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Adult health nursing -II

149 questions found

Practice Questions

108. A patient with a new ileostomy is being discharged. The nurse should instruct the patient that the stool from an ileostomy will be:

A. Formed and regular
B. Semisolid with occasional gas
C. Liquid to semiliquid and continuous ✓
D. Hard and constipated
nmdcat.online Adult health nursing -II
Jun 6, 2026

109. A patient with hepatic encephalopathy is prescribed lactulose. The nurse knows this medication works by:

A. Increasing gut motility
B. Decreasing ammonia production and absorption ✓
C. Increasing protein absorption
D. Promoting liver regeneration
nmdcat.online Adult health nursing -II
Jun 6, 2026

110. A nurse is caring for a patient with acute cholecystitis. Which assessment finding would the nurse expect?

A. Left upper quadrant pain radiating to the back
B. Right upper quadrant pain radiating to the right shoulder ✓
C. Epigastric pain relieved by food
D. Periumbilical pain
nmdcat.online Adult health nursing -II
Jun 6, 2026
nmdcat.online Adult health nursing -II
Jun 6, 2026

112. A nurse is caring for a patient with hyperosmolar hyperglycemic state (HHS). The nurse anticipates:

A. Kussmaul respirations
B. Profound dehydration and hyperglycemia ✓
C. Ketoacidosis
D. Bradycardia
nmdcat.online Adult health nursing -II
Jun 6, 2026

97. A patient with a urinary tract infection (UTI) is prescribed antibiotics. The nurse should also advise the patient to:

A. Limit fluid intake
B. Drink cranberry juice ✓
C. Consume dairy products daily
D. Hold urine for long periods
nmdcat.online Adult health nursing -II
Jun 6, 2026

98. A patient is suspected of having bladder cancer. Which is the most common presenting symptom?

A. Painful urination
B. Flank pain
C. Hematuria (painless) ✓
D. Polyuria
nmdcat.online Adult health nursing -II
Jun 6, 2026

99. A nurse is assessing a patient with a detached retina. The patient reports:

A. Flashing lights and floaters ✓
B. Sudden, severe eye pain
C. Double vision
D. Gradual loss of central vision
nmdcat.online Adult health nursing -II
Jun 6, 2026

100. A patient with glaucoma is prescribed beta-blocker eye drops. The nurse should instruct the patient to:

A. Apply the drops directly to the cornea
B. Pinch the bridge of the nose after instillation ✓
C. Administer the drops once a day in the morning
D. Discontinue if blurred vision occurs
nmdcat.online Adult health nursing -II
Jun 6, 2026

101. A patient with Chronic Obstructive Pulmonary Disease (COPD) is admitted with an acute exacerbation. The nurse should prioritize monitoring of:

A. Blood glucose levels
B. ABGs (Arterial Blood Gases) ✓
C. Urine output
D. Pain level
nmdcat.online Adult health nursing -II
Jun 6, 2026

102. A nurse is caring for a patient on mechanical ventilation. To prevent ventilator-associated pneumonia (VAP), the nurse should implement:

A. Frequent suctioning only
B. Daily oral care with chlorhexidine ✓
C. Keeping the head of the bed flat
D. Continuous sedation
nmdcat.online Adult health nursing -II
Jun 6, 2026

103. A patient with a new diagnosis of tuberculosis (TB) asks the nurse about transmission. The nurse explains that TB is primarily spread by:

A. Direct contact with skin lesions
B. Contaminated food and water
C. Airborne droplets ✓
D. Blood transfusions
nmdcat.online Adult health nursing -II
Jun 6, 2026

104. A nurse is teaching a patient about the proper use of a metered-dose inhaler (MDI) for asthma. The most important step after inhaling the medication is to:

A. Exhale forcefully
B. Hold breath for 5-10 seconds ✓
C. Rinse mouth immediately
D. Take another puff quickly
nmdcat.online Adult health nursing -II
Jun 6, 2026

105. A patient with cystic fibrosis is experiencing thick, tenacious secretions. The nurse should prioritize:

A. Administering bronchodilators only
B. Performing chest physiotherapy (CPT) ✓
C. Limiting fluid intake
D. Encouraging high-fat diet
nmdcat.online Adult health nursing -II
Jun 6, 2026

106. A patient is admitted with a suspected pneumothorax. The nurse should assess for which classic sign?

A. Bilateral crackles
B. Diminished or absent breath sounds on the affected side ✓
C. Productive cough
D. Bradypnea
nmdcat.online Adult health nursing -II
Jun 6, 2026
nmdcat.online Adult health nursing -II
Jun 6, 2026

96. A nurse is teaching a patient with urinary incontinence about Kegel exercises. The nurse explains these exercises strengthen the:

A. Abdominal muscles
B. Bladder wall
C. Pelvic floor muscles ✓
D. Rectal sphincter
nmdcat.online Adult health nursing -II
Jun 6, 2026

81. A nurse is preparing a patient for radiation therapy for lung cancer. The nurse should inform the patient that a common side effect is:

A. Weight gain
B. Hair loss all over the body
C. Fatigue ✓
D. Increased appetite
nmdcat.online Adult health nursing -II
Jun 6, 2026

82. A patient with a malignant tumor develops tumor lysis syndrome (TLS). The nurse should monitor for which electrolyte imbalance?

A. Hypokalemia
B. Hypophosphatemia
C. Hypercalcemia
D. Hyperkalemia and hyperphosphatemia ✓
nmdcat.online Adult health nursing -II
Jun 6, 2026
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