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Adult Health Exam 1( Viterbo University)

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Exam Details !

Title : Adult Health Exam 1( Viterbo University)

Type : Nursing

Category : RN Nursing Exams

Subcategory : GENERAL Exams

Domain : Adult Health (General RN)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 15

Exam Year : 2025

Duration : 200 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Adult Health questions tailored for RN students.

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1 :
A patient has a traumatic brain injury. The nurse assesses the following: Pulse change from 82 to 60 beats/min, Pulse pressure increase from 26 to 40 mm Hg, and Respiratory irregularities. What action by the nurse takes priority?

Increase the rate of the IV fluid administration.

Notify the provider immediately.

Prepare to give IV pain medication.

Notify respiratory therapy for a breathing treatment.

Hint : 🧭Think of the triad that signals dangerously rising pressure inside the skull and what action speeds definitive treatment.

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2 :
A patient with a spinal cord lesion at T4 tells the nurse that he has a headache and feels flushed. The blood pressure is significantly elevated to 190/100. The first action by the nurse is to:

Recheck all of the patient's vital signs.

Elevate the patient's knees and lower the head of the bed.

Elevate the head of the bed immediately and notify the provider.

Administer PRN Tylenol for the patient's headache.

Hint : 🚿First think position, then search quickly for bladder or bowel triggers causing the surge.

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3 :
When providing care for a client hospitalized with acute pancreatitis who has acute abdominal pain, which nursing interventions would be most appropriate for this client? Select all that apply.

Place the client in a side-lying position.

Administer hydromorphone for pain as prescribed.

Obtain daily weights.

Maintain a high-calorie, high-protein diet.

Monitor the client's respiratory status.

Hint : 🌬️Focus on pain relief that limits pancreatic stimulation and vigilance for serious lung complications.

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4 :
A nursing student learns about modifiable risk factors for coronary artery disease. Which factors does this include? Select all that apply.

Age

Hypertension

Obesity

Smoking

Stress

Hint : 🧩Pick the risks you can change through lifestyle or treatment—not those you’re born with.

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5 :
Which client warrants immediate intervention by the nurse?

The client with a heart rate of 56/min and a blood pressure of 110/70.

The client diagnosed with mitral valve regurgitation who has a thready peripheral pulse.

The client diagnosed with pericarditis who has chest pain with inspiration.

The client with a history of atrial fibrillation who has developed slurred speech.

Hint : ⛑️When a new focal neurologic sign appears, think “time is brain.”

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6 :
A nurse cares for a patient who has cirrhosis of the liver. What action would the nurse take to decrease the presence of ascites?

Monitor intake and output.

Provide a low-sodium diet.

Increase oral fluid intake.

Weigh the patient daily.

Hint : 🧂Target the solute that pulls water with it.

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7 :
A nurse recognizes that alterations in cardiac output are caused by changes in heart rate, preload, afterload, and contractility. Which interventions are correctly matched to treat the cause of low cardiac output? Select all that apply.

Low afterload: administer vasopressor.

Low afterload: administer vasodilator.

Low right atrial (RA) pressure: administer diuretics.

Low preload: administer fluid bolus.

High preload: administer diuretic or vasodilator.

Hint : ⚙️Match the hemodynamic problem (afterload/preload) with the drug that moves it in the opposite direction.

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8 :
Which treatment best applies to the care of a client newly diagnosed with infective endocarditis?

Complete bedrest for the duration of the treatment with subcutaneous enoxaparin.

Long-term anticoagulant therapy with IV heparin followed by oral warfarin.

Administration of IV penicillin, followed by oral penicillin for 10 weeks.

Hospitalization for initial IV antibiotics, followed by continued IV antibiotics at home.

Hint : 💉Think long-course, culture-guided IV therapy that may transition to outpatient infusion.

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9 :
A nurse is caring for a patient who experienced a cervical spine injury 12 hours ago and is experiencing spinal shock. Which of the following medications should the nurse anticipate giving?

Albumin

Nitroprusside

Dexamethasone

Furosemide

Hint : 🧯Consider the drug class aimed at dampening early cord edema and inflammation in acute injury contexts.

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10 :
A nurse assesses a patient in an outpatient clinic. Which statement alerts the nurse to the possibility of left-sided heart failure?

I must stop halfway up the stairs to catch my breath.

I am awakened by the need to urinate at night.

I have been drinking more water than usual.

I have experienced blurred vision on several occasions.

Hint : 🧗‍♂️Symptoms that limit climbing or exertion point toward pump failure with lung backup.

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Ans

Adult Health Exam 1( Viterbo University)

No.

1 : A patient has a traumatic brain injury. The nurse assesses the following: Pulse change from 82 to 60 beats/min, Pulse pressure increase from 26 to 40 mm Hg, and Respiratory irregularities. What action by the nurse takes priority?

2 : A patient with a spinal cord lesion at T4 tells the nurse that he has a headache and feels flushed. The blood pressure is significantly elevated to 190/100. The first action by the nurse is to:

3 : When providing care for a client hospitalized with acute pancreatitis who has acute abdominal pain, which nursing interventions would be most appropriate for this client? Select all that apply.

4 : A nursing student learns about modifiable risk factors for coronary artery disease. Which factors does this include? Select all that apply.

5 : Which client warrants immediate intervention by the nurse?

6 : A nurse cares for a patient who has cirrhosis of the liver. What action would the nurse take to decrease the presence of ascites?

7 : A nurse recognizes that alterations in cardiac output are caused by changes in heart rate, preload, afterload, and contractility. Which interventions are correctly matched to treat the cause of low cardiac output? Select all that apply.

8 : Which treatment best applies to the care of a client newly diagnosed with infective endocarditis?

9 : A nurse is caring for a patient who experienced a cervical spine injury 12 hours ago and is experiencing spinal shock. Which of the following medications should the nurse anticipate giving?

10 : A nurse assesses a patient in an outpatient clinic. Which statement alerts the nurse to the possibility of left-sided heart failure?

1 :
A patient has a traumatic brain injury. The nurse assesses the following: Pulse change from 82 to 60 beats/min, Pulse pressure increase from 26 to 40 mm Hg, and Respiratory irregularities. What action by the nurse takes priority?

2 :
A patient with a spinal cord lesion at T4 tells the nurse that he has a headache and feels flushed. The blood pressure is significantly elevated to 190/100. The first action by the nurse is to:

3 :
When providing care for a client hospitalized with acute pancreatitis who has acute abdominal pain, which nursing interventions would be most appropriate for this client? Select all that apply.

4 :
A nursing student learns about modifiable risk factors for coronary artery disease. Which factors does this include? Select all that apply.

5 :
Which client warrants immediate intervention by the nurse?

6 :
A nurse cares for a patient who has cirrhosis of the liver. What action would the nurse take to decrease the presence of ascites?

7 :
A nurse recognizes that alterations in cardiac output are caused by changes in heart rate, preload, afterload, and contractility. Which interventions are correctly matched to treat the cause of low cardiac output? Select all that apply.

8 :
Which treatment best applies to the care of a client newly diagnosed with infective endocarditis?

9 :
A nurse is caring for a patient who experienced a cervical spine injury 12 hours ago and is experiencing spinal shock. Which of the following medications should the nurse anticipate giving?

10 :
A nurse assesses a patient in an outpatient clinic. Which statement alerts the nurse to the possibility of left-sided heart failure?