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NUR 395 CARE OF THE ADULT CLIENTS FINAL
EXAM 2025|ACTUAL 160Qs&As|A+GRADE
A nurse is caring for a client who has a new prescription for TAMOXIFEN. The nurse should recognize that TAMOXIFEN has which of the following therapeutic effects? A. Anti-Estrogenic B. Antimicrobial C. Androgenic D. Anti-Inflammatory A. Anti- Estrogenic A nurse is teaching a client about physiological changes that can occur with menopause. which of the following changes should the nurse include? A. Urinary Hesitancy B. Hematuria C. Stress Incontinence D. Increased Vaginal Moisture C. Stress Incontinence A nurse is providing discharge instructions about calcium supplements to an older adult female client who has osteoporosis and recently underwent a repair of
a fracture in her right hip. which of the following instructions should the nurse include? A. "You should take your calcium supplement with a large glass of water." B. "You should increase your intake of grain cereals while taking calcium supplements." C. "You should take at least 2600 mg of calcium supplements daily." D. "you will not need to take vitamin D with your calcium supplement after menopause." A. "You should take your calcium supplement with a large glass of water." A nurse in a provider's office is assessing a client who reports taking a dietary supplement to reduce hot flashes related to menopause. Which of the following supplements should the nurse expect the client to report taking? A. Flaxseed B. Ginkgo Biloba C. Black Cohosh D. St. John's Wort C. Black Cohosh A nurse is caring for a client who states "I think I am pregnant." Which of the following findings should the nurse identify as a positive sign of pregnancy? A. Positive serum pregnancy test B. Amenorrhea
D. Undergoing hormonal replacement therapy for 10 years. A nurse is teaching a client who had a vaginal hysterectomy with a bilateral oophorectomy. Which of the following pieces of information should the nurse include in the teaching? A. "Plan to use some type of birth control for up to 6 weeks after surgery. " B. "Use a water based lubricant when having sexual intercourse." C. "Expect to have an increase in bloody vaginal drainage during the first 10 days after surgery." D. Plan to start some type of aerobic exercise such as swimming within a week after surgery." B. "Use a water based lubricant when having sexual intercourse." A nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin. The nurse should identify that the provider has prescribed these medications for which of the following reasons? A. Long-term use to reduce the risk of breast cancer B. Short-term use to stimulate the endometrium C. Long-term use to prevent osteoporosis D. Short-term use to control urogenital atrophy D. Short-term use to control urogenital atrophy
A nurse is caring for a client who believes she may be pregnant. Which of the following findings should the nurse identify as a positive sign of pregnancy? A. Palpable Fetal movement B. Chadwick's sign C. Positive Pregnancy test D. Amenorrhea A. Palpable Fetal movement A nurse is preparing a plan of care for a client who is postoperative following a modified radical mastectomy. Which of the following invasive devices should the nurse expect the client to have? A. Chest Tube B. Indwelling urinary catheter C. Nasogastric Tube D. Jackson-Pratt drain D. Jackson-Pratt drain A nurse is planning care for a client who is postoperative following a radical mastectomy. which of the following interventions should the nurse include in the plan? A. Rest the arm on the affected side on the bed when the client is sleeping. B. Instruct the client to keep the affected arm flexed when ambulating
A nurse is preparing a client who is scheduled for a hysterotomy for transport to the operating room. The client states she no longer want to have the surgery. Which of the following actions should the nurse take? A. Tell the client it is too late for her to change her mind because the surgery is already scheduled. B. Telephone the operating room and cancel the surgery. C. Inform the client's family about the situation D. Notify the provider of the client's decision. D. Notify the provider of the client's decision. A nurse is caring for a client who is postoperative following a vaginal hysterectomy and asks for a drink. Her postoperative diet prescription states "clear liquids; advance diet as tolerated." which of the following responses should the nurse make? A. "Lunch trays should be here within the hour." B. "I am going to listen to your abdomen." C. "I'll get you some water to drink." D. "Lets wait a bit so you don't feel sick." B. "I am going to listen to your abdomen."
A nurse is admitting a client who is scheduled for a biopsy of a testicular mass. The client asks, "do you think the doctor will find cancer?" which of he following responses should the nurse make? A. Most tumors in the testicles are benign. B. It must be difficult for you not to know what the doctor will find. C. I think you should discuss this with your doctor. D. "Why are you worried about cancer." B. It must be difficult for you not to know what the doctor will find. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) therapy and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings? A. Hypertension B. Excessive Thirst C. Fever D. Diaphoresis D. Diaphoresis A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a central line. Which of the following actions should the nurse perform? A. Change the tubing every 12 hr.
B. Obtain a serum blood glucose every 4 hr. D. Change the IV tubing every 24 hr. A nurse is caring for a client who has testicular cancer and is experiencing peripheral neuropathy as an adverse effect of chemotherapy. Which of the following client manifestations is an expected finding of peripheral neuropathy. A. Thinning of the scalp hair B. Tingling of the hands and feet C. Reduced ability to concentrate. D. Sores in the mucous membranes B. Tingling of the hands and feet A nurse is caring for an adolescent client who was recently diagnosed with testicular cancer. When the nurse asks the client a question, he angerly spits in the nurses face. Which of the following responses should the nurse provide? A. "I will come back to change your linens when you are feeling better." B. "Who do you think you are to treat me like that?" C. "Why did you spit in my face?" D. "You seem to be very upset." D. "You seem to be very upset."
A nurse is providing teaching to a client who is scheduled to start taking FINASTERIDE. Which of the following statements by the client indicates an understanding of the teaching? A. "I will see improvement in my symptoms within a week." B. "I can expect increased libido with this medication." C. "I should see a decrease in my PSA levels." D. "I must take this medication within 60 min of sexual activity. C. "I should see a decrease in my PSA levels." A nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following data in the client's record should the nurse identify as a contraindication to the use of this medication? A. Diabetes Mellitus. B. Current use of isosorbide to treat heart failure. C. Eyeglasses for presbyopia. D. Osteoarthritis. B. Current use of isosorbide to treat heart failure. A nurse is caring for a client who reports crushing chest pain. The nurse reviews the client's ECG results and notes ST changes. Which of the following medications should the nurse administer? A. Simvastatin
C. Irrigate the indwelling urinary catheter with a syringe A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following findings should the nurse report to the provider? A. Output equal to the instilled irrigant B. Client report of bladder spasms C. Viscous urinary output with clots D. Client report of a strong urge to urinate C. Viscous urinary output with clots A nurse is providing teaching to a client who is preoperative prior to a transurethral resection of the prostate (TURP). Which of the following client statements indicates an understanding of the information? A. "I will not need to have a urinary catheter following this procedure." B. "I will expect my urine to be cloudy after having this procedure." C. "At least I won't have leakage of urine after having this procedure." D. "I will feel the urge to urinate following this procedure." D. "I will feel the urge to urinate following this procedure."
A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP). After the nurse discontinues the client's urinary catheter, which of the following findings should the nurse report to the provider? A. Pink-tinged urine B. Report of burning upon urination C. Stress incontinence D. Decreased urine output D. Decreased urine output A nurse is caring for a client who has breast cancer. The client has been receiving radiation therapy for several months and now refuses to undergo further treatment. Which of the following actions should the nurse take? A. Suggest the client talk with someone who has survived breast cancer B. Encourage the client not to give up C. Support the client's decision D. Refer the client to a counselor C. Support the client's decision A nurse is caring for a client who has breast cancer and is receiving a combination of chemotherapy medications. The client expresses confusion about the therapy. Which of the following explanations should the nurse provide? A. "The risk of renal toxicity is lessened when a combination of chemotherapy medications is used."
A. Anger B. Bargaining C. Denial D. Depression C. Denial A nurse is admitting a child who has a urinary tract infection (UTI) and a history of myelomeningocele. After completing the admission history, which of the following actions should the nurse plan to take? A. Attach a latex allergy alert identification band B. Initiate contact precautions C. Post signs in the client's bathroom to strain the client's urine D. Administer folic acid with meals A. Attach a latex allergy alert identification band A nurse is performing a preoperative assessment of a client about to undergo a cholecystectomy. The nurse should identify a risk for a latex allergy when the client reports an allergy to which of the following foods? A. Cabbage B. Oatmeal C. Milk D. Bananas D. Bananas
A nurse is caring for a client who is receiving IV ampicillin and develops urticaria and dyspnea. Which of the following actions should the nurse take first? A. Elevate the client's feet and legs B. Administer epinephrine C. Infuse 0.9% sodium chloride D. Stop the medication infusion D. Stop the medication infusion A nurse is monitoring a client with pneumonia who has received penicillin G intramuscularly (IM). Which of the following findings should the nurse plan to evaluate first? A. Pain at the injection site B. Prolonged motor dysfunction C. Laryngeal edema D. Temperature 37.6°C (99.7°F) C. Laryngeal edema
C. "No further treatment is needed after injecting the epinephrine." D. "You will need to increase the dosage as your child gains weight." D. "You will need to increase the dosage as your child gains weight." A nurse is performing skin assessments for a group of older adult clients. Which of the following findings should the nurse identify as a benign, age-related skin change commonly seen in this population? A. Liver spots B. Nevi C. Atopic dermatitis D. Psoriasis A. Liver spots A nurse is reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of the following events should the nurse expect in the client's medical history? A. Recent myocardial infarction B. History of hemorrhagic stroke C. Current outbreak of psoriasis D. History of hypertension A. Recent myocardial infarction
A nurse is providing discharge instructions to a client who is postoperative following surgical excision of a basal cell carcinoma. Which of the following findings should the nurse include as an indication of a mole's potential malignancy? A. Ulceration B. Blanching of surrounding skin C. Dimpling D. Fading of color A. Ulceration A nurse is teaching a group of clients about skin cancer. The nurse should explain that basal cell carcinoma originates from which of the following tissues? A. Subcutaneous B. Epidermis C. Dermis D. Stratum corneum B. Epidermis A nurse is caring for a client who has a lesion on the back of his right hand. The client asks the nurse which type of skin cancer is the most serious. Which of the following responses by the nurse is appropriate? A. Basal cell carcinoma
