NURSING ADULT 2 EXAM QUESTIONS & ANSWERS
1. The nurse is assessing a client who describes stomach discomfort. The most appropriate sequence for
... [Show More] conducting the physical examination of the abdomen is:
B. Inspection, palpation, percussion, auscultation.
2. A nurse is preparing a client with type 1 diabetes for discharge. The client can care for himself; however, he’s had a problem with unstable blood glucose levels in the past year. Based on the client’s history, he should be referred to which healthcare worker?
B. Dietitian
3. Glycosylated hemoglobin reflects blood glucose concentrations over which period of time?
B. 3 month
4. The nurse is to administer insulin to a client with diabetes mellitus. Which illustration indicates the appropriate syringe to use?
5. The nurse is administering eyedrops to a client with an infection in the right eye. The drops go in both eyes, and two different bottles are used to administer the drops. The nurse accidentally uses the left eye bottle for the right eye. What action by the nurse is best?
B . Obtain a new bottle of eyedrops.
6. A client does not understand why vision loss due to glaucoma is irreversible. What explanation by the nurse is best?
A. Because the eye pressure was too high, and the tissue died.
7. A client has scoliosis with a 65-degree curve to the spine. What action by the nurse takes priority?
B. assess the clients cardiac and respiratory systems.
8. A nurse is providing education to a community women’s group about lifestyle changes helpful in preventing osteoporosis. What topics does the nurse cover? (select all that apply)
C. Strengthening exercises are important
D. Take recommended calcium and vitamin D.
E. Walk 30 minutes a least 3 times a week
9. A nurse is examining a client reporting right upper quadrant (RUQ) abdominal pain. What technique should the nurse use to assess the clients abdomen?
D. Palpate the RUQ last.
10. A client presented to the emergency department reporting severe abdominal pain. On assessment, the nurse finds a bulging, pulsating mass in the abdomen. What action by the nurse the priority?
B. Notify the provider immediately
11. A client has a large oral tumor. What assessment by the nurse takes priority? All that apply.
a. Airway
b. Breathing
12. A nurse studying cancer knows that job related risks for developing oral cancer include which occupations? Select all that apply.
a. Coal miner
c. Metal worker
d. Plumber
e. Textile worker
13. A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fracture tibia. Which of the following is the priority action for the nurse to take?
a. Perform a neurovascular assessment
14. A nurse is providing education for a client who has glaucoma, which of the following statement should the nurse included in the teaching?
a. “Without treatment, glaucoma can cause blindness”
15. A nurse is caring for a client who has returned from the surgical suit following surgery for a fracture mandible the client had intermaxillary fixation to repair and stabilized the fracture. Which of the following actions is the priority for the nurse to take?
a. Prevent aspiration
16. A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessment is the nurse priority?
c. Gag reflex
17. A nurse is assessing a client who has a cast in place for a fracture tibia. Which of the following actions should the nurse take first?
a. Checking capillary refill
18. A nurse is assessing a client who has pectic ulcer disease. which of the following findings should the nurse identify as the priority?
d. Hematemesis
19. A nurse is assessing a group of clients in an outpatient clinic. For which of the following client should the nurse anticipate a colonoscopy?
d. 51-year-old who is being seen for an annual physical examination
20. A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse’s priority?
b. Administer antibiotics to the client
21. A nurse is caring for a client who is postoperative following a left corneal transplant. The nurse observes purulent drainage from the affected eye. Which of the following action is the nurse’s priority?
a. Notify the surgeon
22. A nurse is providing nutritional teaching to a client who has osteoporosis. Which of the following foods should the nurse recommend as being the highest in calcium?
3. 3 oz. canned salmon
23. The nurse is aware that the mayor cause of Barrett’s esophagus is:
b. Esophageal reflux
24. The nurse assesses that a patient with cirrhosis is deteriorating when there is evidence of:
c. Confusion related to rising ammonia levels
25. A client had an endoscopy retrograde papillotomy for stone removal and has returned to the nursing unit. The client is asking for ice chips. What assessment takes priority?
d. Gag reflex
26. The nurse planning the care of a client admitted with severe pancreatitis would anticipate the diet order of:
b. NPO with TPN
27. A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching?
c. Maintain a recommended body weight
28. A nurse at an outpatient surgery center is proving discharge teaching to a client and his spouse following surgical removal of cataract. Which of the following should the nurse include in the teaching?
d. The client should wear dark glasses while outdoors.
29. A nurse assesses a client who has appendicitis. Which clinical manifestation should the nurse expect to find?
a. Severe, steady right lower quadrant pain
30. A nurse is providing teaching for client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?
d) insulin glargine has a duration of 18 to 24 hr.
31. A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instruction should the nurse include in the teaching?
a. Keep the open vial of insulin at room temperature.
32. A nurse is caring for a client who has diabetes and a new prescription for 14 unit of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
d. 42 units
33. In which order will the nurse take these steps to prepare NPH 20 units and regular insulin 2 units using the same syringe?
1 a. Rotate NPH vial.
2 d. Inject 20 units of air into NPH vial.
3 e. Inject 2 units of air into regular insulin vial. 4 b. Withdraw regular insulin
5 c. Withdraw 20 units of NPH.
34. A patient who was admitted with diabetes ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago. The patient reports feeling light headaches and sweaty. Which action should the nurse take first? [Show Less]