1
NUR 176 HONDROS - EXAM 2 LATEST 2026/2027 |
CONCEPTS OF ADULT HEALTH NURSING I | 40
VERIFIED Q&A | DETAILED RATIONALES | NGN-
ALIGNED | PASS GUARANTEED – A+ GRADED
EXAM BLUEPRINT OVERVIEW
Topic Approximate Weight
Cardiovascular Disorders ~20%
Respiratory Disorders ~15%
Endocrine Disorders (Diabetes, Thyroid) ~15%
Renal & Urinary Disorders ~10%
Gastrointestinal Disorders ~10%
Neurological Disorders ~10%
Musculoskeletal Disorders ~10%
Hematologic Disorders ~5%
Pharmacology (Cardiac, Diabetic, Respiratory) ~5%
SECTION 1: CARDIOVASCULAR DISORDERS – Questions 1–8
Q1: Heart Failure – Left-Sided Signs
A client with left-sided heart failure is likely to exhibit which assessment finding?
A. Jugular vein distention and peripheral edema
B. Crackles in lung bases and dyspnea on exertion
C. Hepatomegaly and ascites
D. Weight gain and pedal edema
, 2
Correct Answer: B
Rationale: Left-sided heart failure causes pulmonary congestion, leading to crackles, dyspnea,
orthopnea, and cough. Right-sided failure causes systemic congestion (JVD, peripheral edema,
hepatomegaly). [100% CORRECT]
Q2: Heart Failure – Right-Sided Signs
A client with right-sided heart failure is likely to exhibit:
A. Pulmonary crackles
B. Jugular vein distention and peripheral edema
C. Orthopnea
D. Paroxysmal nocturnal dyspnea
Correct Answer: B
Rationale: Right-sided heart failure causes systemic venous congestion, resulting in JVD, peripheral
edema, hepatomegaly, and weight gain. Pulmonary symptoms (crackles, orthopnea, PND) are
associated with left-sided failure. [100% CORRECT]
Q3: Myocardial Infarction – Classic Manifestation
A client presents with crushing substernal chest pain radiating to the left arm, diaphoresis, and
nausea. The nurse's priority action is to:
A. Administer sublingual nitroglycerin
B. Obtain a 12-lead ECG
C. Administer aspirin and oxygen
D. All of the above
Correct Answer: D
Rationale: All actions are priorities: aspirin (antiplatelet), oxygen (if hypoxic), nitroglycerin
(vasodilation), and ECG (diagnostic). The nurse should follow the facility's acute coronary syndrome
protocol. [100% CORRECT]
Q4: Angina Pectoris – Nitroglycerin Administration
A client with stable angina takes sublingual nitroglycerin. The nurse instructs the client to:
A. Take one tablet every 5 minutes until pain subsides, up to 3 tablets
B. Take one tablet every 15 minutes until pain subsides
C. Swallow the tablet with a full glass of water
D. Take the tablet only if pain lasts more than 30 minutes
Correct Answer: A
Rationale: The standard protocol is one tablet sublingually every 5 minutes, up to 3 tablets. If pain
persists after 3 tablets, seek emergency care. Nitroglycerin should be dissolved under the tongue,
not swallowed. [100% CORRECT]
Q5: Hypertension – Target Organ Damage
Which organ is most commonly affected by chronic uncontrolled hypertension?
A. Liver
NUR 176 HONDROS - EXAM 2 LATEST 2026/2027 |
CONCEPTS OF ADULT HEALTH NURSING I | 40
VERIFIED Q&A | DETAILED RATIONALES | NGN-
ALIGNED | PASS GUARANTEED – A+ GRADED
EXAM BLUEPRINT OVERVIEW
Topic Approximate Weight
Cardiovascular Disorders ~20%
Respiratory Disorders ~15%
Endocrine Disorders (Diabetes, Thyroid) ~15%
Renal & Urinary Disorders ~10%
Gastrointestinal Disorders ~10%
Neurological Disorders ~10%
Musculoskeletal Disorders ~10%
Hematologic Disorders ~5%
Pharmacology (Cardiac, Diabetic, Respiratory) ~5%
SECTION 1: CARDIOVASCULAR DISORDERS – Questions 1–8
Q1: Heart Failure – Left-Sided Signs
A client with left-sided heart failure is likely to exhibit which assessment finding?
A. Jugular vein distention and peripheral edema
B. Crackles in lung bases and dyspnea on exertion
C. Hepatomegaly and ascites
D. Weight gain and pedal edema
, 2
Correct Answer: B
Rationale: Left-sided heart failure causes pulmonary congestion, leading to crackles, dyspnea,
orthopnea, and cough. Right-sided failure causes systemic congestion (JVD, peripheral edema,
hepatomegaly). [100% CORRECT]
Q2: Heart Failure – Right-Sided Signs
A client with right-sided heart failure is likely to exhibit:
A. Pulmonary crackles
B. Jugular vein distention and peripheral edema
C. Orthopnea
D. Paroxysmal nocturnal dyspnea
Correct Answer: B
Rationale: Right-sided heart failure causes systemic venous congestion, resulting in JVD, peripheral
edema, hepatomegaly, and weight gain. Pulmonary symptoms (crackles, orthopnea, PND) are
associated with left-sided failure. [100% CORRECT]
Q3: Myocardial Infarction – Classic Manifestation
A client presents with crushing substernal chest pain radiating to the left arm, diaphoresis, and
nausea. The nurse's priority action is to:
A. Administer sublingual nitroglycerin
B. Obtain a 12-lead ECG
C. Administer aspirin and oxygen
D. All of the above
Correct Answer: D
Rationale: All actions are priorities: aspirin (antiplatelet), oxygen (if hypoxic), nitroglycerin
(vasodilation), and ECG (diagnostic). The nurse should follow the facility's acute coronary syndrome
protocol. [100% CORRECT]
Q4: Angina Pectoris – Nitroglycerin Administration
A client with stable angina takes sublingual nitroglycerin. The nurse instructs the client to:
A. Take one tablet every 5 minutes until pain subsides, up to 3 tablets
B. Take one tablet every 15 minutes until pain subsides
C. Swallow the tablet with a full glass of water
D. Take the tablet only if pain lasts more than 30 minutes
Correct Answer: A
Rationale: The standard protocol is one tablet sublingually every 5 minutes, up to 3 tablets. If pain
persists after 3 tablets, seek emergency care. Nitroglycerin should be dissolved under the tongue,
not swallowed. [100% CORRECT]
Q5: Hypertension – Target Organ Damage
Which organ is most commonly affected by chronic uncontrolled hypertension?
A. Liver
