Exam (elaborations)
Final Exam
- Course
- NR 324 (ADULTHEALTH1)
- Institution
- Chamberlain College Nursing
Final Exam for Adult Health 1
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1. A client who has sickle cell anemia is having a vaso-occlusive crisis. Which of thefollowing interventions will the nurse perform.
a. IV fluids started, with oral fluids encouraged
b. Cold compress to painful joints
c. Administer morphine for the pain
d. Administer Oxygen
e. Obtain frequent vital signs
2. A nurse is preparing a presentation at a community center about osteoarthritis. The
nurse should plan to include which of the following information?
a. Affects weight bearing joist
b. Crepitus may occur in the joints affected
c. Causes joint pain
d. Causes joint stiffness
e. Affect bilateral, symmetrical joints
3. A nurse is teaching a client about risk factors for osteoporosis. Which of the following
factors should the nurse include in the teaching?
a. Sedentary lifestyle
b. Obesity
c. Aging
d. Caffeine
e. Secondhand smoke (maybe)
4. A nurse is teaching a client at high risk for osteoporosis about dietary measures she can
take to increase her calcium level. Which of the following foods should the nurse advise
the client to increase in her diet?
a. Cabbage
b. Broccoli
c. Potatoes
d. Carrots
5. A nurse is assessing a client who has a left lower arm fracture. Which of the following
findings indicates impaired venous return in the client's arm?
a. Acute pain
b. Surrounding skin shows signs of ecchymosis
c. Increasing edema
d. Bounding distal pulse
6. A nurse is teaching a client about preventing osteoporosis. Which of the following
statements by the client indicates a need for further teaching?
a. “I will reduce my intake of high sodium foods”
b. “I will decrease my daily caffeine intake”
c. “I will reduce my intake of leafy green vegetables”
d. “I will reduce my intake of soft drinks”
7. A nurse is caring for a client that is two days post-op following abdominal surgery. The
nurse notices that the client’s wound has eviscerated. After calling for help, what should
the nurse do next?
a. Raise the head of the client’s bed 15 degrees to 20 degrees
, b. Cover the area with a sterile dressing moistened with 0.9% sodium chloride
c. Place the client supine with knees bent
d. Assess the clients for manifestations of shock
8. A nurse is providing instructions to a client with a new diagnosis of aplastic anemia.
Which of the following information should the nurse include in the instructions?
a. Aplastic anemia is associated with a decrease intake of iron
b. Aplastic anemia results in an increased rate of red blood cells destruction
c. Aplastic anemia results from decreased bone marrow production of red blood cells
d. Aplastic anemia results in an inability to absorb vitamin B12
9. A nurse is caring for a client with HIV. Which of the following lab values should the nurse
report to the PCP?
a. Positive western blot test
b. CD4-T- cell Count 180 cells/mm
c. Platelets 150,000/mm
d. White blood cell count 5,000/mm
10. A nurse is caring for a client who has an unrepaired femur fracture of the midshaft.
Which of the following techniques should the nurse use when performing an assessment
of the client's neurovascular status?
a. Measure the thigh circumference
b. Monitor the calf for edema
c. Instruct the patient to wiggle his toes
d. Palpate the femoral pulse
11. A nurse is assessing a client who is postoperative following a right below the knee
amputation. Which of the following findings should the nurse identify as a possible
complication?
a. The patient states he can learn to live with the “new look”
b. The patient is spending more time in bed than a chair
c. The presence of edema above the amputated stump
d. Palpable pulse in the right popliteal space
12. A nurse is providing teaching for a client who has experienced an acute episode of
gastritis. Which of the following instructions should the nurse include in the teaching?
a. Avoid drinking alcohol
b. Limiti drinking milk
c. Limit strenuous exercises
d. Take NSAIDs for the pain
13. The nurse is caring for a client with vomiting of “coffee-ground” emesis. Which of the
following procedures should the nurse anticipate for the client?
a. Angiography
b. Barium contrast study
c. Endoscopy
d. Gastric analysis
14. Sodium polystyrene sulfonate (Kayexalate) is ordered for a patient with hyperkalemia.
Before administering the medication, the nurse should assess the.
a. Bowel sounds
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