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Concepts of Adult Nursing Exam October 2017, questions and Answers for Exams 1, 2, 3 and Final

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Exam October 2017, questions and Answers

Primary Concepts of Adult Nursing Exam1, 2, 3 and Final

 

Exam 1

 


A nursing educator for an assisted living facility is treating a group of unlicensed assistive personnel about common

 

1.

 

 

2.     When a patient with a chronic illness asks a nurse. “What is a chronic condition?” Which of these responses is best for

the•nurse to answer?

 

4.     A patient has a hemoglobin of 8g/dl and hematocrit of 24%. Which of these findings should the nurse expect when

as•sisting the patient’s vital signs? SELECT ALL THAT APPLY

5.     A nurse is conducting an admission assessment on a newly admitted older patient from a long-term care facility.

W•hich of these clinical manifestations could be related to a diagnosis of anemia?

 

6.     A nurse completed nutritional teaching with a patient with B12 deficiency. Which of these menu selections made by

the•patient demonstrates adequate understanding of dietary management for this problem?

7.     A nurse is conducting a health history with a patient. Which of these questions should the nurse include in this

as•sessment to determine if the patient has risk factors related to vitamin B12 deficiency anemia?

8.     A nurse is conducting an admission assessment on a patient with a vitamin B12 deficiency. What should the nurse

inc•lude as a priority assessment for this patient?

 

9.     A nurse is preparing to which a patient with a microcytic hypochromic anemia about the diet to follow when

dis•charged. Which of these foods should be included in this diet?

 

10.  A nurse is assessing a patient with iron deficiency anemia. Which of these findings should the nurse anticipate upon

ins•pection of this patient’s nail beds?

 

11.  After teaching a patient about iron supplements for iron deficiency anemia, which statement made by the patient

ind•icates to the nurse that additional instruction is needed?

 

12.  A nurse is caring for a patient in who has effective pain management. Which of these nursing diagnoses should take

pr•iority in this patient?

 

13.  A patient in sickle cell crisis has been admitted to the medical unit. Which of these orders prescribed by the healthcare

pr•ovider (HCP) should a nurse plan implement first for this patient?

 

14.


A young adult is admitted in sickle cell crisis. Which of these interventions should be of highest priority for this

 

 

 

 

 

15.  A nurse is planning care for newly admitted patient who is in sickle cell crisis. The patient reports serve pain in his hands and feet. The pulse oximetry is 90%. Assuming that there are healthcare providers (HCP) orders for each intervention listed below, in which priority order should the nurse implement care? 3,2,4,1

a)     Adjust the room temperature

b)    Give a bolus of intravenous (IV) fluids

c)     Start oxygen at 2 liters via nasal cannula

d)    Administer morphine sulfate 2 mg IV push

 

16.  A nurse is providing education about sickle cell disease and lifestyle modifications. The patient says, “I was born with

this disease and will have it my whole life, so why does it matter how I take care of myself?” What is the most ap•propriate response?

 

17.


A patient with a hematocrit of 22.3%and hemoglobin of 7.7 mg/dL is to receive two (2) units of packed red blood

 

 

 

 

18.  A nurse is preparing to transfuse one (1) unit of packed red blood cells (RBCs) to a patient with anemia. Which of these measures should the nurse implement to decrease the possibility of a transfusion reaction in the patient?

 

19.  A nurse is caring for a patient with serve anemia who is receiving a blood transfusion. Which of these findings should

ale•rt the nurse to possible complications? The patient reports

20.  A patient is to receive a blood transfusion. Based on the standards of practice, which of these actions should a nurse

im•plement to ensure that the correct blood is administered to the right patient?

21.  A nurse is caring for two patients who have orders to receive a blood transfusion of patients of packed red blood cells

(PRBCs)

Patient 1: B/P dropped from preoperative value of 130/90 to 100/50 mmHg

Patient 2: Admitted for dehydration and anemia following treatment for pneumonia

The registered nurse (RN) is wondering with a licensed practical nurse (LPN) and an unlicensed assistive

•  personnel (UAP) Which of these actions should the RN implement first?

 

22.  A patient is receiving one (1) unit of packed red blood cells (PRBCs) Fifteen minutes into the infusion, the patient

de•velops shortness of breath and reports flank pain. Which of these nursing actions should the nurse implement first?

23.  A nurse is caring for a patient newly diagnosed with acute myeloid leukemia (AML) Which of these questions asked

by•the nurse is most appropriate for identifying AML risk factors for this patient?

 

 

W•hich of these responses by the nurse is best?

 

 

 

 

 

29.  The nurse caring for a group of patients. Which of these patients is of greatest risk for developing acute lymphocytic

leu•kemia (ALL)?

30.  A patient with acute lymphocytic leukemia (ALL) who is receiving chemotherapy develops a white blood cell (WBC)

co•unt of 2500 cells/mm3. Based on this finding, a nurse should

 

 

32.  A patient with Hodgkin lymphoma had an excision of a cervical lymph mode for biopsy under local anesthesia.

Fo•llowing this procedure, which of these nursing assessments should take priority?

33.  A nurse is caring for a patient with Non-Hodgkin lymphoma (NHL) Which of these laboratory results should the

nu•rse immediately follow-up?

 

34.  A nurse is developing a teaching plan for a patient with multiple myeloma. Which of these instructions should be most important for the nurse include in this plan? SELECT ALL THAT APPLY

 A nurse on the oncology unit is assigning a room to a newly admitted patient with lung cancer and WBC 2000,

absolute neutrophil count (ANC) 500, and temperature of 102 F (38.9 C) Which of these rooms is most appropriate fo•r this patient?

 

35.

A•nurse explains to a patient with neutropenia the best method for the presence of infections is monitoring

 

 

 

 

 

36.  A•nurse is assigned to care for a patient with a radiation implant. In planning care for this patient, the nurse should

 

37.  A patient with cancer asks a nurse “Why am I receiving radiation treatment and not chemotherapy for my cancer?”

Th•e best response by the nurse should be that radioactive therapy is most effective for Cancers that are localized to one tissue or body area

38.     patient receiving intravenous (IV) chemotherapy asks a nurse “Why are you wearing a mask, gloves, and gown

wh•en giving the chemotherapy?” Which of these responses by the nurse is best?

 

39.  A nurse is assessing a patient with autoimmune thrombocytopenia purpura (ATP) Which of these laboratory test

sh•ould the nurse plan to monitor frequently to determine if treatment is effective?

 

Exam 2

 

1.     A nurse is teaching a patient newly diagnosed with systemic lupus erythematous (SLE). Which of these responses if

mad•e by the patient indicates understanding of the stressors that may cause exacerbation?

 

2.     A nurse is assessing a patient with inflammatory bowel disease (IBD). The nurse suspects the patient has ulcerative

coli•tis when the patient describes bowel movements as:

 

3.     A nurse is assessing a patient with an umbilical hernia who reports abdominal pain, nausea, and vomiting. On auscultation of the abdomen, the nurse notes hyperactive bowel sounds at the hepatic flexure and hypoactive bowel

sounds along the transverse colon. Based on these findings, the nurse is concerned that this patient may be exp•eriencing:

 

4.     A patient with “abdominal discomfort” is admitted to the medical-surgical unit. Which of these statements made by

this•patient would indicate to a nurse the possibility of intestinal obstruction?

 


nurse implement first?

 

A patient comes to the emergency department complaining of dyspnea and wheezing after eating at a seafood

 

5.

 

 

 

6.     A patient admitted to the emergency room with suspected systemic anaphylaxis from an insect bite. Which of these

clin•ical manifestations should indicate to a nurse that a patient is experiencing a systemic anaphylactic reaction?

 

7.     A nurse is teaching a patient about the management of a hiatal hernia. Which of these statements made by the patient

ind•icates teaching was effective?

 

8.     Wh•ich of these patients is most at risk for developing Barrett’s esophagus?

 

9.     A nurse is teaching a patient with upper gastrointestinal (GI) bleeding to observe his stools for blood. Which of these

inst•ructions is most appropriate for the nurse to provide to this patient?

 

10.  A patient with lower right quadrant pain for (2) days comes to the emergency room. Which of these assessment

find•ings should alert a nurse the patient has potentially developed peritonitis?

 

11.  A young woman with newly diagnosed systemic lupus erythematous (SLE) is upset about the facial malar rash and hair loss. She refuses to see friends and does not leave her home except to visit the health clinic. Which of these

n•ursing diagnoses would be appropriate for this patient? SELECT ALL THAT APPLY.

 

12.  A patient who had fecal occult blood testing (FOBT) reports the test was negative and wishes to cancel a colonoscopy

sc•heduled for the next day. Which of these responses by the nurse is best?

 

13.  A nurse is teaching a community group about human immunodeficiency virus (HIV) transmission. Which of these

tr•ansmission methods should the nurse include in the teaching plan?

14.  A nurse is caring for a patient who is suspected to have diverticulosis in the sigmoid colon. Which of these diagnostic

tests should the nurse anticipate being ordered for this patient to confirm the diagnosis of diverticulosis in the sigmoid c•olon?

 

15.  A nurse is giving discharge instructions to a patient who recently underwent an appendectomy. Which of these

in•structions is the most appropriate at this time?

 

16.


A patient with peritonitis has an order for a nasogastric tube (NGT) to low, intermittent suction. A nurse understands

 

 

 

 

 

17.  A nurse is providing education to a patient with ulcerative colitis. Which of these instructions should be indicated in the teaching plan?

 

18.  A nurse identifies a nursing diagnosis of knowledge deficit for a patient with recurring heartburn and indigestion that

is newly diagnosed with a hiatal hernia. Which of these statements made by the patient indicates the teaching was e•ffective?

19.  A nurse is admitting a patient with a suspected exacerbation of Crohn’s disease. Which of these clinical

m•anifestations confirms this diagnosis? SELECT ALL THAT APPLY.

20.  A nurse is caring for a patient who recently underwent an appendectomy. During the assessment, the nurse auscultates

hypoactive bowel sounds and notes that the patient’s abdomen is tender and rigid. Which of these complications has mo•st likely developed in this patient?

 

21.  A nurse is admitting a patient for possible acute appendicitis. Which of these lab findings would indicate to the nurse

the•patient has possibly developed peritonitis? SELECT ALL THAT APPLY.

22.  A nurse emphasizes the need for range of motion (ROM) exercises for a patient with an acute exacerbation of

rhe•umatoid arthritis (RA) including joint pain and swelling in both hands. The nurse teaches the patient that:

23.  While obtaining a nursing history from a patient with inflammatory bowel disease ((IBD), a nurse recognizes the

pa•tient most likely has ulcerative colitis rather than Crohn’s disease when the patient reports:

 

24.  A registered nurse is caring for a patient with a severe allergic reaction to peanuts. Which of the following are

im•portant instructions to include in the teaching plan regarding allergy management? SELECT ALL THAT APPLY.

 

25.  A patient who had fecal occult blood testing (FOBT) reports the test was negative and wishes to cancel a colonoscopy

sc•heduled for the next day. Which of these responses by the nurse is best?

 

26.  A patient with a mechanical bowel obstruction reports abdominal pain that was previously intermittent, colicky, and

no•w has become constant. Which of these actions should the nurse implement first?

 

27.  A nurse is planning the care for a patient with peritonitis secondary to appendicitis. Which of these interventions

sh•ould the nurse include in the plan of care?

 

28.  A nurse is admitting a patient with a suspected small bowel obstruction (SBO). Which of these clinical manifestations

su•pports the diagnosis of SBO?

 

 

 

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