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Exam 1: NUR176 / NUR 176 (Latest 2025 / 2026):
Concepts of Adult Health Nursing for the Practical
Nurse I | Complete Guide with Questions and Verified
Answers | 100% Correct – Hondros
Question:
Interventions to prevent diabetes
Answer:
Maintain healthy weight, diet and exercise
Question:
Signs of type 1 diabetes
Answer:
3 polys, blurred vision, cold feet, numbness, shiny thin skin w/ no hair, age 30 and under, sudden onset, underweight, Image: Signs of type 1 diabetes
Question:
Signs of type 2 diabetes
Answer:
No symptoms at first , later develop the 3 polys, obesity, Nigricans (black line on back of neck) skin tags Image: Signs of type 2 diabetes
Question:
S/S of hypoglycemia
Answer:
Fatigue, weakness, irritability, reduce cognition, tremors, seizures, diaphoresis( sweating) Image: S/S of hypoglycemia
Question:
S/S of hyperglycemia
Answer:
3 polys, fruity breath Image: S/S of hyperglycemia
Question:
S/S of diabetic ketoacidosis and treatment
Answer:
High BS, high HR, restlessness, weight loss, fruity breath, kussmaul(fast deep RR) - - treatments; IV regular insulin
Question:
First intervention if a pt. Presents with s/s of hypo/hyperglycemia
Answer:
Check blood sugar
Diabetic foot care
Answer:
Clean w/ soap and warm water, clean socks everyday, cut toe nails straight across, keep feet dry, no powder or lotion b/t toes , wear shoes , inspect feet daily, no gardners Image: Diabetic foot care
Question:
Lipid analysis
Answer:
LDL-less than 100 HDL- more than 40 Triglycerides- more than 150 Image: Lipid analysis
Question:
What are low and high levels of HDL indicative of
Answer:
High- insulin resistance, low- insulin sensitivity
Question:
What insulins can not be mixed?
Answer:
Levemir and Lantus ( detemir and glargine )
Question:
How to mix insulin
Answer:
Short acting to long acting, regular to NPH, Clear to cloudy Image: How to mix insulin
Question:
Should a nurse hold a patients insulin before consulting a dr?
Answer:
No
Question:
No insulin, beta cells are destroyed is a result of?
Answer:
Diabetes type 1
Question:
Beta cells exhaustion , insulin resistance is a result of?
Answer:
Diabetes type 2 Image: Beta cells exhaustion , insulin resistance is a result of?
Question:
Rapid acting insulin
Answer:
Humulin N, Novolin N, ReliOn N, Onset- 1 - 4hr Peak- 4 - 12hr, duration- 12 - 16hr
Question:
Long acting insulin
Answer:
Lantus and levemir Onset- 1 - 2hr, Peak- none, duration-24hr
Question:
Which insulin is the only one that can be given through IV?
Answer:
Regular
Question:
What is glucagon used for?
Answer:
Makes glucose. Received if BS is low Image: What is glucagon used for?
Question:
If a pt. Is lethargic, what form of glucose should be administered?
Answer:
Glucagon gel in cheek
Question:
What is Lipohypotrophy and the prevention?
Answer:
Lump under subcut tissue due to repeated injections at the same site. Rotate sites Image: What is Lipohypotrophy and the prevention?
Question:
S/s of brain tumor
Answer:
Vision changes, confusion and headache
Question:
S/S of traumatic brain injury
Answer:
Blurred vision, personality changes, altered level of consciousness, slurred speech, confusion, headache, uncoordinated, weakness / numbness of legs and arms Image: S/S of traumatic brain injury
Question:
If someone hit their head, which test should be completed?
Answer:
CT scan to make sure there's no head bleeding
S/S of Ischemic strokes
Answer:
80% have these, trouble talking, Face droop? Arm drift, Slurred speech Image: S/S of Ischemic strokes
Question:
S/S of hemorrhagic stroke
Answer:
Serve headache, aneurysm rupture from hypertension , *never administer TPA for these strokes Image: S/S of hemorrhagic stroke
Question:
What is Aphasia
Answer:
Trouble speaking, expressive, receptive and global Image: What is Aphasia
Question:
Dysphagia precautions
Answer:
No straws , thicken liquids,
Question:
Steps before administering TPA
Answer:
Do CT scan to verify Ischemic stroke, neurological assessment, make sure they aren't on blood thinners, history of blood disorders
Question:
Side effects of Lovenox (enoxaparin)
Answer:
Bruising at injection site, dark loose stools , GI bleeding
Question:
Is Delirium a disease of the CNS?
Answer:
No
Question:
S/S of early stage dementia
Answer:
Gradual onset of memory loss, difficulty focusing attention, depression
Be honest, call by preferred name, eye contact, set a routine , simple tasks and directions, familiar objects
Question:
Safety interventions in the Alzheimer's pt.
Answer:
Calm environment, encourage supervision, allow social and physical activity
Question:
Med for multiple sclerosis
Answer:
Copaxone
Question:
Generalized tonic-clonic seizures (grand mal)
Answer:
Most common, stiffening of body for 10-20 sec. then jerking extremities for another 30-40 secs Image: Generalized tonic-clonic seizures (grand mal)
Question:
Absence seizures ( petit mal)
Answer:
Occurs during childhood, stares off with little to no tonic-clonic movement Image: Absence seizures ( petit mal)
Question:
Psychomotor (partial seizures)
Answer:
Occurs at any age, pt. Behaves in a drunk manner, doesn't remember
Question:
Jacksonian-focal seizures ( local or partial)
Answer:
Occur in pts. With structural brain disease, starts in the hands or feet, can turn into tonic-clonic
Question:
Myoclonic seizures
Answer:
Sudden jerking of body
Question:
Akinetic seizures
Answer:
Not common, falls in flaccid state, unconscious for 1 or 2 minutes
Question:
Question:
Bacterial meningitis labs
Answer:
Increase protein, increase WBC , decrease glucose
Question:
Isolation for meningitis
Answer:
Respiratory droplet, 24 hour isolation after first treatment
Question:
Age of onset for type 1 diabetes
Answer:
30 years or younger
Question:
Age of onset for type 2 diabetes
Answer:
35 years or older but increasing in children
Question:
Hyperglycemia Blood glucose levels
Answer:
Higher than 100-140mg/dl
Question:
Hypoglycemia blood glucose levels
Answer:
Less than 70mg/dl
Question:
Euglycemia blood glucose level ( normal)
Answer:
70 - 100mg/dl
Question:
Level of Consciousness oriented to
Answer:
- Person 2. Person and Place 3. Person Place and Time. 4. Person Place Time and Purpose Image: Level of Consciousness oriented to
Question:
S/S Intracranial Pressure
Double vision Image: Diplopia
Question:
NIHSS
Answer:
Stroke scale
Question:
Characteristics of Parkinson's Disease
Answer:
Blank facial expression, Forward tilt to posture, slow monotonous slurred speech, tremor, short shuffle gait
Question:
Ischemic Stroke
Answer:
Deficient blood flow to the brain from a partial or complete occlusion of an artery. Either thrombotic or embolic account for 90% of all strokes (cooper 1938)
Question:
Postictal Period
Answer:
Rest period of a seizures varies in length
Question:
Epilepsy
Answer:
Chronic two or more unprovoked seizures
Question:
Seizure
Answer:
A disorder in which nerve cell activity in the brain is disturbed, causing seizures.
Question:
What is the action of glucagon?
Answer:
Increases blood sugar (blood glucose)
Question:
What does the nurse record after a seizure?
Answer:
Duration and time, degree of drowsiness afterward, SE of N/V
Question:
