Nursing Care of Adults Exam Solutions
Course Introduction
Nursing Care of Adults explores the foundational principles and practices essential for delivering comprehensive nursing care to adult patients across a variety of healthcare settings. The course emphasizes assessment techniques, evidence-based interventions, and effective communication strategies for managing common acute and chronic health conditions experienced by adults. Students will develop critical thinking and clinical judgment skills necessary for promoting health, preventing illness, and supporting recovery. Ethical considerations, cultural sensitivity, interdisciplinary collaboration, and patient education are integrated throughout the curriculum to prepare nursing students for providing safe and holistic care to diverse adult populations.
Recommended Textbook
Adult Health Nursing 6th Edition by Barbara
Christensen
Available Study Resources on Quizplus
17 Chapters
676 Verified Questions
676 Flashcards
Source URL: https://quizplus.com/study-set/1169
Page 2
Chapter 1: Introduction to Anatomy and Physiology
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/23140
Sample Questions
Q1) When a cell engulfs or surrounds foreign material, this process is called
A) pinocytosis.
B) phagocytosis.
C) absorption.
D) diffusion.
Answer: B
Q2) The section of biology dealing with human structure is
A) psychiatry.
B) anatomy.
C) surgery.
D) physiology.
Answer: B
Q3) Which are among the 11 body systems? (Select all that apply.)
A) Lymphatic
B) Cellular
C) Digestive
D) Reproductive
E) Accessory
F) Spinal cord
Answer: A, C, D
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Care of the Surgical Patient
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/23141
Sample Questions
Q1) What is the responsibility of the nurse regarding informed consent?
A) Explain the surgical options.
B) Explain the operative risks.
C) Obtain the patient's signature.
D) Check form for appropriate signatures.
Answer: C
Q2) A 73-year-old patient with diabetes was admitted for below-the-knee amputation of his right leg. Removal of his right leg is an example of which type of surgery?
A) Palliative
B) Diagnostic
C) Reconstructive
D) Ablative
Answer: D
Q3) Which nursing interventions would be appropriate after a wound evisceration?
A) Place the patient in high Fowler's position.
B) Give the patient fluids to prevent shock.
C) Replace the dressing with sterile fluffy pads.
D) Apply a warm, moist normal saline sterile dressing.
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
Page 4
Chapter 3: Care of the Patient With an Integumentary Disorder
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/23142
Sample Questions
Q1) A patient is a 32-year-old woman whose mother recently died from malignant melanoma. She asks the nurse about what she can do to prevent the development of malignant melanoma in herself and her children. The best response by the nurse includes which information regarding risk factors for melanoma?
A) Avoid exposure to the sun and use protective measures when exposure occurs.
B) Have all nevi removed.
C) Watch for changes in moles, especially on the back.
D) There is nothing that prevents malignant melanoma, but it is curable if detected early.
Answer: A
Q2) A patient has been walking in the woods. He complains of severe pruritus. The nurse notes an erythematous area on his lower legs. The first nursing intervention for dermatitis venenata would be to
A) administer Benadryl, 50 mg IM.
B) wash area with copious amounts of water.
C) apply cool compresses continuously.
D) expose area to heat and air.
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: Care of the Patient With a Musculoskeletal Disorder
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/23143
Sample Questions
Q1) When caring for a patient who is 34 years old and has rheumatoid arthritis, the nurse should remember that
A) exercise should be avoided to decrease pain.
B) the patient should be discouraged from performing activities of daily living.
C) rest and exercise are both important parts of therapy.
D) pain is best controlled by use of narcotic analgesics.
Q2) A patient, age 72, has a left intertrochanteric fracture as a result of a fall. In planning ways to increase her safety, the nurse realizes it is most important to determine
A) preexisting health conditions.
B) nutritional status.
C) psychosocial history.
D) pain level.
Q3) Which diagnostic exam is used to find pathological abnormalities of the brain?
A) CT scan
B) Nuclear medicine scan
C) MRI
D) Radiograph
Q4) In gangrene, there is an acute infection to the skeletal muscle. If untreated, _________ will destroy the tissue.
Page 6
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Care of the Patient With a Gastrointestinal Disorder
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/23144
Sample Questions
Q1) The nurse determines that a patient has a knowledge deficit regarding her diagnosis of achalasia. The nurse begins patient teaching by explaining that achalasia is
A) a white patch on the mouth or tongue mucosa.
B) caused by frequent ulceration on the lip.
C) caused by excess exposure to sun and wind.
D) caused by the inability of a muscle to relax.
Q2) Constipation is a problem for many older adults. The medical management to prevent constipation includes (Select all that apply):
A) Decreasing physical activity
B) Decreasing fluid intake
C) Nutritional diet high in fiber
D) Increasing fluid intake
E) Increasing daily activity
F) Decreasing strict daily routines
Q3) The most lethal complication of a peptic ulcer is A) bleeding.
B) perforation.
C) severe pain.
D) gastric outlet obstruction.
7
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Care of the Patient With a Gallbladder, Liver,
Biliary Tract, or Exocrine Pancreatic Disorder
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/23145
Sample Questions
Q1) A patient has been admitted with right upper quadrant pain. Which would most likely be a source of her pain?
A) Spleen
B) Ovaries
C) Gallbladder
D) Pancreas
Q2) A family member of a patient asks the nurse about the protein-restricted diet ordered because of advanced liver disease with hepatic encephalopathy. What statement by the nurse would best explain the purpose of the diet?
A) "The liver cannot rid the body of ammonia that is made by the breakdown of protein in the digestive system."
B) "The liver heals better with a high-carbohydrate diet rather than with a diet high in protein."
C) "Most people have too much protein in their diets. The amount in this diet is better for liver healing."
D) "Because of portal hypertension, the blood flows around the liver, and ammonia made from protein collects in the brain, causing hallucinations."
To view all questions and flashcards with answers, click on the resource link above.
Page 8
Chapter 7: Care of the Patient With a Blood or Lymphatic Disorder
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/23146
Sample Questions
Q1) When developing a care plan for a patient just diagnosed with leukemia, which two nursing diagnoses are the most appropriate to use?
A) Deficient knowledge and Hopelessness
B) Risk for infection and Risk for injury
C) Ineffective coping and Chronic pain
D) Fatigue and Chronic pain
Q2) The appropriate nursing intervention to relieve the symptom of pruritus in a patient with Hodgkin's disease would be to
A) decrease fluid intake to decrease fluid retention in the interstitial area.
B) soothing bath with prescribed antipruritic medication.
C) give a hot bath to decrease pruritus.
D) apply warm, moist packs to the pruritic area.
Q3) A patient, age 52, is admitted with thrombocytopenia. The most important nursing intervention to prevent hemorrhage in this patient is to
A) prevent trauma and falling.
B) avoid catheterization.
C) monitor vitals every hour.
D) begin immunocompromised (neutropenic) precautions.
Q4) A sudden reduction in blood volume may lead to _________ shock.
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/23147
Sample Questions
Q1) What is defined as a distended dilated segment of an artery?
A) Embolism
B) Aneurysm
C) Angina
D) Adhesion
Q2) A patient has been admitted after the insertion of a pacemaker because of bradycardia. She asks what third-degree heart block is, and the nurse replies
A) "Coronary blood vessel occlusion causing slow contraction of the right ventricles."
B) "Sclerosis of cardiac valves causing slow pulse."
C) "A defect in AV junctions slows and impairs conduction of impulses from the SA node to the ventricles."
D) "Increased pressure in the pulmonary vessels."
Q3) A patient has a diagnosis of heart failure. When the nurse walks into his room, he is orthopneic. The patient is
A) sitting or standing in order to breathe deeply and comfortably.
B) complaining of sudden awakenings from sleep because of shortness of breath.
C) complaining of pain in lower extremities.
D) unable to respond to simple questions.
To view all questions and flashcards with answers, click on the resource link above. Page 10
Chapter 9: Care of the Patient With a Respiratory Disorder
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/23148
Sample Questions
Q1) The patient has COPD. To teach him pursed-lip breathing, the nurse should instruct him to inhale slowly through his
A) mouth, then exhale quickly through pursed lips.
B) nose, then exhale more slowly through pursed lips.
C) mouth, then make his exhalation last three times as long as his inhalation.
D) nose, making his inhalation last three times as long as his exhalation.
Q2) A 68-year-old male patient has chronic obstructive pulmonary disease (COPD). He has a markedly increased need for protein and calories to maintain an adequate nutritional status. To help him get the nutrition he needs, the nurse would encourage him to
A) eat three meals a day.
B) rest 30 minutes before eating.
C) drink fluids only with meals.
D) perform bronchial drainage 30 minutes after eating.
Q3) The circulation of the lungs is through the
A) coronary arteries and coronary veins.
B) celiac arteries and celiac veins.
C) pulmonary arteries and pulmonary veins.
D) carotid arteries and jugular veins.
Q4) The _________ are the structures of the lung in which gas exchange occurs.
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: Care of the Patient With a Urinary Disorder
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/23149
Sample Questions
Q1) The following constituent of the urinalysis test indicates possible renal disease, muscle exertion, or dehydration
A) proteinuria
B) positive glucose
C) positive bilirubin
D) bacteriuria
Q2) The patient is scheduled for a transurethral resection of the prostate. During preoperative teaching, it is important to emphasize that after surgery he should expect A) red drainage from the catheter.
B) limited intake of fluids.
C) a sodium-restricted diet.
D) incisional drainage.
Q3) _________ training involves developing the muscles of the perineum to improve voluntary control over voiding; bladder training may be modified for different problems.
Q4) Bladder distention may be assessed by palpating above the ___________
Q5) _____________ is a term for severe generalized edema.
Q6) Aldactone (spironolactone) is classified as a ______________-sparing diuretic.
Q7) Acute ______________ is commonly a result of a preexisting infection.
Page 12
To view all questions and flashcards with answers, click on the resource link above.
Chapter 11: Care of the Patient With an Endocrine Disorder
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/23150
Sample Questions
Q1) A condition with a deficiency in growth hormone is called _____________
Q2) A patient has type 1 diabetes (IDDM). The nurse is teaching her early signs and symptoms of insulin reaction, which include
A) abdominal pain and nausea.
B) dyspnea and pallor.
C) flushing of the skin and headache.
D) perspiration and a trembling sensation.
Q3) What would be most necessary to place postoperatively at the bedside of the patient with a subtotal thyroidectomy?
A) Suction tray
B) Tracheotomy tray
C) Incentive spirometer
D) Water sealed drainage system
Q4) The primary clinical manifestation of hyperparathyroidism is A) hypocalcemia.
B) hypercalcemia.
C) hypoglycemia.
D) hyperglycemia.
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Care of the Patient With a Reproductive Disorder
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/23151
Sample Questions
Q1) _____________ are benign tumors of the uterus.
Q2) Select the interventions that should be performed with caution, in the affected arm, on patients who have undergone a modified radical mastectomy. (Select all that apply.)
A) Vaccinations
B) Taking of blood pressure or samples
C) Insertion of IV line
D) Physical therapy on uninvolved arm
E) Wear watch and jewelry on involved arm
F) Carry purse on involved arm or shoulder
Q3) The nurse admits a patient, age 72, who is scheduled for a vaginal hysterectomy. In what position will this patient be placed in the operating room for her surgery?
A) Lateral
B) Lithotomy
C) Trendelenburg
D) Supine
Q4) The nurse is assisting the physician in removing a small sample of tissue from the patient's cervix to have it evaluated. This procedure is called a cervical
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Care of the Patient With a Visual or Auditory Disorder
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/23152
Sample Questions
Q1) Rapid onset of decreased vision, halos around lights, and severe eye pain are indications of
A) closed-angle glaucoma.
B) open-angle glaucoma.
C) retinal detachment.
D) diabetic retinopathy.
Q2) A patient is prescribed eyedrops that constrict the pupil, permitting aqueous humor to flow. The nurse would reinforce the teaching by referring to the drops as A) mydriatics.
B) miotics.
C) osmotics.
D) inhibitors.
Q3) A male patient brings home a note from the occupational nurse that states, "You have acute bacterial conjunctivitis." This condition is more commonly called A) infection.
B) tearing.
C) pink eye.
D) color blindness.
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Care of the Patient With a Neurologic Disorder
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/23153
Sample Questions
Q1) Which body system would the nurse choose to closely monitor in a patient diagnosed with Guillain-Barré syndrome?
A) CNS
B) GI
C) Respiratory
D) Cardiovascular
Q2) A patient, age 69, is being evaluated by a neurologist for signs of muscle rigidity, masklike face (area from forehead to chin), and propulsive gait. These signs are often characteristic of
A) multiple sclerosis.
B) Parkinsonism.
C) Alzheimer's disease.
D) epilepsy.
Q3) When obtaining a health history from a patient with a neurological problem, the nurse is likely to elicit the most valid response from the patient with which question?
A) "Do you have any sensations of pins and needles in your feet?"
B) "Does the pain radiate from your back into your legs?"
C) "Can you describe the sensations you are having in your head?"
D) "Do you ever have any nausea or dizziness?"
To view all questions and flashcards with answers, click on the resource link above.
Page 16
Chapter 15: Care of the Patient With an Immune Disorder
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23154
Sample Questions
Q1) Which is a factor that contributes to the extent of an allergic response to an allergen?
A) The integrity of the skin
B) The time of year in which one is exposed
C) The amount of exposure
D) Exposure to one's clothing
Q2) During a patient history, the nurse notices that the patient has had five upper respiratory infections in the past 18 months. The nurse begins to suspect that the patient may have an immunodeficiency disease because the first evidence of this disease is
A) an increased susceptibility to infection.
B) an increased coagulation problem.
C) a problem with hemostasis.
D) localized edema, raised wheals.
Q3) When assessing the patient for hypersensitivity, the nurse should
A) review the immunization history.
B) discuss seasonal occurrence of signs and symptoms.
C) evaluate nutritional status.
D) observe the range of joint mobility.
Q4) The purpose of immunotherapy is _____________.
To view all questions and flashcards with answers, click on the resource link above.
Page 17
Chapter 16: Care of the Patient With HIV-Aids
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23155
Sample Questions
Q1) A patient is advised to be tested for HIV because of his multiple sexual partners and injectable drug use. The nurse should ensure that this patient understands the test by informing him that:
A) The blood is tested with the highly sensitive test called the Western blot.
B) The blood is tested with an ELISA; if positive, it is tested again with an ELISA, followed by a Western blot if the second ELISA is positive.
C) A series of HIV tests is performed to confirm if the patient has AIDS.
D) If the HIV tests are seronegative, John can be assured that he is not infected.
Q2) Which nutritional intake will assist the patient in regaining lost weight? (Select all that apply.)
A) Increase fluid intake
B) Limit protein and fat intake
C) Offer nutritional supplements (Boost, Sustacal, etc.)
D) Eat several small meals during the day
E) Provide referrals to dietitians and social workers
F) Weigh patient monthly
Q3) ______________ is a type of sexual option classified as "no risk" for a person to become infected with HIV virus.
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Care of the Patient With Cancer
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/23156
Sample Questions
Q1) In the nursing interventions for a patient receiving external radiation treatments for a malignancy, the nurse must remember to
A) cleanse with soap and water the areas of entry or "ports" marked by the radiologist.
B) apply some form of ointment with a metallic base to the area of entry each time the patient goes for x-ray treatments.
C) instruct the patient to avoid irritating the "ports" by not lying on that part of the body and not wearing constricting clothing.
D) isolate the patient so he will not expose others to radiation.
Q2) The patient receiving radiation therapy often has conspicuous skin markings left on the skin after treatment. What is the most appropriate nursing implication regarding these markings?
A) They are residue of the treatment and must be washed off.
B) They are caused by radiation and will be permanent.
C) They indicate an allergic reaction and should be reported.
D) They are guidelines for treatment and should be left on.
Q3) The term ____________ is used for various substances that are known to contribute to cancer.
To view all questions and flashcards with answers, click on the resource link above. Page 19