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Adult health nursing -II

149 questions found

Practice Questions

40. A patient with severe liver cirrhosis develops hepatic encephalopathy. The nurse anticipates administration of which medication?

A. Furosemide

B. Lactulose ✓

C. Spironolactone

D. Beta-blockers

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nmdcat.online Adult health nursing -II

Jun 6, 2026

41. A patient is recovering from a cholecystectomy. The nurse should teach the patient to report which sign of a potential complication?

A. Mild abdominal pain

B. Greenish bile in the drainage tube

C. Clay-colored stools ✓

D. Slight nausea after eating

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nmdcat.online Adult health nursing -II

Jun 6, 2026

42. A nurse is teaching a patient about preventing peptic ulcer disease (PUD) recurrence. The nurse should advise the patient to avoid:

A. Stress

B. Caffeine

C. NSAIDs ✓

D. Spicy foods

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nmdcat.online Adult health nursing -II

Jun 6, 2026

43. A patient with uncontrolled Type 2 Diabetes Mellitus presents with Kussmaul respirations. The nurse recognizes this as a compensatory mechanism for:

A. Hypoglycemia

B. Diabetic ketoacidosis (DKA) ✓

C. Hyperosmolar Hyperglycemic State (HHS)

D. Hypokalemia

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nmdcat.online Adult health nursing -II

Jun 6, 2026

31. A patient with Meniere’s disease experiences acute vertigo, tinnitus, and fluctuating hearing loss. The nurse should advise the patient to:

A. Increase salt intake

B. Avoid sudden head movements ✓

C. Lie supine during attacks

D. Limit caffeine intake

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nmdcat.online Adult health nursing -II

Jun 6, 2026

16. A nurse is reinforcing teaching for a patient with gout. Which food should the patient be advised to limit?

A. Dairy products

B. Whole grains

C. Organ meats ✓

D. Fruits

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nmdcat.online Adult health nursing -II

Jun 6, 2026

17. A patient with a spinal cord injury at T6 is complaining of a pounding headache and is profusely sweating above the injury. The nurse suspects:

A. Hypovolemic shock

B. Autonomic dysreflexia ✓

C. Spinal shock

D. Orthostatic hypotension

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nmdcat.online Adult health nursing -II

Jun 6, 2026

18. The nurse is caring for a patient with an ischemic stroke. The priority nursing assessment in the initial hours after admission is to monitor for changes in:

A. Skin integrity

B. Bowel sounds

C. Neurological status ✓

D. Urine output

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nmdcat.online Adult health nursing -II

Jun 6, 2026

19. A patient with Parkinson’s disease has difficulty ambulating. The nurse should instruct the patient to:

A. Take large, quick strides

B. Keep eyes focused on feet

C. Use a cane with a single-point tip

D. Lift feet and march in place ✓

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nmdcat.online Adult health nursing -II

Jun 6, 2026

20. A nurse is reviewing lab results for a patient with rheumatoid arthritis. Which finding is most indicative of active inflammation?

A. Decreased erythrocyte sedimentation rate (ESR)

B. Elevated C-reactive protein (CRP) ✓

C. Normal white blood cell count

D. Decreased rheumatoid factor (RF)

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nmdcat.online Adult health nursing -II

Jun 6, 2026

21. A patient is scheduled for a cardiac catheterization. The nurse should assess for allergies to:

A. Penicillin

B. Latex

C. Shellfish or iodine ✓

D. Aspirin

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nmdcat.online Adult health nursing -II

Jun 6, 2026

22. A nurse is teaching a patient about managing chronic stable angina. Which statement indicates understanding of the teaching?

A. "I should take nitroglycerin as soon as I feel chest pain." ✓

B. "I will avoid all physical activity to prevent chest pain."

C. "If my chest pain goes away with rest, it's not serious."

D. "I only need to take nitroglycerin if the pain is severe."

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Jun 6, 2026

23. A patient with acute coronary syndrome (ACS) is receiving thrombolytic therapy. Which is the most critical nursing assessment during this therapy?

A. Monitoring urine output hourly

B. Assessing for signs of bleeding ✓

C. Checking blood glucose levels

D. Evaluating bowel sounds

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nmdcat.online Adult health nursing -II

Jun 6, 2026

24. A patient with heart failure is prescribed a diuretic. The nurse should instruct the patient to monitor their:

A. Daily weight ✓

B. Visual acuity

C. Temperature

D. Blood pressure only in the morning

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nmdcat.online Adult health nursing -II

Jun 6, 2026

25. A patient with atrial fibrillation is at increased risk for which complication?

A. Myocardial infarction

B. Pulmonary embolism

C. Stroke ✓

D. Deep vein thrombosis

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nmdcat.online Adult health nursing -II

Jun 6, 2026

26. A nurse is preparing a patient for discharge after a pacemaker insertion. What instruction should the nurse include?

A. Avoid lifting the arm on the pacemaker side for several weeks. ✓

B. Shower immediately to prevent infection.

C. Expect redness and swelling at the insertion site for a month.

D. Resume normal activities immediately.

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nmdcat.online Adult health nursing -II

Jun 6, 2026

27. A patient with a newly diagnosed DVT is prescribed unfractionated heparin. The nurse monitors the activated partial thromboplastin time (aPTT) to evaluate the therapeutic effect. A therapeutic aPTT is usually:

A. Lower than normal range

B. 1.5 to 2.5 times the control value ✓

C. Higher than normal range

D. The same as the control value

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nmdcat.online Adult health nursing -II

Jun 6, 2026

28. A patient with end-stage renal disease (ESRD) is experiencing hyperkalemia. Which ECG change would the nurse expect?

A. Flattened T waves

B. Peaked T waves ✓

C. Shortened PR interval

D. Prolonged QT interval

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nmdcat.online Adult health nursing -II

Jun 6, 2026

29. A patient is receiving continuous bladder irrigation after transurethral resection of the prostate (TURP). The nurse notes bright red urine with clots. The initial nursing action is to:

A. Stop the irrigation immediately

B. Increase the irrigation rate ✓

C. Administer a diuretic

D. Notify the physician immediately

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nmdcat.online Adult health nursing -II

Jun 6, 2026

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Adult health nursing -II

Practice Questions

40. A patient with severe liver cirrhosis develops hepatic encephalopathy. The nurse anticipates administration of which medication?

41. A patient is recovering from a cholecystectomy. The nurse should teach the patient to report which sign of a potential complication?

42. A nurse is teaching a patient about preventing peptic ulcer disease (PUD) recurrence. The nurse should advise the patient to avoid:

43. A patient with uncontrolled Type 2 Diabetes Mellitus presents with Kussmaul respirations. The nurse recognizes this as a compensatory mechanism for:

31. A patient with Meniere’s disease experiences acute vertigo, tinnitus, and fluctuating hearing loss. The nurse should advise the patient to:

16. A nurse is reinforcing teaching for a patient with gout. Which food should the patient be advised to limit?

17. A patient with a spinal cord injury at T6 is complaining of a pounding headache and is profusely sweating above the injury. The nurse suspects:

18. The nurse is caring for a patient with an ischemic stroke. The priority nursing assessment in the initial hours after admission is to monitor for changes in:

19. A patient with Parkinson’s disease has difficulty ambulating. The nurse should instruct the patient to:

20. A nurse is reviewing lab results for a patient with rheumatoid arthritis. Which finding is most indicative of active inflammation?

21. A patient is scheduled for a cardiac catheterization. The nurse should assess for allergies to:

22. A nurse is teaching a patient about managing chronic stable angina. Which statement indicates understanding of the teaching?

23. A patient with acute coronary syndrome (ACS) is receiving thrombolytic therapy. Which is the most critical nursing assessment during this therapy?

24. A patient with heart failure is prescribed a diuretic. The nurse should instruct the patient to monitor their:

25. A patient with atrial fibrillation is at increased risk for which complication?

26. A nurse is preparing a patient for discharge after a pacemaker insertion. What instruction should the nurse include?

27. A patient with a newly diagnosed DVT is prescribed unfractionated heparin. The nurse monitors the activated partial thromboplastin time (aPTT) to evaluate the therapeutic effect. A therapeutic aPTT is usually:

28. A patient with end-stage renal disease (ESRD) is experiencing hyperkalemia. Which ECG change would the nurse expect?

29. A patient is receiving continuous bladder irrigation after transurethral resection of the prostate (TURP). The nurse notes bright red urine with clots. The initial nursing action is to:

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