NUR176 / NUR 176 Final Exam (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 Final Exam (Latest 2025 / 2026 Update): Concepts of Adult Health Nursing for the Practical Nurse I |Questions and Answers (Verified Solutions) 100% Correct – Hondros. Question: The nurse is assisting in implementing care plan for a patient with dementia. Which interventions would you expect to see? (SATA) Answer: Keep a large clock and calendar in view, reduce distractions during meal times, reduce exposure to over-stimulating situations, and monitor weight regularly for changes. Question: Nurse is caring for a patient with type 1 diabetes. Which indicates need for further assessment? Answer: "My dad and his dad had pancreatic cancer" Question: Which of the following indicates that teaching on meningitis is understood? (SATA) Answer: It is important that we vaccinate our son at the proper times, meningitis is contagious if exposed to the bodily fluids from another infected child, and if our child contracts bacterial meningitis, he will need antibiotic treatment immediately. Question: The nurse is caring for a patient with alzheimer's who is stumbling in the hall frequently. The nurse will do which of the following to protect the client? (SATA) Answer: Offer social or physical activity to promote safety, encourage staff or family supervision for safety, and maintain a cal environment for the patient. Question: The LPN is preparing to DC a patient with Type 1 Diabetes. What teaching should the LPN provide? (SATA) Answer: Effects of illness and stress on the glucose level, S&S of hypoglycemia, and effects of exercise on the glucose level Question: The nurse is caring for a patient with type II diabetes. What statement requires further teaching by the nurse? (SATA) Answer: "I am having difficulty with my wife in bed", "My wife and I love to walk barefoot in the sand", and "My heart Dr. put me on a new pill". Question: Your patient is experiencing a new onset myoclonic (muscle-jerking) seizures. The nurse knows which one of the following statements are true about the seizure characteristics? Answer: Sudden excessive jerking of the body or extremities. Question: Nurse is caring for a patient with diabetes who is concerned about developing long-term complications. Which interventions would the nurse assist the patient with for this? (SATA) Answer: Daily foot exams, annual renal function tests, and maintain LDL under 150mg/dL Question: The nurse is caring for a patient with type II Diabetes. Which statement would indicate a need for further assessment by the nurse? (SATA) Answer: I mix my glargine insulin with my Humalog, I am on prednisone for poison ivy, and I have dry skin on my heel that keeps cracking. Question: Patient in ER with symptoms of a stroke. The nurse knows prompt medication attention is needed within 3 hours to reduce permanent disability or death. Which interventions would nurse anticipate for patient? (SATA) Answer: Administering tissue plasminogen activator (TPA), CT scan or MRI to rule out hemorrhagic stroke, Neuro assessment using NIH stroke scale, and Review any history of bleeding disorders. Question: The nurse is caring for a patient with type I Diabetes post-op 1 day after a right hip replacement.. What should be monitored for this patient? (SATA) Answer: Microalbuminuria, BUN/Creatinine, Blood pressure, and CBC Question: Nurse is caring for patient recently dx with seizures and prescribed phenytoin (Dilantin). What education should we include? (SATA) Answer: Patient should avoid alcohol when taking seizure meds, patient should be encouraged to do good oral hygiene, explain the need to continue medication even when seizures stop, explain that the patient may have driving restrictions. Question: When assessing for meningitis or encephalitis, the nurse is aware which of the following statements is true? Answer: Determining organism specific cause of the condition Question: The nurse is providing dietary teaching to a newly dx diabetic patient. What should be included in education? (SATA) Answer: Plan meals the same time every day, reduce saturated fat and increase exercise, select food from myplate food planning tool. Question: Client is showing signs of dementia. The nurse will practice which guidelines for reality orientation? (SATA) Answer: Set routine and be consistent, be truthful in your responses, and engage them in simple tasks that have a purpose. Question: Patient with new dx of seizures, nurse will instruct patient to keep a log of which of the following? (SATA) Answer: Time and duration of seizures, degree of drowsiness after seizures, and any side effects of nausea and emesis. Question: Nurse caring for patient with suspected early dementia. What S&S will the nurse assess the patient for? (SATA) Answer: Gradual onset of memory loss, difficulty focusing attention, and difficulty finding the right words. Question: Nurse caring for patient with Type II diabetes, reports feeling jittery, racing heart, and sweating even when it's cold. What should nurse do? Answer: Check finger stick blood sugar Question: Patient received 20 units of Novalog sub-q at 0800. What time should the nurse assess for hypoglycemic reaction? Answer: 1000 Question: Nurse caring for patient with elevated ICP recently dx with a brain tumor. Using Tanner's model, which question should the nurse ask? Answer: Have you experienced any vision changes? Question: Patient receives 25 units of Lantus at 2100. What time would the LPN expect to see it start working? Answer: 2200 Question: Nurse finds a dementia patient on the floor and blood on the corner of the dresser. Which would the nurse implement first? Answer: Schedule the patient for a CT of the head. Question: LPN caring for patient who had a stroke 5 days ago. Pt. is nonverbal and does not appear to have understanding of instructions given. What will nurse suspect? Answer: Aphasia Question: When providing care for patient with dementia, what is the priority goal to help the client? Answer: Maintain maximum self-care and prevent injuries. Question: Nurse is caring for patient with diabetic peripheral neuropathy. What should be included in the patient's POC? Answer: Patient will wash feet daily with mild soap and water Question: Patient has type II diabetes. Nurse is administering Lantus and regular insulin. How will the nurse administer it? Answer: Administer separately in two different syringes. Question: Patient is suspected of having meningitis. What interventions should the nurse implement? Answer: Respiratory isolation until 24 hours of effected IV antibody therapy. Question: Diabetic patient with MRSA. Which statement demonstrates understanding of insulin administration? Answer: I will administer my Novolog 2 units as prescribed. Question: Discharge instructions for a patient taking Lovenox. What side effect will he report to Dr. immediately? Answer: Dark, loose stools Question: The nurse is administering Decadron 60 mg PO to a patient admitted for cerebral edema. What should the nurse monitor for this patient? Answer: Daily weights Question: Nurse is caring for patient with Type II Diabetes prescribed prednisone (Deltasone for bronchitis. What is the included teaching? Answer: Increase insulin per sliding scale due to effect of hyperglycemia. Question: Nurse teaching patient with newly dx diabetes on how to prevent lipodystrophy. Which indicates understanding of proper prevention? Answer: I will rotate my injection sites. Question: Nurse is caring for patient with Type I diabetes with complaints of feeling bloated, constipated, and full after only eating 1/3 of meals. Which assessment data should the nurse be monitoring? Answer: Blood glucose levels after meals Question: Diabetic Type II in the ER lethargic and responding only to pain. What should the nurse do next? Answer: Give glucagon gel between cheeks and gums. Question: Nurse is caring for a patient in the ER who has rapid onset tachycardia, restlessness, polyphasia, and a 10 lb weight loss in the last month. Labs are glucose-472, LDL 200, and GAD positive. What intervention should nurse plan to do? Answer: Inject insulin Question: Newly dx pt. with diabetes instructed to obtain glucagon for emergency home use. He asks what the purpose is. Nurse's response should be? Answer: It is for the times when your blood glucose is too low from too much insulin. Question: Nurse is caring for patient with diabetes type II who has lab results for HDL of 29 and triglycerides of 260. The nurse knows the Dr. will further assess for what? Answer: Insulin resistance. Question: Nurse is caring for a patient with dementia. How will the nurse assess pain level for this patient? Answer: Use 2 types of pain assessments together Question: The nurse is administering medication to a client with new onset seizures. Client and family teaching will include which of the following? Answer: Initially, a single broad spectrum antiseizure medication will be used. Question: The nurse is caring for a 30 year old patient with type II diabetes. Patient's blood glucose level is 280 before breakfast. Which symptom would indicate this condition? Answer: Thirst Question: Nurse is caring for a 68 year old patient admitted for a hemorrhagic stroke. Nurse is completing a glasgow scale. What action by the nurse indicates an understanding of the steps of a Glasgow coma scale? Answer: Check for spontaneous eye opening. Question: LPN caring for patient 1 day following a bariatric stomach surgery. What information should be included in the education? Answer: May need B12 injections for life Question: LPN is caring for patient with pernicious anemia. Which symptom needs reporting the the RN? Answer: Dyspnea Question: Caring for patient with sickle cell anemia. Which statement indicates need for further teaching? Answer: I will need to take B12 injections for the rest of my life. Question: Caring for patient with DIC. Which statement needs addressed immediately? Answer: Pulmonary edema Question: Caring for patient after angiogram. What intervention should the nurse implement? Answer: Increase fluids to flush the contrast Question: Caring for patient who is recovering from a routine colonoscopy. Abnormal distention and bleeding. What is a potential complication? Answer: Perforation Question: LPN is monitoring a patient who is receiving hemodialysis. What is the nurse's priority assessment? Answer: Blood pressure Question: Caring for a 64 year old patient who has undergone cardiac catheterization. To predict and manage potential complications, the nurse will implement this for safety. Answer: Check the vital signs and the puncture site for bleeding Question: LPN is taking care of a patient dx with chest pain, rule out MI, and is scheduled for a PTCA. Which statement indicates need for further teaching? Answer: During the procedure, I will be unconscious. Question: LPN is working nights on a med-surg uni. Patient complains of chest pain. Which statement indicates need for immediate interventions? Answer: It feels like a heavy pressure in the center of my chest. Question: LPN working nights. At 0500 the patient awakens. Complains of HA and states he had a nosebleed. What is the LPN's next action? Answer: Take the patient's vitals. Question: LPN caring for patient with heart failure complaining of severe dyspnea and coughing pink sputum. Which intervention is used to prevent further complications? Answer: Pull the patient up in the bed and administer O2. Question: Patient is admitted with possible heart failure. LPN calls the physician for admitting orders. Which order does the LPN expect to receive? Answer: BNP and CXR Question: LPN caring for patient with hx of CHF, experiencing dyspnea. What is the nurse's next action? Answer: Assess respiratory status and vitals Question: LPN completing dc instructions for patient with A-Fib. What instruction will she include for this patient who will be taking Coumadin at home? Answer: You will want to cut down on salads with this medication Question: Patient newly dx with heart failure prescribed digoxin. Which statement by the LPN indicates understanding of how to administer the medication? Answer: If the heart rate is below 60, hold the dose and inform the Dr. Question: Patient at ER for dyspnea, BP 200/130, blurred vision, and severe HA. Has hypertension and high cholesterol. LPN suspects which condition? Answer: Malignant Hypertension Question: Newly dx patient with Hypertension asks the LPN what they need to do to improve their bp readings. What is the nurse's response? Answer: Do aerobic exercises 3-4X a week. Question: The LPN is admitting a patient to the ER who reports substernal crushing chest pain that radiated down the left arm. What will nurse implement to predict and manage potential complications? Answer: Place the patient on a heart monitor Question: Caring for patient scheduled for endoscopic procedure. Which statement by pt. indicates need for further teaching? Answer: I won't eat before the procedure but I can have fluids to drink immediately after it is done. Question: What is the purpose of continuous bladder irrigation after TURP? Answer: Prevent blood clots from forming Question: Caring for patient with severe anemia. Which lab could help find the cause of the anemia? Answer: Hemoccult Question: LPN caring for patient with anemia. What assessment and interventions should be taught to patient? (SATA) Answer: Alternate periods of rest and activity, monitor urine and stool for bleeding, assess for jaundice and pallor Question: Which tasks can be delegated to the UAP (SATA) Answer: Assist patient to dining room, Empty foley cath and record amount, blood sugar testing (fingerstick) Question: Caring for patient who reports cool feet, shiny shins, and pain in lower legs when walking. What assessment data should the LPN collect? (SATA) Answer: Do you monitor your BP, do you have diabetes, does the pain go away when you sit down, and are you a smoker? Question: The LPN is caring for a patient 1 day following a total knee replacement. What interventions should be included in the patient's POC? (SATA) Answer: Application of SCD's, Monitor pedal pulses, administration of heparin per order. Question: Caring for patient with diabetes, hypertension, that is asking of ways to prevent peripheral vascular disease. What interventions would the LPN include in the education? (SATA) Answer: Attaining an A1C of 9%, Smoking cessation, eat a heart healthy diet Question: LPN caring for patient in ER with MI. LPN knows to initiate MONA. Which interventions are included in this treatment? (SATA) Answer: N-Nitrates, O-Oxygen Question: LPN is assessing a patient, which findings would suggest hypertension? (SATA) Answer: Unexplained nosebleeds, blurred vision Question: Patient has MI and has order for cardiac rehab. The rehab nurse would expect to see which interventions? (SATA) Answer: Metoprolol (lopressor) or Lisinopril (Zestril), Exercise program, and a lifestyle education. Question: Which finding by the LPN is part of the normal aging process? (SATA) Answer: Urinary frequency, urinary urgency, and nocturia. Question: The LPN would report which lab results to the RN? (SATA) Answer: Creatinine of 2.1, Uring with +2 protein, urine positive for bacteria, and INR of 3.4 Question: What is a non-modifiable risk factor for cardiac disease? Answer: Age Question: Which disease is caused by impaired b-12 absorption due to the intrinsic factor? Answer: Pernicious anemia Question: What is the most used test for DVT? Answer: Venous Doppler Question: Ferrous sulfate has what types of side effects? Answer: black stool, staining of teeth, constipation Question: Peripheral edema and distended neck veins are signs of what? Answer: RIGHT sided heart failure Question: What disease has no cure and tx is mostly palliative care and focus on the prevention of complications? Answer: Sickle-cell anemia Question: What is the most non-invasive way to test for heart failure? Answer: Echocardiogram Question: What is used to help enhance Fe absorption? Answer: Vitamin-C Question: Severe dyspnea, tachycardia, and audible wheezing are S&S of what? Answer: Pulmonary edema Question: What is heart failure defined as? Answer: When the heart cannot pump enough blood to sustain the body's metabolic needs. Question: Aching sharp cramping pain brought on by exercise and elevated rest is what? Answer: Arterial disorder. Question: PT/PTT low palettes and elevated D-Dimer are indicative of what? Answer: DIC Question: Ineffective tissue perfusion related to blood loss from a coagulation deficit? Answer: Hemophilia Question: Mild to severe pain in LLQ, fever, and elevated WBC is indicative of what? Answer: Diverticulitis Question: Inflammation of the structures of the kidney and is almost always caused by E-Coli? Answer: Pyelonephritis Question: In this phase of acute renal failure, urinary output is less than 400 ml in 24 hours. Answer: Oliguric Phase Question: In this phase of acute renal failure, urinary output can be 1-2L in 24 hours. Answer: Diuretic Phase Question: What are the common signs of end-stage renal disease? Answer: Lethargy, anorexia, pruritus, anuria muscle cramps, dusky yellow/tan or gray skin color, and anemia Question: What non-invasive procedure can you use to check post-void residual a patient? Answer: Bladder scan Question: What test do we use to examine the esophagus, stomach, and duodenum? Answer: EGD Question: This is a genetic disorder that most commonly affects the small intestine and is considered an autoimmune disease that disrupts the absorption of nutrients from foods in response to the ingestion of gluten Answer: Celiac Sprue Question: The nurse knows further education is needed when patient states what? Answer: My body will build immunity to shingles since I have had chicken pox Question: Patient with herpes, what is your intervention? Answer: Aseptic cleaning to prevent secondary infections. Question: Which statement indicates need for further teaching when it comes to impetigo? Answer: I won't infect others when my sores are closed Question: What are some side effects of Vancomycin? Answer: Red neck, rash Question: What type of treatment would we offer for someone with Tennipedis? Answer: Anti-fungal Question: What is the technical name for hives? Answer: Urticaria Question: What is the treatment for Herpes? Answer: Exclovir Question: What PPE do you need for scabies? Answer: Gown and gloves Question: Patient comes in with butterfly rash, anemia, and joint pain, what do you suspect? Answer: Loopis SLE Question: During education of RA, what is important to note Answer: This condition can affect many body organs at once Question: What test best validates the dx of RA Answer: There is NO test Question: What is the best intervention for OA Answer: Weight control and stress reduction Question: HIV + mother states "I am so glad by child does not have it". What do you say? Answer: Your child looks great for now, but it can take up to 18 months for some children to show symptoms. Question: Which conditions increase the risk of contracting shingles? (SATA) Answer: Over the age of 60, lowered immune system, increased stress Question: Patient with Cellulitis, which interventions would nurse carry out for patient? (SATA) Answer: Aseptic technique, prevent secondary complications, offer analgesics (pain meds) Question: Caring for patient with Lupus, what teaching should be included (SATA) Answer: Avoid direct sunlight, wear protective clothing, balance rest and activity, and eat foods low in sodium Question: You are caring for a patient with Shingles (herpes zoster). Which instructions should be included in plan of care? (SATA) Answer: Avoid spreading, anti-anxiety meds may be prescribed, diversional activities, limit visitors to home while herpes is active. Question: Patient is dx with scabies. Nurse anticipates which finding? Answer: Pruritus (itching) & brown crusty lines. Question: Head lice Answer: olive oil and vasoline to smother Question: Caring for patient with pneumocystis pneumonia and Kaposi sarcoma. Which test would the nurse expect to be ordered for this patient? Answer: CB4 (Tcell) and Viral load. Question: Patient is HIV positive. Difficulty swallowing in the last few weeks and has white patches in mouth. What actions will the nurse take? Answer: Increase fluids, use a straw Question: Patient with HIV is getting drug cocktail and wants to know why multi-drug therapy is needed. Which statement indicates that teaching was effective? Answer: They will help keep the virus from becoming resistant Question: A good diet plan for HIV positive patient Answer: High everything! Hi protein, potassium, calories. Question: What labs would you expect to see with kidney function? Answer: BUN Creatinine Question: CHF- what labs and/or diagnostic tests would you expect to see? Answer: BNP, chest x-ray, jvd (jugular vein distention), crackles in the lungs Question: What is the big lab for diabetes? Answer: A1C Question: Long acting insulin Answer: Lantus (usually runs 18-24 hours with no peak) Can take effect within an hour. Question: Patient has had stroke and has dysphasia- what kind of diet should they be on? Answer: Mechanical soft, thickened liquids, chin to chest Question: Mannitol for increased intracranial pressure Answer: Works within 5 minutes- priority action is to monitor electrolytes. Question: Patient who gets peritoneal dialysis, draining the belly and nothing is coming out Answer: Reposition patient, check the tubing, make sure the bag is below the patient, have them lay flat before calling MD Question: How do you know if dialysis is working? Answer: Weight before and after, labs (BUN and Creatinine) Question: If you have a patient with K+ of 6.1 (too high) Answer: Kayexalate (binds to K+ and makes them poop) Question: Someone who is getting cardiac cath- what do you assess for first? Answer: Allergies to iodine or shellfish Question: What will you tell patient about the cardiac cath procedure? Answer: You will be awake, lying flat, getting dye. Let them know you will be looking for redness, swelling, oozing, hematoma (bruise), Will need to lay flat for a certain amount of time, and they will need assistance to the bathroom (usually go home next day) Question: Patient getting Lasix for CHF, what lab are you looking at? Answer: Potassium Question: You are counseling a patient who is obese and smokes. Family hx of coronary artery disease and diabetes, what is the priority education for them? Answer: Lose weight and stop smoking Question: Lab results for patient: Urine specific gravity of 1.03, in urine +2 protein, positive for bacteria, creatinine level of 2.6 and INR of 3.9. Which do you report to your MD? Answer: All but the Urine specific gravity.