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Practice Questions

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

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

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

15. A patient with a severe exacerbation of ulcerative colitis is experiencing significant bloody diarrhea. The nurse should monitor for signs of:

A. Hypokalemia ✓
B. Hypernatremia
C. Hypercalcemia
D. Hyperglycemia
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nmdcat.online Adult health nursing -II
Jun 6, 2026

14. A patient with cirrhosis develops ascites. The nurse anticipates administration of which medication?

A. Lactulose
B. Spironolactone ✓
C. Metoclopramide
D. Ondansetron
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nmdcat.online Adult health nursing -II
Jun 6, 2026

13. A nurse is caring for a patient with acute pancreatitis. Which dietary instruction is appropriate during the acute phase?

A. High-fat diet
B. Nothing by mouth (NPO) ✓
C. High-protein diet
D. Regular diet
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nmdcat.online Adult health nursing -II
Jun 6, 2026

12. A patient with diabetic ketoacidosis (DKA) is admitted to the emergency department. The nurse anticipates which primary initial treatment?

A. Oral insulin administration
B. IV potassium bolus
C. IV regular insulin infusion ✓
D. Oral fluid replacement
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nmdcat.online Adult health nursing -II
Jun 6, 2026

11. A patient with a new diagnosis of Type 1 Diabetes Mellitus asks the nurse what caused the disease. The nurse explains it is due to:

A. Obesity and sedentary lifestyle
B. Autoimmune destruction of pancreatic beta cells ✓
C. Insulin resistance in target cells
D. Excessive carbohydrate intake
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nmdcat.online Adult health nursing -II
Jun 6, 2026

10. A patient with COPD is receiving oxygen therapy. The nurse should be cautious with high-flow oxygen because it can:

A. Cause respiratory alkalosis
B. Suppress the hypoxic drive to breathe ✓
C. Lead to hyperventilation
D. Dry out mucous membranes excessively
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nmdcat.online Adult health nursing -II
Jun 6, 2026

9. A nurse is caring for a patient with a new colostomy. The most important initial nursing intervention is to:

A. Begin irrigation of the stoma
B. Assess the stoma for color and perfusion ✓
C. Apply a large appliance immediately
D. Teach about diet modifications
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nmdcat.online Adult health nursing -II
Jun 6, 2026
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