Page 1 of 52
ADULT HEALTH II LATEST VERSION QUESTIONS
AND ANSWERS 2026 EDITION
The nurse is assessing a client who has a venous ulcer. Which of the following
should the nurse expect to assess?
a. Beefy red tissue of the wound bed.
b. An ulcer located on the heel of the foot.
c. The ulcer is circular in shape.
d. Minimal edema of the area.
a. Beefy red tissue of the wound bed.
The clinic nurse is reviewing the blood pressure (BP) readings of a 26-year-old
African American client who has been instructed to monitor and report BP results
to the primary health care provider (PHCP) for a week. The recorded daily BP
readings for the client are as follows:
Monday- 128/82 mmHg
Tuesday- 124/88 mmHg
Wednesday- 133/82 mmHg
Thursday- 128/86 mmHg
Friday- 132/82 mmHg
Saturday- 124/84 mmHg
Sunday- 126/88 mmHg
The clinic nurse is aware that the appropriate explanation for these readings is that
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a. the client is most likely in the last stage of hypertension and should consult with
the PHCP.
b. there is no adverse risk profile as the readings are within normal limits based on
ethnicity andgender.
c. there is a mild adverse risk profile as the client is meeting the classification of
prehypertension.
d. the client is most likely in stage 1 of hypertension and is associated with an
adverse risk profile.
c. there is a mild adverse risk profile as the client is meeting the classification of
prehypertension.
The student nurse is observing a nurse assess an older adult client diagnosed with
peripheral vascular disease (PVD). The nurse documents the following:
Noted:
Deep, circular, pale to black ulcer on top of the right great toe. Area is very painful
to touch and has a dry gangrenous appearance around the proximal joint spaces.
No edema is noted.
Which of the following statements is appropriate for the student nurse to make
when teaching the client about their condition?
a. "You will need to change what you eat to avoid developing more atherosclerotic
plaques."
b. "Do you have any first-degree relatives who were recently diagnosed with venous
ischemia?"
c. "Your disease is caused by insufficient arterial blood flow leading to tissue
damage."
d. "The sores are due to changes in your blood flow, lymphatic blockages, and poor
hygiene."
c. "Your disease is caused by insufficient arterial blood flow leading to tissue damage."
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The nurse is caring for a client who is on heparin for a deep vein thrombosis (DVT)
and develops epistaxis. The nurse is unable to stop the bleed and notifies the
primary health care provider (PHCP). Which of the following prescriptions does the
nurse expect the PHCP to order?
a. Protamine sulfate.
b. Vitamin K.
c. Andexanet alfa.
d. Fondaparinux.
a. Protamine sulfate.
The nurse is providing discharge instructions to a client diagnosed with
arteriosclerosis. Which of thefollowing statements by the client indicates a need
for additional teaching?
a. "I should walk until I feel pain in my legs, then rest."
b. "I should raise my legs above my heart twice a day."
c. "I should keep my extremities protected and warm."
d. "I should test the temperature of my bath water."
b. "I should raise my legs above my heart twice a day."
The nurse is assisting with a thoracentesis on a client who is diagnosed with a
pleural effusion. Whichof the following nursing interventions is a priority during
this procedure?
a. Assembling equipment for potential chest tube insertion.
b. Ensuring the collected fluid specimens are sent to the laboratory.
c. Documenting the amount of fluid obtained during the procedure.
d. Positioning the client for the easiest access to the effusion.
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d. Positioning the client for the easiest access to the effusion.
The nurse is caring for a client who is at risk for aspiration and is to start receiving
enteral nutrition. Which of the following prescriptions written by the primary health
care provider (PHCP) should the nurse clarify?
a. Assess placement of gastrointestinal (GI) tube every 4 hours.
b. Provide 200 mL bolus feedings and water flushes every 4 hours.
c. Change pill form medication to liquid as appropriate.
d. Maintain the head of the bed (HOB) at 30 to 45 degrees at all times.
b. Provide 200 mL bolus feedings and water flushes every 4 hours.
The nurse has attended a conference on the prevention of healthcare-associated
pneumonia (HCAP). Which of the following clients should the nurse recognize as
being at the highest risk for infection withpenicillin-resistant and drug-resistant
pneumococci?
a. An 88-year-old client with multiple medical commodities who has been taking a
cephalosporinfor the last 3 months.
b. A 60-year-old immobile client admitted for respiratory depression from an opioid
medication.
c. A 17-year-old client admitted for shortness of air (SOA), with a history of
structural lung disease.
d. A 90-year-old client with a documented history of penicillin and cephalosporin
allergies.
a. An 88-year-old client with multiple medical commodities who has been taking a
cephalosporinfor the last 3 months.
A new home health nurse is visiting a client who has been newly diagnosed with
obstructive sleep apnea. Which of the following statements by the new nurse
during the visit requires intervention by asupervising nurse?
ADULT HEALTH II LATEST VERSION QUESTIONS
AND ANSWERS 2026 EDITION
The nurse is assessing a client who has a venous ulcer. Which of the following
should the nurse expect to assess?
a. Beefy red tissue of the wound bed.
b. An ulcer located on the heel of the foot.
c. The ulcer is circular in shape.
d. Minimal edema of the area.
a. Beefy red tissue of the wound bed.
The clinic nurse is reviewing the blood pressure (BP) readings of a 26-year-old
African American client who has been instructed to monitor and report BP results
to the primary health care provider (PHCP) for a week. The recorded daily BP
readings for the client are as follows:
Monday- 128/82 mmHg
Tuesday- 124/88 mmHg
Wednesday- 133/82 mmHg
Thursday- 128/86 mmHg
Friday- 132/82 mmHg
Saturday- 124/84 mmHg
Sunday- 126/88 mmHg
The clinic nurse is aware that the appropriate explanation for these readings is that
, Page 2 of 52
a. the client is most likely in the last stage of hypertension and should consult with
the PHCP.
b. there is no adverse risk profile as the readings are within normal limits based on
ethnicity andgender.
c. there is a mild adverse risk profile as the client is meeting the classification of
prehypertension.
d. the client is most likely in stage 1 of hypertension and is associated with an
adverse risk profile.
c. there is a mild adverse risk profile as the client is meeting the classification of
prehypertension.
The student nurse is observing a nurse assess an older adult client diagnosed with
peripheral vascular disease (PVD). The nurse documents the following:
Noted:
Deep, circular, pale to black ulcer on top of the right great toe. Area is very painful
to touch and has a dry gangrenous appearance around the proximal joint spaces.
No edema is noted.
Which of the following statements is appropriate for the student nurse to make
when teaching the client about their condition?
a. "You will need to change what you eat to avoid developing more atherosclerotic
plaques."
b. "Do you have any first-degree relatives who were recently diagnosed with venous
ischemia?"
c. "Your disease is caused by insufficient arterial blood flow leading to tissue
damage."
d. "The sores are due to changes in your blood flow, lymphatic blockages, and poor
hygiene."
c. "Your disease is caused by insufficient arterial blood flow leading to tissue damage."
, Page 3 of 52
The nurse is caring for a client who is on heparin for a deep vein thrombosis (DVT)
and develops epistaxis. The nurse is unable to stop the bleed and notifies the
primary health care provider (PHCP). Which of the following prescriptions does the
nurse expect the PHCP to order?
a. Protamine sulfate.
b. Vitamin K.
c. Andexanet alfa.
d. Fondaparinux.
a. Protamine sulfate.
The nurse is providing discharge instructions to a client diagnosed with
arteriosclerosis. Which of thefollowing statements by the client indicates a need
for additional teaching?
a. "I should walk until I feel pain in my legs, then rest."
b. "I should raise my legs above my heart twice a day."
c. "I should keep my extremities protected and warm."
d. "I should test the temperature of my bath water."
b. "I should raise my legs above my heart twice a day."
The nurse is assisting with a thoracentesis on a client who is diagnosed with a
pleural effusion. Whichof the following nursing interventions is a priority during
this procedure?
a. Assembling equipment for potential chest tube insertion.
b. Ensuring the collected fluid specimens are sent to the laboratory.
c. Documenting the amount of fluid obtained during the procedure.
d. Positioning the client for the easiest access to the effusion.
, Page 4 of 52
d. Positioning the client for the easiest access to the effusion.
The nurse is caring for a client who is at risk for aspiration and is to start receiving
enteral nutrition. Which of the following prescriptions written by the primary health
care provider (PHCP) should the nurse clarify?
a. Assess placement of gastrointestinal (GI) tube every 4 hours.
b. Provide 200 mL bolus feedings and water flushes every 4 hours.
c. Change pill form medication to liquid as appropriate.
d. Maintain the head of the bed (HOB) at 30 to 45 degrees at all times.
b. Provide 200 mL bolus feedings and water flushes every 4 hours.
The nurse has attended a conference on the prevention of healthcare-associated
pneumonia (HCAP). Which of the following clients should the nurse recognize as
being at the highest risk for infection withpenicillin-resistant and drug-resistant
pneumococci?
a. An 88-year-old client with multiple medical commodities who has been taking a
cephalosporinfor the last 3 months.
b. A 60-year-old immobile client admitted for respiratory depression from an opioid
medication.
c. A 17-year-old client admitted for shortness of air (SOA), with a history of
structural lung disease.
d. A 90-year-old client with a documented history of penicillin and cephalosporin
allergies.
a. An 88-year-old client with multiple medical commodities who has been taking a
cephalosporinfor the last 3 months.
A new home health nurse is visiting a client who has been newly diagnosed with
obstructive sleep apnea. Which of the following statements by the new nurse
during the visit requires intervention by asupervising nurse?
