This NUR 176 Test 2 / Exam 2 2026/2027 study guide provides an extensive review of the cardiovascular, renal, hematologic, gastrointestinal, urinary, and pharmacological concepts covered in the uploaded 44-page document. The material combines direct questions and answers, signs and symptoms, diagnostic testing, medication facts, nursing interventions, patient education, laboratory values, clinical scenarios, and prioritization concepts. Major topics include hypertension, myocardial infarction, heart failure, angina, DVT, peripheral vascular disease, anemia, coagulation disorders, acute and chronic renal failure, dialysis, urinary disorders, GI disorders, and cardiovascular/renal medications.
The cardiovascular section reviews malignant hypertension, blood-pressure management, beta blockers, digoxin, nitroglycerin, PTCA, cardiac rehabilitation, myocardial infarction, angina, left- and right-sided heart failure, atrial fibrillation, and cardiovascular diagnostic testing. Students encounter clinical scenarios involving chest pain, dyspnea, pulmonary edema, cardiac catheterization, heart monitoring, BNP and chest X-ray testing, cardiac biomarkers, and recognition of urgent cardiovascular findings. The document also discusses risk-factor modification through exercise, diet, smoking cessation, and other lifestyle interventions.
The vascular and hematology material covers deep vein thrombosis (DVT), anticoagulant therapy, peripheral vascular disease, disseminated intravascular coagulation (DIC), sickle cell crisis, pernicious anemia, hemophilia, iron supplementation, and causes of anemia. Warfarin and heparin monitoring, PT/INR concepts, bleeding precautions, postoperative DVT prevention, and recognition of potentially serious complications are incorporated throughout the review.
A substantial renal and urinary section addresses acute renal failure, chronic renal failure, end-stage renal disease, oliguric and diuretic phases, BUN, serum creatinine, urine specific gravity, hyperkalemia, renal diets, and indications for dialysis. Hemodialysis and peritoneal dialysis receive detailed coverage, including AV fistula assessment, thrill and bruit, vascular-access precautions, pre- and post-dialysis assessment, dialysis complications, disequilibrium syndrome, hypotension, infection, and impaired dialysate flow. Urinary content includes UTIs, cystitis, urinary incontinence, BPH, TURP, continuous bladder irrigation, PSA, bladder scanning, and urinary elimination.
The gastrointestinal section includes Crohn’s disease, celiac disease, diverticulitis, colonoscopy complications, EGD, colostomy care, fecal incontinence, bowel training, bariatric and gastric surgery, vitamin B12 considerations, and gastric disorders. The study guide also integrates medication review for metoprolol, propranolol, atenolol, lisinopril, digoxin, nitroglycerin, furosemide, spironolactone, warfarin, heparin, sodium polystyrene sulfonate, ferrous sulfate, sucralfate, and different classes of antihypertensive and diuretic medications.
The document is especially relevant for developing nursing prioritization, assessment, medication monitoring, recognition of complications, patient education, and delegation skills. Several sections use patient scenarios to test what the nurse should assess first, which findings require reporting, appropriate tasks for UAP delegation, and how to respond to cardiovascular, renal, hematologic, and gastrointestinal complications. Because the uploaded material contains condensed study notes and some statements that may differ from current clinical guidelines, it is best used alongside the assigned NUR 176 textbook, instructor materials, and current evidence-based clinical references.
Relevant students: This resource is most directly suited to Hondros College of Nursing students enrolled in NUR 176 and preparing for Test 2/Exam 2 in the 2026/2027 academic year. It can also support practical nursing and other nursing students reviewing medical-surgical nursing, cardiovascular and renal disorders, hematology, gastrointestinal and urinary conditions, pharmacology, clinical prioritization, delegation, and patient education.
Academic references: For cardiovascular concepts, students can supplement the document with current clinical practice guidelines and scientific statements published by the American Heart Association and American College of Cardiology, particularly for hypertension, heart failure, coronary disease, atrial fibrillation, and acute cardiovascular care. American Heart Association Clinical Practice Guidelines For renal failure, chronic kidney disease, electrolyte abnormalities, and dialysis-related concepts, Kidney Disease: Improving Global Outcomes (KDIGO) provides internationally recognized evidence-based kidney-disease guidelines. KDIGO Clinical Practice Guidelines
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Content preview
Hondros NUR 176 Test 2, Nur
176 Exam 2 2026/2027 Expert
Verifed Ace the Test
ARF Causes - ANSWER ✔✔Hemorrhage, trauma, infection,
decreased cardiac output, medications
ARF S/S - ANSWER ✔✔mimics dehydration s/s, anorexia, h/a,
edema, vomiting, nausea, lethargy,
Malignan hypertension - ANSWER ✔✔Is the most severe
S/S of Malignant hypertension - ANSWER ✔✔- Diastolic >120
- Blurred vision
- Severe h/a
,- High cholesterol
- Dyspnea
- History of hypertension
Beta blockers - ANSWER ✔✔medication used to treat several
different types of conditions, including hypertension (high blood
pressure), angina, some abnormal heart rhythms, heart attack
(myocardial infarction)
Beta blockers actions - ANSWER ✔✔Decreases BP and HR blocking
epinephrine and nonepinephrine
Side effects of Beta blockers - ANSWER ✔✔SOB (asthma like
symptoms)
Weakness
Dry mouth
Dizziness
H/A
Upset stomach
Common Beta blockers - ANSWER ✔✔Metoprolol (Lopressor, Toprol-
XL)
,Propranolol (Inderal LA, InnoPran XL)
Atenolol (Tenormin) - ANSWER ✔✔Medication for MI
Digoxin (Lanoxin, Digox) - ANSWER ✔✔medication used for heart
failure (hf)
Nursing consideration for Digoxin - ANSWER ✔✔assess hr, if it's <60
hold the medicine and call doctor
Nitroglycerin - ANSWER ✔✔opens blood vessels, is used for chest
pain (antiangina)
Administration of glycerin - ANSWER ✔✔Sublingual, 1 pill q5min,
maximum of three pills, if pain continues call doctor, possible HA
PTCA - ANSWER ✔✔Percutaneous
Transluminal
Coronary
Angioplastic
Pt teaching before PTCA - ANSWER ✔✔- Explain procedure: a
balloon is inflated to reduce the constriction in the artery
- Contrast is used, normally in femoral
- Pt is gonna feel a flush/warm everywhere when contrast is injected
COPYRIGHT©NINJANERD 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, - Pt should lay flat
- Pt will be sedated but awake
- Pt should sign Informed consent for PTCA and a future CABG
(Coronary Artery Bypass Grafting)
S/S of left heart failure - ANSWER ✔✔Lungs (Respiratory problems)
Dyspnea, paroxysmal nocturnal dyspnea, cough, frothy-blood-tinged
sputum, orthopnea, pulmonary crackles, radiographic evidence of
pulmonary vascular congestion with pleura effusion
S/S of right heart failure - ANSWER ✔✔Body (everything not related
to lungs)
Distended jugular veins, anorexia, nausea, abdominal distention, liver
enlargement, ascites (peritoneal edema), edema in feet, ankles, sacrum
Test for heart failure - ANSWER ✔✔- CXR
- BNP (Brain Natriuretic Peptide)
Cardiac rehabilitation orders - ANSWER ✔✔- Low Na+ diet
- Lifestyle education (all that pt is doing wrong and have to correct)
- Use of medications (Metoprolol -Lopresol
- Exercise