Adult II Final

Question 1

The nurses recognize the importance of testing intraocular pressure in the diagnosis of which disorder

Answer 1

Glaucoma

Question 2

The nurse assesses several patients in the outpatient clinic, which pt has the greatest risk for developing cancer

Answer 2

Farmer

Question 3

The nurse is constructing a teaching plan about fatigue management for a pt who is taking radiation treatments. Which information should the nurse include?

Answer 3

Prioritize activities and alternate rest with periods of activity

Question 4

Nurse is providing discharge education to a pt and family after cataract surgery which includes which of these?

Answer 4

Use sunglasses

Question 5

Nurse reviewing a pts chart and notes pt’s vision in his left eye is 20/70 uses information to make which interpretation of the patient’s vision

Answer 5

Or can read the line on the chart labeled 70 and 20 ft

Question 6

Nurse recognizes that smoking is a prompter that although not a carcinogen itself, allows cancer to occur

Answer 6

Heavy alcohol intake

Question 7

Pt arrives at ED via EMS w/ stroke-like symptoms, from the time the pt arrives at the hospital how much time should be given to get the pt to CT?

Answer 7

25 minutes

Question 8

The nurse is caring for a pt who has had a cochlear implant. The nurse understands cochlear implants are appropriate for which type of hearing loss?

Answer 8

Sensorineural hearing loss

Question 9

Pt who is post op after esophageal resection. Shortly after the nurse starts feeding, the pt suddenly becomes dyspneic and complains of substernal pain. What should the nurse do first?

Answer 9

Stop the feeding

Question 10

The 40 yr old female who was diagnosed w/ a benign growth in her colon is concerned about the growth spreading. Which explanation best allays the pt’s anxiety?

Answer 10

Surrounded by fibrous tissue that prevents spread

Question 11

A pt w/ Meinier disease is being treated with furosemide. Following administration of the medication, the nurse should note which reaction?

Answer 11

Tinnitus

Question 12

Conductive hearing

Answer 12

Loud noise, trauma

Question 13

rTPA is used to dissolve clots and emboli in a hemorrhagic stroke? True or False

Answer 13

False

Question 14

The nurse is educating the 45 year old female pt about the ACS recommendation for early detection of cancer. Which information should she include when teaching?

Answer 14

Obtain mammogram every year

Question 15

The nurse is caring for an adult pt w./ a history of seizures. In the event of a seizure, the nurse should document which information?

Answer 15

Location, presence of incontinence, duration of seizure, description of movements

Question 16

The nurse is caring for a pt admitted w/ a transient ischemic attack (TIA). A carotid ultrasound reveals a 40% obstruction. The nurse anticipates that the treatment will likely consist of which factors? SATA

Answer 16

Diet modification, lifestyle alteration, aspirin

Question 17

The nurse is caring for a pt who is being treated for extensive burns. The nurse notes the presence of coffee-ground material in the Salem sump catheter. The nurse correctly recognizes which factor as the likely cause?
A physiologic stress ulcer

Answer 17

A physiologic stress ulcer

Question 18

What routes are ways in which sexually transmitted infections (STIs) are transmitted? Select All That Apply

Answer 18

Contact infected bodily fluids, sexual intercourse, placenta to infant, contact infected, oral-genital route

Question 19

The nurse is caring for a pt w/ a salem sump tube for decompression. The pt displays dyspnea and reports feeling full and nauseated. What action should the nurse take first?

Answer 19

Irrigate the tube with normal saline

Question 20

The nurse is caring for a pt 1-day postoperative after transverse colostomy. When assessing the stoma, which finding requires the nurse’s immediate action?

Answer 20

A purplish-red stoma

Question 21

The nurse is caring for a pt w/ 4-day old ileostomy. The pt complains of cramping, the nurse notes a drop in the effluent for the ileostomy, and the bowel sounds are rapid w/ a “tinkling” sound. What action should the nurse take?

Answer 21

Notify the charge nurse

Question 22

The nurse is caring for a pt who presents to the ED w/ severe nausea and vomiting w/ stomach pain that radiates to his right scapula. The pt has a temp of 101.2. The nurse anticipates that the pt will undergo workup for which problem?

Answer 22

Cholecystitis

Question 23

Gastric ulcer anticipates pain at what time?

Answer 23

At bed time

Question 24

A nurse is caring for a pt who is 4 hours postoperative after a laparoscopic cholecystectomy. The pt reports abdominal fullness and mild discomfort. After verifying that the pts vital signs are stable, which action is most important for the nurse to take next?

Answer 24

Ambulate the patient

Question 25

The nurse is caring for a pt w/ Hep B, a nurse would employ which precautions?

Answer 25

Standard precautions

Question 26

A nurse is educating a young woman newly diagnosed w/ genital herpes. Which information is most important for the nurse to include in the teaching plan?

Answer 26

Avoid all sexual contact until lesions are completely healed

Question 27

HPV

Answer 27

I am relieved that the vaccine protects me from HPV infections

Question 28

A pt has been diagnosed w/ chlamydia for the second time in a 5 month period. Date collection complaint w/ the plan of treatment w/ the last infection. Which medication does the nurse anticipate that the provider will prescribe?

Answer 28

Azithromycin

Question 29

The nurse is caring for a pt w/ a tentative diagnosis of the polycystic ovarian syndrome (PCOS). When reviewing the pt’s health history, which finding supports the diagnosis?

Answer 29

Elevated serum glucose levels

Question 30

The nurse reminds a 68 year old man that a man of any age can reproduce if he is able to perform which function?

Answer 30

they can participate in intercourse

Question 31

The nurse is educating a patient who has been given a prescription for tadalafil (Cialis). The nurse warns the pt about which potential complication?

Answer 31

Priapism

Question 32

A young man who has been diagnosed as sterile says to the nurse, “I am not much of a man or a husband.” Which response is most therapeutic?

Answer 32

What about this sterility diagnosis concerns you the most?

Question 33

The nurse is caring for an older male pt. Which pt statement would alert the nurse to a probable presence of benign prostatic hyperplasia (BPH)? takes a long time to urinate

Answer 33

Take a long time to urinate

Question 34

The nurse is caring for a pt who returns to the unit after undergoing a transurethral resection of the prostate (TURP). The nurse observes a few small clots and pieces of tissue returning in the indwelling catheter bag. What should the nurse do next?

Answer 34

Document the findings

Question 35

The nurse has provided discharge instructions to a pt who underwent a vasectomy. Which statement indicates the pt understands the nurse’s teaching?

Answer 35

Ice

Question 36

The nurse is caring for a pt in the initial jours after having surgery to manage an enlarged prostate. The pt’s postoperative care includes continuous bladder irrigation. Which statements indicate the patient understands the nurse’s teaching?

Answer 36

Bladder irrigated for the first 2-3 days

Question 37

Primary dysmenorrhea

Answer 37

oral contraceptive seasonal

Question 38

Long-term estrogen replacement for osteoporosis prevention

Answer 38

Pelvic examination

Question 39

The nurse educates a pt about the difference between primary and secondary infertility. Which statement accurately describes primary infertility?

Answer 39

Inability to conceive after 1 year of active unprotected sex