Adult Health questions and answers

Question: What should the PN administer to a conscious client with a glucose level of 50 mg/dl?

Answer Choices:
A. IV of 5% glucose in water at 100 ml/hr
B. Glucagon
C. 10 units of regular insulin
D. Orange juice

Answer: Orange juice

Question: Which client has the greatest risk of laryngeal cancer?

Answer Choices:
A. Opera singer with wine
B. Farmer with half-pack cigarettes
C. Teacher with smoking spouse
D. Auctioneer who chews tobacco and drinks 6-pack nightly

Answer: Auctioneer who chews tobacco and drinks a six pack of beer every night

Question: Which TURP bladder irrigation finding requires immediate reporting?

Answer Choices:
A. Thick brown fluid at 24h
B. Light yellow urine at 48h
C. Thick red clots at 12h
D. Bright red urine at 12h

Answer: Bright red urine in the Foley bag 12 hours postoperatively

Question: What is the priority action when a chemotherapy client has yellow sputum but no fever?

Answer Choices:
A. Notify charge nurse
B. Measure I&O
C. Oral hygiene
D. Recheck temp in 2 hours

Answer: Notify the charge nurse of the assessment findings

Question: Which factor in the history of a client with diabetes mellitus increases the client’s risk for nephropathy?

Answer Choices:
A. Frequent episodes of hypoglycemia
B. Consistently elevated Hemoglobin A1C levels
C. Daily consumption of artificial sweeteners
D. Moderate alcohol consumption

Answer: Consistently elevated Hemoglobin A1C levels

Question: Which factor gives the highest breast cancer risk?

Answer Choices:
A. Herbal estrogen
B. Three children before 28
C. Painful lump with fibrocystic history
D. Non-tender lump + mother died of breast cancer

Answer: She describes the lump as non-tender and says her mother died of breast cancer

Question: Which discharge teaching is most important after above-the-knee amputation (AKA)?

Answer Choices:
A. Lay prone 30 minutes 3–4 times a day
B. Do not use lotion
C. Let stump air dry
D. Inspect the stump daily

Answer: Inspect the stump every day

Question: What dietary advice helps restore bowel flora after antibiotic-associated diarrhea?

Answer Choices:
A. Meats and soy
B. Fruits and vegetables
C. Buttermilk, cottage cheese, yogurt or kefir
D. Whole grains

Answer: Buttermilk, cottage cheese, yogurt or kefir

Question: Which finding is most important for the practical nurse (PN) to report to the charge nurse?

Answer Choices:
A. A cut on the heel of the foot
B. Varicose veins around the ankle
C. Calluses on both feet
D. Thickened, yellow toenails

Answer: A cut on the heel of the foot

Question: Which finding is most important to report in a client post-MI?

Answer Choices:
A. Irregular heart rate
B. Frothy red-tinged sputum
C. Two-pound weight gain
D. Dependent edema

Answer: Frothy red-tinged sputum

Question: When should the PN administer the bronchodilator in relation to postural drainage?

Answer Choices:
A. Between treatments
B. During postural drainage
C. After postural drainage
D. Before postural drainage

Answer: Before postural drainage

Question: Which action should PN implement before transporting a TB client?

Answer Choices:
A. Give client surgical mask
B. Stock isolation cart
C. Use respirator mask
D. Place BP machine in room

Answer: Give the client a surgical mask for transport

Question: Which area should be protected from excessive pressure when using a nasal cannula?

Answer Choices:
A. Upper lip
B. Bridge of the nose
C. Fingertips
D. Backs of the ears

Answer: Backs of the ears

Question: Which observation should the PN consider in evaluating the effectiveness of this drug combination? (ipratropium + albuterol)

Answer Choices:
A. Pulse rate
B. Respiratory rate
C. Skin color
D. Blood pressure

Answer: Respiratory rate

Question: To facilitate the most effective cough, the PN should assist the client to assume which position?

Answer Choices:
A. Lying prone with head turned to the side
B. Lying lateral with pillow between flexed knees
C. Sitting upright with feet flat on the floor
D. Sitting in the chair leaning forward

Answer: Sitting upright with feet flat on the floor

Question: Which complication has occurred after serosanguinous drainage and bowel exposure?

Answer Choices:
A. Dehiscence
B. Evisceration
C. Hemorrhage
D. Infection

Answer: Evisceration

Question: Which action indicates incorrect use of the incentive spirometer?

Answer Choices:
A. Blowing forcefully into the mouthpiece
B. Sitting upright during the treatment
C. Using a tight seal around the mouthpiece
D. Exhaling slowly after two seconds

Answer: Blowing forcefully into the mouthpiece