Kaplan- Adult Health Questions
1 .The nurse helps a patient to cough and deep breathe after surgery. It is desirable for
the patient to assume which of
... [Show More] the following positions?
side-lying
prone
supine
high fowlers
Ans
High fowlers
2.which of the following actions is essential for the nurse to take after administration of a
preoperative medication to a patient?
raise the side rails of the bed
tell the pt what to expect in the operating room
discuss the pt's feelings about surgery
ensure the operative permit is signed
Ans
raise the side rails of the bed
3.the nurse understands the purpose of a drain in a wound is to:
prevent infection as a mean for bacteria to escape
keep the tissues close together so that healing can occur
evaluate the effectiveness of homeostasis
create a space that will facilitate reconstructive surgery at a later date
Ans
keep the tissues close together so that healing can occur
4.a client returns from abdominal surgery with an order for morphine sulfate IV q 3 hours
prn for pain. During the first 24 hours of surgery, which action by the nurse is BEST?
KAPLAN ADULT HEALTH QUESTIONS AND ANSWERS | GRADED A
offer pain medication every 4 hours
offer pain medication every 3 hours
Administer pain meds every 4 hours
Administer pain meds every 3 hours
Ans
Administer pain meds every 3 hours
5.A client is admitted to the hospital with a temperature of 101 and WBC of 3,000mm3 .
the nurse should institute which of the following precautions?
contact precautions
airborne precautions
droplet precautions
Neutropenic precautions
Ans
Neutropenic precautions
6,a client comes to the ER a foot with a dirty, rusty nail. The client states the last TD was
6 years ago. which of the following actions should the nurse take first?
administer tetanus toxoid
determine how many TD immunizations the client has received
administer tetanus immune globulin
monitor for lockjaw
Ans
determine how many TD immunizations the client has received
7.a patient requires a dressing change. the LPN nurse assigned to care for the patient
reports to the registered nurse that she had once observed a similar dressing change
while in nursing school, but has never performed the procedure. The RN should take
which action?
Ask the LPN to review the hospitals procedure manual regarding dressing changes.
Review the steps of the dressing change with the LPN
complete the dressing change while the LPN observes
assigned a more experienced LPN to the patient
Ans
complete the dressing change while the LPN observes
8.The nurse counsels a patient about how to maintain an adequate intake of protein. The
nurse determines that further teaching is required if the patient chooses which of the
following foods?
peanut butter on whole white bread
rice and red beans
orange toast and white toast
spaghetti and meat sauce
Ans
orange toast and white toast
9.the nurse knows which statement is important about warfarin?
it has a prolonged action
it is never given for prolonged periods of time
it must be given several times a day to be effective
it can only be given parenterally
Ans
it has a prolonged action
10.the nurse observes a staff member prepare to leave the room of a patient on droplet
precautions. The nurse should intervene if which of the following is observed?
the nurse removes the gloves by pulling off inside out
the staff member holds on to the outer surface of the face mask while pulling mask away from
face
the staff member unties the gown and removes it without touching the outside of the gown
the nurse performs hand hygiene for 15 seconds
Ans
the staff member holds on to the outer surface of the face mask while pulling mask away from
face
11.several days post-op a pt states pain, tenderness and redness on her right calf. which
signs and symptoms are critical for the nurse to assess next?
nausea and abdominal distention
back pain and hematuria
chest pain and shortness of breath
similar findings in the right arm
Ans
chest pain and shortness of breath
12.the nurse knows that aspirin, if given in high, prolonged dosages, may precipitate
which of the following physiological changes?
urinary frequency
hypoventilation
GI bleeding
Hemoconcentration
Ans
GI bleeding
13.to promote evening rest and sleep for patients who are immobilized in bed, it is MOST
important for the nurse to provide which of the following?
privacy
back rubs
daily baths
daytime activities
Ans
daytime activities
14.the nurse prepares 4 patients for surgery. the nurse is MOST concerned about the
psychological adjustment of which of the following patients?
a 13 year old girl having a wart removed from her nose
a 26 year old man scheduled for a Whipple procedure due to cancer of the pancreas
a 42 year old scheduled to have a begin cyst removed from her breast
a 80 year old man scheduled to have a colostomy due to diverticular disease
Ans
a 26 year old man scheduled for a Whipple procedure due to cancer of the pancreas
15.the nurse understands that which of the following behaviors is helpful to facilitate a
patient to have a bowel elimination?
engage in sedentary activity
increase dietary bulk
decrease fluid intake
use oral laxatives
Ans
increase dietary bulk
16.the nurse identifies which of the following lab findings reflects the signs and
symptoms of infection?
a creatine serum level of 2.4 mg/dL
AST (SGOT) 15 u/L
white blood cell count of 16,000mm3
white blood cell count of 4,000mm3
Ans
white blood cell count of 16,000mm3
17.in which situation would the nurse consider withholding morphine until further
assessment is done?
patient reports acute pain of deep partial thickness burn affecting the lower extremities
Patient's BP is 140/90, P 90, R28
patient's level of consciousness fluctuates from alert to lethargic
patient exhibits restlessness, anxiety, and cold, clammy skin
Ans
patient's level of consciousness fluctuates from alert to lethargic
18.the nurse identifies which finding is characteristic of chronic pain?
weight loss or gain, fatigue
obesity, restlessness, thirst
anxiety, memory loss, insomnia
quick response to analgesics
Ans
weight loss or gain, fatigue
17.the nurse identifies which diet best meet the needs of a person with multiple wounds?
high protein and iron, low fat
high vit c, protein, carbs
high vit a, protein, carbs
high vit b, protein, low carb
Ans
high vit c, protein, carbs
19.the nurse performs discharge teaching for a client receiving warfarin. the nurse
determines further teaching is required if the client makes which of the following
statements?
I should look for yellow tinged complexion
I will wear a medic-alert bracelet
I should tell a health care provider if I have black stools
I should consult the health care provider before taking any medication
Ans
I should look for yellow tinged complexion
20 the nurse cares for a post-op client with a NG tube. which observation by the nurse is
MOST reliable indication the NG tube is placed correctly?
absence of respiratory distress
the tube is securely taped
the marking on the tube designating the correct length remains visible just outside the nares
PH of aspirate is 3
Ans
PH of aspirate is 3
21 the home health care nurse cares for a client who has a fractured humerus due to a
fall in her home. which of the following observations, if made by the nurse, requires
immediate intervention?
the bathroom is equipped with grab bars
throw rugs have been removed
the client ambulates wearing socks
the stairs are well lighted
Ans
the client ambulates wearing socks
22 the nurse explains to the client that the most vitamin C can be found in which juice?
canned apple juice
canned tomato juice
frozen grapefruit juice
fresh orange juice
Ans
fresh orange juice
23 the home health care nurse visits an elderly patient living alone on a limited income.
The patient's diet consists primarily of carbs. Based on an understanding of nutritional
needs of the elderly, which of these interpretations of the clients diet by the nurse is
most justified?
the patient should increase the intake of protein
the patient should decrease the intake of fat
the patient should intake caloric intake
the patient should decrease fluid intake
Ans
the patient should increase the intake of protein
24 the nurse notes that an elderly patient has a reddened area on the coccyx. which of
the following actions should the nurse take first?
continue assessment of the area
reposition the patient every 1-2 hours
massage the reddened area 4 times per day
place the patient in semi-reclined position
Ans
reposition the patient every 1-2 hours
25 on the first pre-op day the patient develops a fever. the nurse auscultates crackles
bilaterally in the lower lobes. the nurse understands which of the following complications
of surgery is probably developing?
heart failure
thrombophlebitis
pulmonary embolism
Atelectasis
Ans
atelectasis
26 a patient with acute pain has a physician's order for morphine 8 mg IV every 3-4 hours
prn for pain. The patient asks for the medication at bed time. Prior to administering the
medication, the nurse should take which of the following actions?
assume the pain is psychological
check to see if the patient has a history of addiction
try several other pain relief measures
assess location, character and intensity of pain
Ans
assess location, character and intensity of pain
27 the nurse instructs a patient about how to successfully establish a regular exercise
program. The nurses determines further teaching is needed if the patient makes which of
the following statements?
I should chose an exercise that suits my lifestyle
I should incorporate exercise into my daily routine
I should make a commitment to exercise regularly
I should start by running 5 miles every day
Ans
I should start by running 5 miles every day
28 the nurse observes a staff member enter the patients room wearing a protective
respiratory device. the nurse determines care is appropriate if the staff member is caring
for which of the following patients?
a patient diagnosed with varicella
a patient diagnosed with mumps
a patient diagnosed with VRE
A patient diagnosed with pneumonia
Ans
a patient diagnosed with varicella
29 The nurse cares for a client with a BMI of 38. what is the BEST description of the
clients body weight?
underweight
obese
normal weight
overweight
Ans
obesity
30 which of the following nursing actions is MOST import [Show Less]