1|Page
ADULT HEALTH II FINAL EXAM LATEST 2026-2027 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A nurse is caring for a client who has paraplegia following an
automobile accident. The client is on an intermittent urinary
catheterization program. Which of the following findings indicates
the need for catheterization?
Urge incontinence
Dribbling of urine
Weight gain
Rectal distention - ANSWER-Dribbling of urine
Dribbling of urine, or overflow incontinence, is an indicator
of bladder distention. The nurse should perform intermittent
catheterization when this occurs to prevent bladder trauma
or infection. A regular schedule to drain the flaccid bladder
should be established, with no longer than 8 hr. between
catheterizations.
,2|Page
A nurse on the intensive care unit is caring for a client who has
severe traumatic brain injury and a cerebral perfusion pressure
(CPP) of 59 mm Hg. Which of the following actions should the
nurse take?
Provide warming measures for the client.
Hyperextend the client's neck.
Flex the client's hip.
Adjust the client's head of bed. - ANSWER-Adjust the client's
head of bed.
The nurse should adjust the client's head of bed to keep CPP
greater than 70 mm Hg.
A nurse in a dialysis center is caring for a client who has a new
diagnosis of end-stage kidney disease. When he arrives for his
first dialysis treatment, he tells the nurse, "I decided to come
today, but I am not sure if I will need to come back again this
week. I am feeling much better since my discharge from the
hospital and I think my kidneys are working again." The nurse
should identify that this client is demonstrating which of the
following Kübler-Ross stages of grieving?
,3|Page
Bargaining
Denial
Depression
Anger - ANSWER-Denial
During the denial stage of Kübler-Ross's stages of grieving,
the client acts as though nothing has happened and might
refuse to believe or understand that a loss has occurred.
A nurse is caring for a confused client who has Alzheimer's
disease. Which of the following actions should the nurse take?
Turn the television on at all times.
Hang abstract pictures on the walls.
Keep familiar personal items at the bedside.
Encourage bright glaring lighting in the room. - ANSWER-Keep
familiar personal items at the bedside.
The client who is confused should have familiar personal
items at the bedside in the same place at all times in order to
lessen confusion.
, 4|Page
A nurse is caring for a client who has increased intracranial
pressure (ICP) following a closed-head injury. Which of the
following actions should the nurse take?
Instruct the client to cough and deep breathe.
Place the client in a supine position.
Place a warming blanket on the client.
Use log rolling to reposition the client. - ANSWER-Use log rolling
to reposition the client.
Treatment of increased ICP focuses on decreasing the
pressure. An important intervention includes positioning the
client in a neutral position and avoiding flexion of the neck
and hips. In order to avoid hip flexion, the client should be
log rolled when repositioned.
A nurse is providing teaching to a client about measures to
prevent urinary tract infections (UTIs). Which of the following
client statements indicates a need for further teaching?
ADULT HEALTH II FINAL EXAM LATEST 2026-2027 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A nurse is caring for a client who has paraplegia following an
automobile accident. The client is on an intermittent urinary
catheterization program. Which of the following findings indicates
the need for catheterization?
Urge incontinence
Dribbling of urine
Weight gain
Rectal distention - ANSWER-Dribbling of urine
Dribbling of urine, or overflow incontinence, is an indicator
of bladder distention. The nurse should perform intermittent
catheterization when this occurs to prevent bladder trauma
or infection. A regular schedule to drain the flaccid bladder
should be established, with no longer than 8 hr. between
catheterizations.
,2|Page
A nurse on the intensive care unit is caring for a client who has
severe traumatic brain injury and a cerebral perfusion pressure
(CPP) of 59 mm Hg. Which of the following actions should the
nurse take?
Provide warming measures for the client.
Hyperextend the client's neck.
Flex the client's hip.
Adjust the client's head of bed. - ANSWER-Adjust the client's
head of bed.
The nurse should adjust the client's head of bed to keep CPP
greater than 70 mm Hg.
A nurse in a dialysis center is caring for a client who has a new
diagnosis of end-stage kidney disease. When he arrives for his
first dialysis treatment, he tells the nurse, "I decided to come
today, but I am not sure if I will need to come back again this
week. I am feeling much better since my discharge from the
hospital and I think my kidneys are working again." The nurse
should identify that this client is demonstrating which of the
following Kübler-Ross stages of grieving?
,3|Page
Bargaining
Denial
Depression
Anger - ANSWER-Denial
During the denial stage of Kübler-Ross's stages of grieving,
the client acts as though nothing has happened and might
refuse to believe or understand that a loss has occurred.
A nurse is caring for a confused client who has Alzheimer's
disease. Which of the following actions should the nurse take?
Turn the television on at all times.
Hang abstract pictures on the walls.
Keep familiar personal items at the bedside.
Encourage bright glaring lighting in the room. - ANSWER-Keep
familiar personal items at the bedside.
The client who is confused should have familiar personal
items at the bedside in the same place at all times in order to
lessen confusion.
, 4|Page
A nurse is caring for a client who has increased intracranial
pressure (ICP) following a closed-head injury. Which of the
following actions should the nurse take?
Instruct the client to cough and deep breathe.
Place the client in a supine position.
Place a warming blanket on the client.
Use log rolling to reposition the client. - ANSWER-Use log rolling
to reposition the client.
Treatment of increased ICP focuses on decreasing the
pressure. An important intervention includes positioning the
client in a neutral position and avoiding flexion of the neck
and hips. In order to avoid hip flexion, the client should be
log rolled when repositioned.
A nurse is providing teaching to a client about measures to
prevent urinary tract infections (UTIs). Which of the following
client statements indicates a need for further teaching?
