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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?
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?
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)
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
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?
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:
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
