prescribed phenytoin.  Which of the following should the nurse include in client teaching?  Select all that apply.

The nurse is performing discharge teaching on nutritional therapy for a client with chronic kidney disease.  Which statement indicates that further teaching is needed?

The nurse is caring for a client who just had a permanent ventricular pacemaker inserted.  The nurse observes the cardiac monitor and sees a pacing spike followed by a QRS complex for each heartbeat.  How should the nurse assess for mechanical capture of the pacemaker?

A client with type I diabetes mellitus is brought to the emergency department by his wife.  The client has fruity breath with rapid, deep respirations at 36 breaths per minute, reports abdominal pain, and appears weak.  The nurse should anticipate implementation of which prescription(s)?  Select all that apply.