NUR 176 Concepts of Adult Health Nursing for the Practical Nurse I
HONDROS NUR 176 ADULT HEALTH NURSING TEST
2/EXAM 2 2025 ACCURATE SUMMER –FALL GRADED
A (100 QUESTIONS)
LPN is working nights on a med-surg uni. Patient complains of chest pain. Which statement
indicates need for immediate interventions?
It feels like a heavy pressure in the center of my chest.
LPN working nights. At 0500 the patient awakens. Complains of HA and states he had a
nosebleed. What is the LPN's next action?
Take pt vitals
LPN caring for patient with heart failure complaining of severe dyspnea and coughing pink
sputum. Which intervention is used to prevent further complications?
Pull the patient up in the bed and administer O2.
Patient is admitted with possible heart failure. LPN calls the physician for admitting orders.
Which order does the LPN expect to receive?
BNP and CXR
LPN caring for patient with hx of CHF, experiencing dyspnea. What is the nurse's next action?
,NUR 176 Concepts of Adult Health Nursing for the Practical Nurse I
Assess respiratory status and vitals
LPN completing dc instructions for patient with A-Fib. What instruction will she include for this
patient who will be taking Coumadin at home?
You will want to cut down on salads with this medication
Patient newly dx with heart failure prescribed digoxin. Which statement by the LPN indicates
understanding of how to administer the medication?
If the heart rate is below 60, hold the dose and inform the Dr.
Patient at ER for dyspnea, BP 200/130, blurred vision, and severe HA. Has hypertension and
high cholesterol. LPN suspects which condition?
Malignant Hypertension
Newly dx patient with Hypertension asks the LPN what they need to do to improve their bp
readings. What is the nurse's response?
Do aerobic exercises 3-4X a week.
Symptomatic diverticular disease
includes hemorrhage, inflammation (diverticulitis), or complications of diverticulitis such as
abscess, fistula, obstruction, or free perforation.
, NUR 176 Concepts of Adult Health Nursing for the Practical Nurse I
Clinical Presentation of Diverticulitis
Acute onset of left lower quadrant pain, intermittent, varying in intensity
Constipation, diarrhea and/or nausea and vomiting
Other symptoms may include: fever, anorexia, hematochezia
what would you find assessing a patient for diverticulitis
exam reveals pain LLQ, possible rebound or guarding
Labs/imaging for diverticulitis
Labs to consider:
CBC
CMP, UA, stool studies if suspicious of other etiology
Imaging to consider:
CT ( scanning of the abdomen with IV and oral contrast is the diagnostic test of choice in
patients suspected of having acute diverticulitis)
A BARIUM ENEMA IS CONTRAINDICATED IN PATIENTS WITH
ACUTE DIVERTICULITIS DUE TO THE POSSIBILITY OF PERFORATION OF THE DIVERTICULUM.
HONDROS NUR 176 ADULT HEALTH NURSING TEST
2/EXAM 2 2025 ACCURATE SUMMER –FALL GRADED
A (100 QUESTIONS)
LPN is working nights on a med-surg uni. Patient complains of chest pain. Which statement
indicates need for immediate interventions?
It feels like a heavy pressure in the center of my chest.
LPN working nights. At 0500 the patient awakens. Complains of HA and states he had a
nosebleed. What is the LPN's next action?
Take pt vitals
LPN caring for patient with heart failure complaining of severe dyspnea and coughing pink
sputum. Which intervention is used to prevent further complications?
Pull the patient up in the bed and administer O2.
Patient is admitted with possible heart failure. LPN calls the physician for admitting orders.
Which order does the LPN expect to receive?
BNP and CXR
LPN caring for patient with hx of CHF, experiencing dyspnea. What is the nurse's next action?
,NUR 176 Concepts of Adult Health Nursing for the Practical Nurse I
Assess respiratory status and vitals
LPN completing dc instructions for patient with A-Fib. What instruction will she include for this
patient who will be taking Coumadin at home?
You will want to cut down on salads with this medication
Patient newly dx with heart failure prescribed digoxin. Which statement by the LPN indicates
understanding of how to administer the medication?
If the heart rate is below 60, hold the dose and inform the Dr.
Patient at ER for dyspnea, BP 200/130, blurred vision, and severe HA. Has hypertension and
high cholesterol. LPN suspects which condition?
Malignant Hypertension
Newly dx patient with Hypertension asks the LPN what they need to do to improve their bp
readings. What is the nurse's response?
Do aerobic exercises 3-4X a week.
Symptomatic diverticular disease
includes hemorrhage, inflammation (diverticulitis), or complications of diverticulitis such as
abscess, fistula, obstruction, or free perforation.
, NUR 176 Concepts of Adult Health Nursing for the Practical Nurse I
Clinical Presentation of Diverticulitis
Acute onset of left lower quadrant pain, intermittent, varying in intensity
Constipation, diarrhea and/or nausea and vomiting
Other symptoms may include: fever, anorexia, hematochezia
what would you find assessing a patient for diverticulitis
exam reveals pain LLQ, possible rebound or guarding
Labs/imaging for diverticulitis
Labs to consider:
CBC
CMP, UA, stool studies if suspicious of other etiology
Imaging to consider:
CT ( scanning of the abdomen with IV and oral contrast is the diagnostic test of choice in
patients suspected of having acute diverticulitis)
A BARIUM ENEMA IS CONTRAINDICATED IN PATIENTS WITH
ACUTE DIVERTICULITIS DUE TO THE POSSIBILITY OF PERFORATION OF THE DIVERTICULUM.
