WorksheetsAdult Health I Final Exam Review Game
Total questions: 40
Worksheet time: 13mins
A client is scheduled for surgery in the morning. Which preoperative teaching is most important to reduce the risk of postoperative complications?
Explaining the surgical procedure
Demonstrating incentive spirometry use
Explaining the pain medication schedule
Encouraging the patient to ambulate immediately after surgery
Which medication should the nurse question before administering to a preoperative client scheduled for surgery in 2 hours?
Famotidine
Regular insulin
Warfarin
Cefazolin
A post-op client is 2 hours out from abdominal surgery. Which finding should the nurse report to the provider first?
Absent bowel sounds
Urine output of 20 mL/hr
Pain rating of 7/10
Temperature of 99.4°F (37.4°C)
A client post-hip replacement is found confused and restless. What should the nurse do first?
Apply bilateral wrist restraints
Notify the surgeon
Assess oxygen saturation
Administer prescribed analgesic
A client with heart failure has a new prescription for furosemide. Which lab value should the nurse monitor closely?
Hemoglobin
Sodium
Potassium
Creatinine kinase
A client with chest pain is suspected of having a myocardial infarction. Which intervention is the priority?
Insert a Foley catheter
Obtain a 12-lead ECG
Provide teaching on cardiac catheterization
Assess peripheral pulses
The nurse is teaching a client with hypertension about lifestyle modifications. Which statement indicates a need for further teaching?
I'll limit my alcohol intake to one drink per day.
I will use salt substitutes instead of table salt.
I will walk briskly for 30 minutes 5 days a week.
I will take my medications only when my blood pressure is high.
The nurse is caring for a client with sickle cell anemia who reports severe pain. What is the priority nursing intervention?
Encourage ambulation
Administer prescribed opioid analgesic
Apply cold compresses
Educate the patient about non-pharmacological pain control methods
A client with iron deficiency anemia is prescribed ferrous sulfate. What should the nurse include in the teaching?
Take with milk to reduce GI upset
Expect stools to turn black
Take with antacids
Report dark-colored urine
A client with thrombocytopenia is at greatest risk for which complication?
Infection
Bleeding
Fluid overload
Hypoxia
A client is admitted with community-acquired pneumonia. Which nursing intervention is a priority?
Monitor bowel sounds
Encourage fluid intake to 3 L/day
Place the client in a supine position
Limit ambulation until antibiotics are completed
The nurse is caring for a client with COPD. Which assessment finding requires immediate action?
Barrel-shaped chest
Use of accessory muscles
Oxygen saturation of 88%
New-onset confusion and drowsiness
A client with chronic bronchitis has thick secretions and frequent coughing. What is the most helpful nursing intervention?
Encourage rest and limit fluid intake
Administer cough suppressants around the clock
Encourage use of a humidifier and increase fluids
Keep the client NPO until symptoms resolve
A client is in the early stages of ARDS. Which finding would the nurse expect?
Decreased respiratory rate and shallow breathing
Crackles in lung bases and refractory hypoxemia
Productive cough with green sputum
Increased PaCO2 and increased HCO3-
A client with COPD is prescribed home oxygen at 2 L/min via nasal cannula. The client asks to increase it to "help me breathe better." What is the nurse's best response?
That’s fine if you're short of breath.
It’s safe to adjust your oxygen as needed.
You should not increase it because it can reduce your breathing drive.
Let me show you how to increase it slowly.
A client with Type 1 diabetes has the following blood glucose results: fasting 90 mg/dL and bedtime 210 mg/dL. What is the most appropriate nursing action?
Increase the morning insulin dose
Check the client's A1C
Add an evening dose of intermediate insulin
Instruct the client to reduce carbohydrate intake at breakfast
A nurse is assessing a client with possible diabetic ketoacidosis (DKA). Which finding supports this diagnosis?
Bradycardia and low blood pressure
Fruity breath and Kussmaul respirations
Cold, clammy skin and tremors
Shallow breathing and hypernatremia
Which instruction should be included in discharge teaching for a client with newly diagnosed type 2 diabetes?
You will not need insulin.
Take your metformin even if you skip a meal.
Check your blood glucose only when feeling ill.
Carry a carbohydrate snack in case of hypoglycemia.
The nurse is reviewing lab results for a diabetic client. Which result indicates poor long-term glucose control?
Fasting glucose 130 mg/dL
Random glucose 175 mg/dL
A1C 9.2%
Postprandial glucose 165 mg/dL
A client with diabetes becomes diaphoretic and confused during a blood draw. What is the priority nursing action?
Call the provider
Administer 50% dextrose IV
Check blood glucose
Offer orange juice
A client with a suspected small bowel obstruction reports abdominal pain and vomiting. Which assessment finding requires immediate action?
Visible peristaltic waves
Hypoactive bowel sounds
Firm, distended abdomen with fever
High-pitched bowel sounds in all quadrants
A client is diagnosed with a small bowel obstruction. Which nursing intervention has the highest priority?
Encourage oral fluid intake
Maintain the client NPO and insert NG tube
Administer a laxative as ordered
Position the client in high Fowler’s position
Which assessment finding is most characteristic of Crohn’s disease?
Bloody diarrhea with tenesmus
Pain in the lower left quadrant
Skip lesions throughout the GI tract
Confined to the mucosa of the colon
A client with ulcerative colitis reports 10 loose stools daily, cramping, and fatigue. What is the priority nursing concern?
Skin breakdown
Body image disturbance
Risk for fluid and electrolyte imbalance
Risk for constipation
A client with open-angle glaucoma is prescribed timolol eye drops. Which instruction should the nurse include?
Instill drops directly onto the cornea.
Hold pressure on the inner canthus after instilling the drops.
Take the medication only when your eye feels painful.
Use warm compresses to enhance absorption.
Which symptom would suggest a client is experiencing acute angle-closure glaucoma?
Gradual loss of peripheral vision
Eye pain with halos around lights and nausea
Painless central vision loss
Eye dryness and photophobia
A client with macular degeneration is most likely to report:
Blurred central vision
Tunnel vision
Eye pain and tearing
Loss of peripheral vision only at night
Which symptom indicates a possible retinal detachment?
Gradual loss of central vision
Sudden appearance of floaters and a "curtain" appearance over the visual field
Redness and crusting of eyelids
Sudden eye pain and bilateral peripheral vision loss
A client has a diagnosis of sensorineural hearing loss. Which finding is most consistent with this condition?
Rinne test: bone conduction > air conduction
Reports hearing better in noisy environments
Difficulty hearing high-pitched tones
Temporary hearing loss resolved with cerumen removal
A client with conductive hearing loss in the right ear is undergoing a Weber test. What is the expected result?
Sound lateralizes to the left ear
Sound is not heard in either ear
Sound lateralizes to the right ear
Sound is equally heard in both ears
Which cranial nerve is being tested when the nurse asks the client to smile and puff out their cheeks?
CN V – Trigeminal
CN VII – Facial
CN IX – Glossopharyngeal
CN XII – Hypoglossal
To assess cranial nerve VIII, the nurse should:
Check for hoarseness and gag reflex
Evaluate the sense of taste
Perform a whisper test or tuning fork test
Ask the client to protrude the tongue
The provider orders Heparin 5,000 units subcut every 8 hours. The vial reads 10,000 units/mL. How many mL should the nurse administer per dose?
0.25 mL
0.5 mL
1 mL
1.5 mL
Scenario: An 82-year-old client with a history of chronic heart failure is admitted with worsening shortness of breath, orthopnea, and 3+ pitting edema in both lower extremities. Vital signs: BP 152/90, HR 96, RR 24, SpO2 90% on 2L nasal cannula. The nurse notes bilateral crackles at the lung bases. Which action should the nurse take first?
Administer furosemide as prescribed
Notify the healthcare provider of the client's status
Place the client in high Fowler’s position
Restrict oral fluids to 1000 mL/day
Scenario: The nurse is reviewing discharge instructions for a client with heart failure. Which statement by the client indicates a need for further teaching?
I will weigh myself every morning before breakfast.
I should report a weight gain of 2 pounds in 1 day.
I will avoid canned soups and salty snacks.
I should skip my diuretic if I haven't gained more than 2 lbs in 24 hours.
A client with emphysema presents with increasing shortness of breath, dry cough, and fatigue. The nurse notes pursed-lip breathing and use of accessory muscles. SpO₂ is 89% on room air.
Increase oxygen to 6 L/min via nasal cannula
Encourage diaphragmatic and pursed-lip breathing
Place the client in supine position for rest
Administer cough suppressant as prescribed
The nurse is teaching a client with emphysema about home management. Which statement by the client indicates understanding?
I will use a humidifier to reduce my oxygen level.
I will avoid getting the flu vaccine to reduce congestion.
I will eat small, frequent meals high in protein and calories.
I should lie flat at night to sleep better.
Scenario: A client is 6 hours post-op from abdominal surgery. The nurse notes the client is drowsy, SpO2 86% on 2L oxygen, RR 10, and the client hasn't ambulated. Breath sounds are diminished in the lower lobes. Which action should the nurse take first?
Apply a non-rebreather mask
Administer prescribed opioid analgesic
Encourage incentive spirometry use and deep breathing
Increase IV fluid rate
A client is post-op day 1 after hip replacement surgery. The nurse notes redness, warmth, and tenderness in the left calf. What should the nurse do first?
Massage the calf to relieve discomfort
Notify the healthcare provider
Encourage ambulation
Apply compression stockings
A client is 1 day post-op following bowel surgery. The nurse auscultates no bowel sounds in any quadrant and the client complains of nausea. What is the most appropriate action?
Offer clear liquids to stimulate peristalsis
Document the finding and continue monitoring
Administer antiemetic and notify the provider
Encourage the client to eat small frequent meals
