NUR176 / NUR 176 Exam 2 (Latest 2025 / 2026 Update): Concepts of Adult Health Nursing for the Practical Nurse I |Questions and Answers (Verified Solutions) 100% Correct – Hondros.

NUR176 / NUR 176 Exam 2 (Latest 2025 / 2026 Update): Concepts of Adult Health Nursing for the Practical Nurse I |Questions and Answers (Verified Solutions) 100% Correct – Hondros. Question: Pt complains of the following symptoms associated with urinating; hesitancy, intermittent stream, frequency, urgency and nocturia what do you suspect is wrong? Answer: BPH Question: Interventions after TURP Answer: bladder irrigation to prevent clots, blood in urine is normal, pain management for bladder spasms Question: How do you prevent Cystitis(UTI)? Answer: wipe front to back, showers instead of baths, urinate after intercourse, increase fluids, no perfume or scented toilet paper, wear cotton underwear, cranberry juice Question: Pt states they are experiencing the following symptoms when urinating; blood in my urine, frequent trips to the bathroom, always feels like I have to pee, they also have a fever, what do you expect is wrong? Answer: UTI Question: Lab and treatment for UTI Answer: urine culture and sensitivity to determine antibiotic to give Question: S/S of peritonitis Answer: abdominal pain, abdominal rigidity and distension, fever, cloudy drainage Question: What will you do about the cloudy drainage from peritoneal dialysis? Answer: get a culture to determine treatment for infection Question: How often does a pt do Peritoneal Dialysis? Answer: 3-4 times a day Question: If fluid isn't coming out after it infused during peritoneal dialysis, what do you do? Answer: check tubing for kinks, reposition them Question: What do you monitor for in your pt receiving dialysis? Answer: weight before and after, and monitor for hypotension during Question: 5-6 soft stools daily, pain in abdomen and joints, mucous in stool, loss of appetite, fever, fatigue, cramping are all S/S of what GI condition? Answer: Crohn's Question: poor skin turgor, hypotension, dry mucous membranes, dark urine, elevated BUN are some S/S of what Answer: dehydration Question: What labs will you run for Anemia? Answer: CBC, Hemoglobin Question: pt education on diet if they have pernicious anemia? Answer: meat, eggs, dairy and foods that have folic acid Question: Pt comes in and they are experiencing sickle cell crisis what are the interventions you will HOP to? Answer: Hydration Oxygen Pain management Question: What are some S/S of Anemia Answer: fatigue, weakness, pallor, SOB, lightheadedness Question: What is pt education for pt with anemia? Answer: conserve energy-rest between activities, monitor urine and stools for blood Question: What are some treatments for Anemia? Answer: diet high in iron(liver) or iron supplements Question: what do you suspect is the problem with your pt complaining of being tired, weak, their skin is itchy and they have a dusky gray color to their skin? Answer: Chronic Renal Failure Question: Labs you would run for Chronic Renal Failure? Answer: BUN, Cr, potassium, Hgb, Urine specific gravity Question: What is the normal lab value for Urine Specific Gravity? Answer: 1.005-1.030 Question: Normal BUN levels Answer: 10-20 Question: Normal creatinine levels Answer: 0.6-1.2 Question: What are you going to monitor for pt on Lasix? Answer: I&O, potassium level, daily weight Question: Potassium level is 6 in pt taking Lasix, what would you expect the Dr to do? Answer: a. hold Lasix b give Kayexalate c. continue lasix d. switch Lasix to spironolactone(Aldactone) d. switch Lasik to spironolactone(Aldactone) Question: S/S of Appendicitis Answer: Pain in RLQ is best symptom, rebound tenderness, nausea and vomiting. Question: what is the major complication with appendicitis? Answer: Rupture that can lead to Sepsis Question: Primary nursing intervention for acute appendicitis? Answer: providing comfort measures (pain management) Question: Pt teaching for Celiac disease Answer: Gluten-free diet, teach them to read labels, avoid breads, pasta, grain, barley, processed foods Question: S/S of stress incontinence Answer: leakage when you sneeze, cough, lift heavy objects, or are obese Question: What is functional incontinence? Answer: Caused by mental or environmental factors that prevent you from getting to the bathroom in time to avoid an accident Question: Interventions for functional incontinence Answer: toileting schedule, remove obstacles in walkway to bathroom, loose clothing, bed side commode Question: Main meds for BPH Answer: finasteride(Proscar) and tamsulosin hydrochloride(Flomax) Question: Pregnant women shouldn't touch which BPH med? Answer: Proscar Question: How do you monitor fistula used for dialysis? Answer: auscultate for bruit, and palpate for thrill Question: what type of isolation would a pt with c-diff be on? and what is PPE used? Answer: contact gown and gloves Question: prep for colonoscopy Answer: clear liquid day before drink go lytely npo 8-12 hours before test Question: pt education on colostomy Answer: cleanse skin with mild soap and avoid lotions and creams around stoma, teach how to apply and remove bag, burp bag, change patch every 3-7 days Question: Pt has barium swallow study scheduled what do you need to tell them for prep and post treatment? Answer: clear liquids the evening before, NPO 6-12 hours before the test then after drink lots of fluids to flush barium out Question: S/S of left sided heart failure Answer: pulmonary complications (congestion, crackles),edema, fatigue, dyspnea, and orthopnea (difficulty breathing while lying down) Question: S/S of right sided heart failure Answer: Hepatomegaly, edema, weight gain, JVD Question: Treatment you would expect to give pt with A-fib? Answer: Coumadin, Calcium Channel Blockers, Ablation, Cardioversion Question: Labs for MI Answer: troponin, creatine kinase Question: A pt with Angina can be given Nitro how many, how often and how do you administer it? Answer: they can have 3, 5 minutes apart, sublingual Question: Pt comes in with crushing chest pain, what is the first thing you are going to do for them? Answer: ECG Question: Atherosclerosis, HTN, DM, obesity, smoking, family history, high fat diet, sedentary lifestyle are all contributing factors to what? Answer: Coronary Artery Disease Question: Pt teaching for CAD Answer: diet change, exercise, stop smoking, medication compliance Question: Monitor PT/INR for which med Answer: Coumadin Question: pt teaching for pt on coumadin Answer: bleeding precautions, soft bristle toothbrush, electric razor, monitor urine and stool for blood Question: Beta Blocker Lopressor is used for what? and what do you do before administering? Answer: HTN, take B/P before you give Question: Priority when giving Digoxin is to monitor for toxicity, what would you look for Answer: blurred or double vision, confusion, n/v, bradycardia, loss of appetite, impotence Question: How is Lovenox administered? Answer: SQ abdomen Question: what would you monitor with pt on lovenox Answer: bleeding, D-dimer Question: How do you control bleeding in someone with hemophilia? Answer: blood transfusion factor VIII & IX bed rest, apply pressure and ice Question: S/S of PVD Answer: warm to touch, pain, swelling, redness Question: S/S of PAD Answer: Intermittent claudication, numbness and tingling in toes and feet, shiny hairless legs Question: intermittent claudication Answer: pain in the leg muscles that occurs during exercise and is relieved by rest Question: Diagnostic tests for PAD Answer: ultrasound, angiograph, CBC Question: Interventions for PVD Answer: elevate legs, compression stockings Question: If you have a heart condition what type of diet should you be on? Answer: dash diet Question: Your pt is in Ventricular Fibrillation what do you need to do? Answer: Defibrillate(shock) them Question: what do the RBCs look like in sickle cell anemia? Answer: crescent shaped Question: Labs to monitor for pt with DIC Answer: D-dimer, Hgb, platelet Question: What is a D-Dimer test? Answer: measures the breakdown of fibrinogen, an indirect measure of clotting Question: What is oxybutynin chloride (Ditropan) or solifenacin(Vesicare) used for? Answer: bladder control Question: Simvastatin (Zocor) is used for cholesterol and should be given when? Answer: at bedtime Question: Why do you give Humira for Crohn's disease? Answer: it blocks the source of inflammation Question: Why is Epogen(procrit) given to pt on hemodialysis? Answer: it controls production of RBC's Question: What does MONA stand for in regards to MI? Answer: Morphine Oxygen Nitro Aspririn Question: What do you do to determine pt has compromised circulation? Answer: assess pulses, skin color Question: Interventions for malignant hypertension Answer: medication compliance, manage stress, diet and exercise Question: Interventions for DIC Answer: teach S/S and to get help asap, avoid trauma Question: pt education for sickle cell anemia Answer: pain management contact Dr if pain isn't controlled, stay hydrated, manage stress Question: pt with stroke is now incontinent what can you do to help Answer: bladder retraining, kegel exercises Question: Pt has indwelling catheter and has S/S of UTI what would you do? Answer: a. remove catheter b. obtain urine specimen c. change catheter b. obtain urine specimen Question: Pt w/ catheter reports bladder spasms and urge to void, with no urine in bag, what do expect is wrong? Answer: catheter is occluded Question: What findings in pt with Crohn's should be reported the RN and Dr Answer: rigid abdomen and elevated WBCs Question: Pts with UC(Inflammatory Bowel Disease) are at risk for what? Answer: fluid and electrolyte imbalance and poor nutrition Question: Does rice have gluten? Answer: no Question: Pt education on ostomy in ascending colon Answer: stools will be liquid Question: Major complication to monitor for with pt that has A-fib Answer: Pulmonary Embolism Question: Chest pain that doesn't stop when at rest Answer: unstable angina Question: Goal for pt with hypertension Answer: exercise 3-4 times a week/30 minutes, Question: While getting a PTCA procedure the pt will be sedated but Answer: awake