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NUR176 / NUR 176 Final Exam (Latest 2025
/ 2026): Concepts of Adult Health Nursing for
the Practical Nurse I | Complete Guide with
Questions and Verified Answers | 100%
Correct - Hondros
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. 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" 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. 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. 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 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". 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. 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 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.
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. 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. 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 Patient received 20 units of Novalog sub-q at 0800. What time should the nurse assess for hypoglycemic reaction? - ANSWER 1000 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? Patient receives 25 units of Lantus at 2100. What time would the LPN expect to see it start working? - ANSWER 2200
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. 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 When providing care for patient with dementia, what is the priority goal to help the client? - ANSWER Maintain maximum self-care and prevent injuries. 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 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. Patient is suspected of having meningitis. What interventions should the nurse implement? - ANSWER Respiratory isolation until 24 hours of effected IV antibody therapy. Diabetic patient with MRSA. Which statement demonstrates understanding of insulin administration? - ANSWER I will administer my Novolog 2 units as prescribed.
glucose-472, LDL 200, and GAD positive. What intervention should nurse plan to do? - ANSWER Inject insulin 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. 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. 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 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. 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 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.
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 LPN is caring for patient with pernicious anemia. Which symptom needs reporting the the RN? - ANSWER Dyspnea 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. Caring for patient with DIC. Which statement needs addressed immediately? - ANSWER Pulmonary edema Caring for patient after angiogram. What intervention should the nurse implement?
- ANSWER Increase fluids to flush the contrast Caring for patient who is recovering from a routine colonoscopy. Abnormal distention and bleeding. What is a potential complication? - ANSWER Perforation LPN is monitoring a patient who is receiving hemodialysis. What is the nurse's priority assessment? - ANSWER Blood pressure
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 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. 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 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. 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 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.
What is the purpose of continuous bladder irrigation after TURP? - ANSWER Prevent blood clots from forming Caring for patient with severe anemia. Which lab could help find the cause of the anemia? - ANSWER Hemoccult 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 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) 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? 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. 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
Ferrous sulfate has what types of side effects? - ANSWER black stool, staining of teeth, constipation Peripheral edema and distended neck veins are signs of what? - ANSWER RIGHT sided heart failure What disease has no cure and tx is mostly palliative care and focus on the prevention of complications? - ANSWER Sickle-cell anemia What is the most non-invasive way to test for heart failure? - ANSWER Echocardiogram What is used to help enhance Fe absorption? - ANSWER Vitamin- C Severe dyspnea, tachycardia, and audible wheezing are S&S of what? - ANSWER Pulmonary edema What is heart failure defined as? - ANSWER When the heart cannot pump enough blood to sustain the body's metabolic needs. Aching sharp cramping pain brought on by exercise and elevated rest is what? - ANSWER Arterial disorder.
PT/PTT low palettes and elevated D-Dimer are indicative of what? - ANSWER DIC Ineffective tissue perfusion related to blood loss from a coagulation deficit? - ANSWER Hemophilia Mild to severe pain in LLQ, fever, and elevated WBC is indicative of what? - ANSWER Diverticulitis Inflammation of the structures of the kidney and is almost always caused by E- Coli? - ANSWER Pyelonephritis In this phase of acute renal failure, urinary output is less than 400 ml in 24 hours. - ANSWER Oliguric Phase In this phase of acute renal failure, urinary output can be 1-2L in 24 hours. - ANSWER Diuretic Phase 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
What is the technical name for hives? - ANSWER Urticaria What is the treatment for Herpes? - ANSWER Exclovir What PPE do you need for scabies? - ANSWER Gown and gloves Patient comes in with butterfly rash, anemia, and joint pain, what do you suspect? - ANSWER Loopis SLE During education of RA, what is important to note - ANSWER This condition can affect many body organs at once What test best validates the dx of RA - ANSWER There is NO test What is the best intervention for OA - ANSWER Weight control and stress reduction 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.
Which conditions increase the risk of contracting shingles? (SATA) - ANSWER Over the age of 60, lowered immune system, increased stress Patient with Cellulitis, which interventions would nurse carry out for patient? (SATA) - ANSWER Aseptic technique, prevent secondary complications, offer analgesics (pain meds) 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 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. Patient is dx with scabies. Nurse anticipates which finding? - ANSWER Pruritus (itching) & brown crusty lines. Head lice - ANSWER olive oil and vasoline to smother 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.
Mannitol for increased intracranial pressure - ANSWER Works within 5 minutes- priority action is to monitor electrolytes. 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 How do you know if dialysis is working? - ANSWER Weight before and after, labs (BUN and Creatinine) If you have a patient with K+ of 6.1 (too high) - ANSWER Kayexalate (binds to K+ and makes them poop) Someone who is getting cardiac cath- what do you assess for first? - ANSWER Allergies to iodine or shellfish 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) Patient getting Lasix for CHF, what lab are you looking at? - ANSWER Potassium
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 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.
