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NUR176 / NUR 176 Final Exam (Latest 2025 / 2026
Update): Concepts of Adult Health Nursing for the
Practical Nurse I |Questions and Answers (Verified
Solutions) 100% Correct โ Hondros.
Question:
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.
Question:
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"
Question:
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.
Question:
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.
Question:
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
Question:
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".
Question:
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.
Question:
Nurse is caring for patient recently dx with seizures and prescribed phenytoin (Dilantin). What education should we include? (SATA)
Answer:
Patient should avoid alcohol when taking seizure meds, patient should be encouraged to do good oral hygiene, explain the need to continue medication even when seizures stop, explain that the patient may have driving restrictions.
Question:
When assessing for meningitis or encephalitis, the nurse is aware which of the following statements is true?
Answer:
Determining organism specific cause of the condition
Question:
The nurse is providing dietary teaching to a newly dx diabetic patient. What should be included in education? (SATA)
Answer:
Plan meals the same time every day, reduce saturated fat and increase exercise, select food from myplate food planning tool.
Question:
Client is showing signs of dementia. The nurse will practice which guidelines for reality orientation? (SATA)
Answer:
Set routine and be consistent, be truthful in your responses, and engage them in simple tasks that have a purpose.
Question:
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.
Question:
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.
Question:
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
Question:
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
Question:
When providing care for patient with dementia, what is the priority goal to help the client?
Answer:
Maintain maximum self-care and prevent injuries.
Question:
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
Question:
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.
Question:
Patient is suspected of having meningitis. What interventions should the nurse implement?
Answer:
Respiratory isolation until 24 hours of effected IV antibody therapy.
Question:
Diabetic patient with MRSA. Which statement demonstrates understanding of insulin administration?
Answer:
I will administer my Novolog 2 units as prescribed.
Question:
Discharge instructions for a patient taking Lovenox. What side effect will he report to Dr. immediately?
Answer:
Dark, loose stools
Question:
The nurse is administering Decadron 60 mg PO to a patient admitted for cerebral edema. What should the nurse monitor for this patient?
Answer:
Daily weights
Question:
Nurse is caring for a patient in the ER who has rapid onset tachycardia, restlessness, polyphasia, and a 10 lb weight loss in the last month. Labs are glucose-472, LDL 200, and GAD positive. What intervention should nurse plan to do?
Answer:
Inject insulin
Question:
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.
Question:
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.
Question:
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
Question:
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.
Question:
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
Question:
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.
Question:
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
Question:
Caring for patient who is recovering from a routine colonoscopy. Abnormal distention and bleeding. What is a potential complication?
Answer:
Perforation
Question:
LPN is monitoring a patient who is receiving hemodialysis. What is the nurse's priority assessment?
Answer:
Blood pressure
Question:
Caring for a 64 year old patient who has undergone cardiac catheterization. To predict and manage potential complications, the nurse will implement this for safety.
Answer:
Check the vital signs and the puncture site for bleeding
Question:
LPN is taking care of a patient dx with chest pain, rule out MI, and is scheduled for a PTCA. Which statement indicates need for further teaching?
Answer:
During the procedure, I will be unconscious.
Question:
LPN is working nights on a med-surg uni. Patient complains of chest pain. Which statement indicates need for immediate interventions?
Answer:
It feels like a heavy pressure in the center of my chest.
Question:
LPN working nights. At 0500 the patient awakens. Complains of HA and states he had a nosebleed. What is the LPN's next action?
Answer:
Take the patient's vitals.
Question:
LPN caring for patient with heart failure complaining of severe dyspnea and coughing pink sputum. Which intervention is used to prevent further complications?
Answer:
Pull the patient up in the bed and administer O2.
Question:
Patient is admitted with possible heart failure. LPN calls the physician for admitting orders. Which order does the LPN expect to receive?
Answer:
BNP and CXR
Question:
LPN caring for patient with hx of CHF, experiencing dyspnea. What is the nurse's next action?
Do aerobic exercises 3-4X a week.
Question:
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
Question:
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.
Question:
What is the purpose of continuous bladder irrigation after TURP?
Answer:
Prevent blood clots from forming
Question:
Caring for patient with severe anemia. Which lab could help find the cause of the anemia?
Answer:
Hemoccult
Question:
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
Question:
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)
Question:
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?
Question:
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)
Metoprolol (lopressor) or Lisinopril (Zestril), Exercise program, and a lifestyle education.
Question:
Which finding by the LPN is part of the normal aging process? (SATA)
Answer:
Urinary frequency, urinary urgency, and nocturia.
Question:
The LPN would report which lab results to the RN? (SATA)
Answer:
Creatinine of 2.1, Uring with +2 protein, urine positive for bacteria, and INR of 3.
Question:
What is a non-modifiable risk factor for cardiac disease?
Answer:
Age
Question:
Which disease is caused by impaired b-12 absorption due to the intrinsic factor?
Answer:
Pernicious anemia
Question:
What is the most used test for DVT?
Answer:
Venous Doppler
Question:
Ferrous sulfate has what types of side effects?
Answer:
black stool, staining of teeth, constipation
Question:
Peripheral edema and distended neck veins are signs of what?
Answer:
RIGHT sided heart failure
Question:
What disease has no cure and tx is mostly palliative care and focus on the prevention of complications?
Answer:
Sickle-cell anemia
Question:
What is the most non-invasive way to test for heart failure?
