NUR176 / NUR 176 Exam 1 (Latest 2025 / 2026 Update): Concepts of Adult Health Nursing for the Practical Nurse I |Questions and Verified Answers | 100% Correct – Hondros

//NUR176 / NUR 176 Exam 1 (Latest 2025 / 2026 Update): Concepts of Adult Health Nursing for the Practical Nurse I |Questions and Verified Answers | 100% Correct – Hondros Question: You have a patient that comes to the ER blood sugar 602, breathing deeply, ketos in their urine. What would you think the next test be? Answer: Blood Gases you want to see if they have DKA Question: Your giving insulin. Can you mix Novolin R and Novolin N? Answer: No, they have to go into separate syringes, one is long and one is short Question: When your drawling up insulin what do you have to do first? Answer: Put air in the cloudy first Question: You're working in a long term care facility. Report from the night shift nurse that a patient is really thirsty, peeing every hour and really restless. What would you do first? Answer: Check their blood sugar Question: You have a patient come into the clinic who is 24 years old. She getting ready to go on a cruise, she's a diabetic. She's coming in for a check up and states that she does not have hair growing on her legs anymore. Should you be concerned? Answer: Yes, means poor circulation Question: Creatinine normal range Answer: 0.6-1.2 Question: BUN normal range Answer: 10-20 Question: Your patient has a subdural hematoma receiving mannitol. How to know is mannitol is working? Answer: Input and output, you want to make sure what is coming in is coming out Question: 60 year old patient has diabetes type 2, her blood glucose is 290 before breakfast. What symptoms would you expect to see? Answer: - Polydipsia - Excessive thirst - Polyuria - Excessive urinating - Polyphagia - Excessive hunger Question: Patient newly diagnosed with diabetes. And you want to teach him about foot care. What will you teach him? Answer: - No lotion in between toes - Check feet daily - Wear proper shoes and socks - Can cut toe nails as long as it is straight across - Warm water not hot water Question: Patient has diabetes type 2 and they are complaining of shaking, blurred vision, racing heart. What are you doing to do? Answer: Check blood sugar Question: 12 year old no history of diabetes. But has a family history of diabetes, you find that their blood sugar is 390, has frequent urination, hot/flushed. What orders would you expect the doctor to give you? Answer: - GAD test - Sliding Scale of Insulin Question: 1 1/2 year old that was admitted, newly diagnose with diabetes. What symptoms would you expect to see? Answer: - Frequent urinations - Weight lost - body is burning protein instead of fat - Thirst Question: Type 1 diabetic that has signs of negative reaction to insulin. What does that mean? Answer: The body is not absorbing the insulin Question: What are the signs and symptoms of hypoglycemia? Answer: - Weakness - Irritability - Trimers - Hunger - Impaired Vision Question: Patient had a stroke what kind of things would you educate this person on to decrease their risk factors for another stroke? Answer: - Monitor B/P - Diet and Exercise - Reduce Stress - No Smoking Question: Patient has metabolic syndrome. What is metabolic syndrome? Answer: Cluster of diseases, that put at risk for diabetes like hypertension, heart failure Question: Patient has metabolic syndrome and their HDL is 25, triglyceride 320. What would you expect the doctor to ask you to assess farther? Answer: - Blood Glucose - At risk for insulin resistance Question: Patient has type 2 diabetes, what diagnostic test your you expect? Answer: - Lipds - A1C - Glucose Tolerance - Fasting Blood Glucose Test Question: Patient has diabetes type 2 and the patient says my fasting blood sugar is staying at 102 regularly, has lost weight due to dieting and exercising, doctor delicates eyes during visits. Is that a good thing or a bad thing? Answer: Good Question: What is Lovenox used for and how do we give it? Answer: Blood thinner, given subcutaneously (subq) Question: Side effects monitoring for when on Lovenox? Answer: - Bleeding - Bruising - Bleeding of the gums - Blood in the stool and urine Question: Interventions for Lovenox Answer: - Soft tooth brush - Use electric razor - Let them know they are spectacle for easy bruising Question: Patient diabetic type 2 their hemoglobin A1C is 10.2. What are you doing to teach this patient to help them be complaint? Answer: - Diet and exercise - Taking their blood sugars at home regularly - Take their medication as prescribed - Decrease in crabs and sugars - Eat at same time everyday - Check blood sugar before exercise - Stress, Surgery and Steroids will increase sugars Question: Symptoms of increased intracranial pressure Answer: - Headache - Blurry Vision / Diplopa - Change in LOC Question: How to position a patient with increased intracranial pressure? Answer: - Head of bed at a 30 degree angle - Neck is in the neutral position - Give oxygen if needed Question: What should a patient with increased intracranial pressure avoid? Answer: - Lifting heavy things - Bending over - Excessive stimulation - HYPOTONIC SOLATION - Limit light - VALSALVA MANEUVER - SUCTIONING FREQUENTLY Question: Glasgow Coma Scale what does it assess? Answer: - Eye - Motor - Verbal Question: Patient is a diabetic type 2, what would you teach them about preventing complications from diabetes? Answer: - Healthy weight - Diet and exercise - Check blood sugar at home - Rotate sites if not will get lipodystrophy - Routine eye exam - A1C EVERY 3 MONTHS - REGULAR APPOINTMENTS Question: Lantus was given at 9 how long until it starts working? Answer: 1 hour Question: Patient concerned about getting diabetes has a family history of diabetes, what interventions should be put in place? Answer: - Maintaining a healthy diet Question: Patient has DKA and is ordered for insulin drip. What insulin would you think that would be? Answer: - Novolin R Question: Patient diagnosed with right subarachnoid hemorrhage, what is that? Answer: Bleed right part of brain Question: What position would you put a patient in that has a right subarachnoid hemorrhage? Answer: 30-40 degrees semi fowlers Question: Nursing intervention for tonic-clonic seizure? Answer: Air way Question: Patient has been diagnosed with bacterial meningitis what kind of assessment would you expect to do? Answer: - Glasgow Coma Scale - Monitor symptoms of IICP - Checking LOC - Monitor labs - Vital signs Question: Patient has delirium is it revisable? Answer: Yes Question: What clinical findings would be a sign of a diagnose of delirium? Answer: - Confusion - Change in LOC - Behavior Question: Patient has end stage Alzheimer's what are some signs and symptoms? Answer: - Total Care - Disoriented to person, place, and time Question: Patient had a stroke and you are going to position them in the bed, when you came in the room patient was nice and friendly, now the patient is mean and trying to bite you. What are you going to do? Answer: Glasgow Coma Scale Question: Patient diabetic type 2 you find them unresponsive, what are you going to do? Answer: Give glucagon give IM because patient is unconscious Question: Patient has increased intracranial pressure, what would you expect their blood pressure, temperature, pulse, LOC to be? Answer: High b/p, high temperature, low pulse, LOC decreased Question: Patient that has meningitis what kind of isolation would you put them in? Answer: Droplet Question: Patient diagnosed with a stroke and they have dysphasia, what would you put in place to prevent aspiration? Answer: - No straws - Thicken liquids - Sat up right - Speech therapy Question: Patient that has aphasia what does that mean? Answer: - Difficulty Speaking - Difficulty Writing Question: Patient has Alzheimer's what medication do we give? Answer: Aricept (Donepezil), Exelon Question: Patient diabetes type 1 what should you teach them? Answer: - Carry a snack with them (Crabs and Protein) - Reducing junk food Question: What medication do we give for seizures? Answer: - Dilantin - Tegretol - Diazepam