1|Page
ADULT HEALTH II FINAL EXAM | WITH
COMPLETE QUESTIONS AND ANSWERS |
2025/2026 LATEST UPDATED | 100 % RATED
AND VERIFIED SOLUTIONS
1. barriers to end of life communication CORRECT ANSWER - -diflculty with timing, culture,
communication, knowledge, environment
-ditterent cultural impacts and beliefs
-pts family may not understand and have unrealistic expectations
2. dietary modifications in CKD CORRECT ANSWER - -progressive and irreversible damage to
kidneys > cannot filter well > WASTE and other products build up > edema, fluid overload, HTN
-diet needs to be CORRECT ANSWER - LOW PROTEIN, LOW NA, LOW FLUIDS, LOW K, LOW PHOSPHATE bc body
cannot filter and they build up (avoid sodas)
-these pts need a carb heavy diet
3. s/s urinary tract obstruction CORRECT ANSWER - -may be a urolithiasis > bladder stone
-s/s include CORRECT ANSWER - SEVERE pain maybe in lower back (pain meds!), N/V, diarrhea, EDEMA!!!!!!!, DEC UO,
infection s/s
-these are often treated with shockwave therapy
4. early signs of acute resp failure CORRECT ANSWER - -ARF is anything acute where pulmonary
system fails to maintain adequate gas exchange. ex CORRECT ANSWER - pneumonia, bronchitis
-EARLY signs CORRECT ANSWER - restlessness, fatigue (tired bc cant breathe), dyspnea, SOB, tachycardia, air hunger,
HTN. later signs are those such as dec LOC, cyanosis, lethargy, resp arrest
,2|Page
5. requirements for extubation CORRECT ANSWER - gradual process, must have CORREC
ANSWER -
-spontaneous breathing on own
-adequate airway
-ettective cough
-good swallow > gag reflex > airway
-be able to move their jaw
-be able to lift head ott bed > prevent aspiration
6. dietary needs for iron deficient anemics CORRECT ANSWER - -pts can start with trying to
inc iron intake with CORRECT ANSWER - red meats, iron fortified cereal, green leafy veggies
-PO iron (ferrous sulfate) CORRECT ANSWER - take w/ vit c for absorption (OJ), take before bed if stomach upset. big risk
for constipation
> fruits, fiber, stool softener. warn them BM may be DARK
7. blood product administration CORRECT ANSWER - -before anything you need INFORMED
CONSENT & 2 RN VERIFICA- TION
-has a filter, Y tubing (only for 2 units EACH), around 20 G IV!!! should get IV access BEFORE getting unit from blood
bank
-always prime line with SALINE first and have a second NS primed and ready!!!!!!
ADULT HEALTH II FINAL EXAM | WITH
COMPLETE QUESTIONS AND ANSWERS |
2025/2026 LATEST UPDATED | 100 % RATED
AND VERIFIED SOLUTIONS
1. barriers to end of life communication CORRECT ANSWER - -diflculty with timing, culture,
communication, knowledge, environment
-ditterent cultural impacts and beliefs
-pts family may not understand and have unrealistic expectations
2. dietary modifications in CKD CORRECT ANSWER - -progressive and irreversible damage to
kidneys > cannot filter well > WASTE and other products build up > edema, fluid overload, HTN
-diet needs to be CORRECT ANSWER - LOW PROTEIN, LOW NA, LOW FLUIDS, LOW K, LOW PHOSPHATE bc body
cannot filter and they build up (avoid sodas)
-these pts need a carb heavy diet
3. s/s urinary tract obstruction CORRECT ANSWER - -may be a urolithiasis > bladder stone
-s/s include CORRECT ANSWER - SEVERE pain maybe in lower back (pain meds!), N/V, diarrhea, EDEMA!!!!!!!, DEC UO,
infection s/s
-these are often treated with shockwave therapy
4. early signs of acute resp failure CORRECT ANSWER - -ARF is anything acute where pulmonary
system fails to maintain adequate gas exchange. ex CORRECT ANSWER - pneumonia, bronchitis
-EARLY signs CORRECT ANSWER - restlessness, fatigue (tired bc cant breathe), dyspnea, SOB, tachycardia, air hunger,
HTN. later signs are those such as dec LOC, cyanosis, lethargy, resp arrest
,2|Page
5. requirements for extubation CORRECT ANSWER - gradual process, must have CORREC
ANSWER -
-spontaneous breathing on own
-adequate airway
-ettective cough
-good swallow > gag reflex > airway
-be able to move their jaw
-be able to lift head ott bed > prevent aspiration
6. dietary needs for iron deficient anemics CORRECT ANSWER - -pts can start with trying to
inc iron intake with CORRECT ANSWER - red meats, iron fortified cereal, green leafy veggies
-PO iron (ferrous sulfate) CORRECT ANSWER - take w/ vit c for absorption (OJ), take before bed if stomach upset. big risk
for constipation
> fruits, fiber, stool softener. warn them BM may be DARK
7. blood product administration CORRECT ANSWER - -before anything you need INFORMED
CONSENT & 2 RN VERIFICA- TION
-has a filter, Y tubing (only for 2 units EACH), around 20 G IV!!! should get IV access BEFORE getting unit from blood
bank
-always prime line with SALINE first and have a second NS primed and ready!!!!!!
