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Practice Questions

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

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

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

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

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

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

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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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

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

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
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