,Hondros NUR 245 Exam 2 | Concepts of Nursing Care of the
Adult II (2026) Q&A
1. The nurse is delegating tasks on a medical-surgical unit. Which task is most
appropriate to assign to a Licensed Practical Nurse (LPN)?
A) Administer a titratable nitroglycerin drip for chest pain
B) Assess a new patient's pain level post-operatively
C) Insert a nasogastric tube for a patient with a bowel obstruction
D) Draw blood for a type and crossmatch
Correct Answer: Draw blood for a type and crossmatch
Rationale: Drawing blood is within the scope of practice for an LPN in most states
and does not require the advanced assessment or critical thinking skills of an RN.
Administering titratable IV drips (A) and performing initial assessments (B) require
RN-level judgment, and NG tube insertion (C) is often beyond LPN scope. Delegation
must match the task to the appropriate level of licensure and training.
2. An Unlicensed Assistive Personnel (UAP) reports that a patient's blood glucose is
55 mg/dL. What is the nurse's priority action?
A) Ask the UAP to provide the patient with orange juice
B) Instruct the UAP to apply a topical barrier cream
C) Immediately assess the patient and administer a fast-acting carbohydrate
D) Delegate to the UAP to obtain a repeat glucose reading in 30 minutes
Correct Answer: Immediately assess the patient and administer a fast-acting
carbohydrate
,Rationale: A blood glucose of 55 mg/dL indicates hypoglycemia, which can lead to
unconsciousness or seizures if untreated. The nurse must immediately assess the
patient's level of consciousness and ability to swallow, then administer a fast-acting
carbohydrate (e.g., orange juice, glucose gel). Delegating treatment to a UAP or
delaying care is unsafe.
3. The nurse is caring for four patients. Which patient requires the most immediate
assessment?
A) A post-op day 2 patient complaining of incisional pain rated 6/10
B) A patient with stable angina who reports chest pain that resolved with one
nitroglycerin tablet 15 minutes ago
C) A patient 4 hours post-operative who is drowsy, has a respiratory rate of 8, and
faint breath sounds
D) A patient with cirrhosis who has 2+ pitting edema in the lower extremities
Correct Answer: A patient 4 hours post-operative who is drowsy, has a respiratory
rate of 8, and faint breath sounds
Rationale: This patient exhibits signs of respiratory depression and possible opioid
overdose or other post-operative complication, which is immediately life-threatening.
A respiratory rate of 8 is below the normal range of 12-20 and requires urgent
intervention. The other patients have stable or expected findings that can be
addressed after the urgent assessment.
4. When prioritizing patient care, the nurse should make decisions based on which of
the following?
A) The patient's age and past medical history
B) Only the information presented in the current scenario or question
C) Which patient has been waiting the longest for care
D) The complexity of each patient's diagnosis
, Correct Answer: Only the information presented in the current scenario or question
Rationale: In test-taking and clinical prioritization, the nurse should base decisions
solely on the data provided in the scenario. Assumptions about age, waiting time, or
diagnosis complexity beyond the given information can lead to incorrect
prioritization. The focus should be on the urgency and stability of each patient's
condition as presented.
5. A patient with a history of stable angina reports chest pain. Which description is
most consistent with stable angina?
A) Crushing substernal pain at rest, lasting 20 minutes
B) Pressure with exertion, lasting 8 minutes, relieved by rest
C) Sharp, pleuritic pain that worsens with deep inspiration
D) Radiating pain to the back with tearing sensation
Correct Answer: Pressure with exertion, lasting 8 minutes, relieved by rest
Rationale: Stable angina is characterized by predictable chest pain or pressure that
occurs with exertion or stress, is relieved by rest or nitroglycerin, and typically lasts
less than 15 minutes. Crushing pain at rest suggests unstable angina or MI, sharp
pleuritic pain suggests pericarditis or pulmonary issues, and tearing pain suggests
aortic dissection.
6. A patient with a history of coronary artery disease (CAD) presents with chest pain
that occurs at rest and is not relieved by nitroglycerin. This is most consistent with
which type of angina?
A) Chronic stable angina
B) Unstable angina
C) Variant (Prinzmetal's) angina
Adult II (2026) Q&A
1. The nurse is delegating tasks on a medical-surgical unit. Which task is most
appropriate to assign to a Licensed Practical Nurse (LPN)?
A) Administer a titratable nitroglycerin drip for chest pain
B) Assess a new patient's pain level post-operatively
C) Insert a nasogastric tube for a patient with a bowel obstruction
D) Draw blood for a type and crossmatch
Correct Answer: Draw blood for a type and crossmatch
Rationale: Drawing blood is within the scope of practice for an LPN in most states
and does not require the advanced assessment or critical thinking skills of an RN.
Administering titratable IV drips (A) and performing initial assessments (B) require
RN-level judgment, and NG tube insertion (C) is often beyond LPN scope. Delegation
must match the task to the appropriate level of licensure and training.
2. An Unlicensed Assistive Personnel (UAP) reports that a patient's blood glucose is
55 mg/dL. What is the nurse's priority action?
A) Ask the UAP to provide the patient with orange juice
B) Instruct the UAP to apply a topical barrier cream
C) Immediately assess the patient and administer a fast-acting carbohydrate
D) Delegate to the UAP to obtain a repeat glucose reading in 30 minutes
Correct Answer: Immediately assess the patient and administer a fast-acting
carbohydrate
,Rationale: A blood glucose of 55 mg/dL indicates hypoglycemia, which can lead to
unconsciousness or seizures if untreated. The nurse must immediately assess the
patient's level of consciousness and ability to swallow, then administer a fast-acting
carbohydrate (e.g., orange juice, glucose gel). Delegating treatment to a UAP or
delaying care is unsafe.
3. The nurse is caring for four patients. Which patient requires the most immediate
assessment?
A) A post-op day 2 patient complaining of incisional pain rated 6/10
B) A patient with stable angina who reports chest pain that resolved with one
nitroglycerin tablet 15 minutes ago
C) A patient 4 hours post-operative who is drowsy, has a respiratory rate of 8, and
faint breath sounds
D) A patient with cirrhosis who has 2+ pitting edema in the lower extremities
Correct Answer: A patient 4 hours post-operative who is drowsy, has a respiratory
rate of 8, and faint breath sounds
Rationale: This patient exhibits signs of respiratory depression and possible opioid
overdose or other post-operative complication, which is immediately life-threatening.
A respiratory rate of 8 is below the normal range of 12-20 and requires urgent
intervention. The other patients have stable or expected findings that can be
addressed after the urgent assessment.
4. When prioritizing patient care, the nurse should make decisions based on which of
the following?
A) The patient's age and past medical history
B) Only the information presented in the current scenario or question
C) Which patient has been waiting the longest for care
D) The complexity of each patient's diagnosis
, Correct Answer: Only the information presented in the current scenario or question
Rationale: In test-taking and clinical prioritization, the nurse should base decisions
solely on the data provided in the scenario. Assumptions about age, waiting time, or
diagnosis complexity beyond the given information can lead to incorrect
prioritization. The focus should be on the urgency and stability of each patient's
condition as presented.
5. A patient with a history of stable angina reports chest pain. Which description is
most consistent with stable angina?
A) Crushing substernal pain at rest, lasting 20 minutes
B) Pressure with exertion, lasting 8 minutes, relieved by rest
C) Sharp, pleuritic pain that worsens with deep inspiration
D) Radiating pain to the back with tearing sensation
Correct Answer: Pressure with exertion, lasting 8 minutes, relieved by rest
Rationale: Stable angina is characterized by predictable chest pain or pressure that
occurs with exertion or stress, is relieved by rest or nitroglycerin, and typically lasts
less than 15 minutes. Crushing pain at rest suggests unstable angina or MI, sharp
pleuritic pain suggests pericarditis or pulmonary issues, and tearing pain suggests
aortic dissection.
6. A patient with a history of coronary artery disease (CAD) presents with chest pain
that occurs at rest and is not relieved by nitroglycerin. This is most consistent with
which type of angina?
A) Chronic stable angina
B) Unstable angina
C) Variant (Prinzmetal's) angina
