Download Exam 2: NUR176 / NUR 176 (Latest 2025 / 2026 Update): Concepts of Adult Health Nursing and more Assignments Nursing in PDF only on Docsity!
Exam 2: NUR176 / NUR 176 (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 LPN is discharging a client after successful bariatric (Gastric) surgery. Which information should be included in the plan of care related to this procedure?
Answer:
May need to be on B12 injections for life.
Question:
The LPN is caring for a client diagnosed with cystitis. Which statement is correct related to this condition?
Answer:
The client is at risk for urinary tract infections
Question:
The LPN is caring for a client diagnosed with chronic renal failure, who is receiving hemodialysis today. Which priority nursing intervention will the LPN implement?
Answer:
Weigh the client before and after dialysis
Question:
The doctor orders: Kanamycin 7.5 mg/kg IM q 12 hours. The available dose is Kanamycin 0. G/ml. What dose will the nurse administer for a client weighing 157 lbs.?
Answer:
1.5 ml
Question:
The LPN has just administered Digoxin (lanoxin) as ordered to the client. The nurse will assess the effectiveness of this medication by obtaining which assessment data?
Answer:
Assessing for a regular heart rhythm
Question:
The LPN is caring for a client diagnosed with cystitis who develops frequent urinary tract infections. The client asks how to prevent this from happening again. Which statement by the LPN indicates an understanding of how to best to reduce the risk of this type of infection?
Answer:
You should fully empty your bladder and drink more fluids
Question:
The LPN student is performing a blood pressure test on a client who has a right upper arm AV fistula. What action indicates the need for further teaching?
Answer:
The student performs the blood pressure on the right arm carefully.
Answer:
Educating on weight management and smoking cessation.
Question:
The LPN is caring for a client after a stroke. The patient states to the LPN, "When I cough or sneeze, I'm peeing on myself. I always need to use the commode but never make it in time." What action will the LPN take in response? (Select all that apply)
Answer:
Establish a routine for a toileting schedule, Educate the patient on how to do Kegel exercises
Question:
The LPN is providing teaching to a client diagnosed with Celiac disease. Which statement by the client indicates proper understanding of the disease process?
Answer:
"I can learn to adjust to a gluten free diet."
Question:
The LPN is caring for a client scheduled for an endoscopic procedure. Which statement by the patient demonstrates a need for more education?
Answer:
"I won't eat before the procedure, but I can have fluids to drink immediately after it is done."
Question:
The LPN reviews discharge instructions with a client taking furosemide (Lasix). Which effects will the LPN anticipate related to this treatment?
Answer:
Polyuria and weight loss
Question:
The LPN is preparing a diet plan for a client diagnosed with chronic renal failure. What dietary choices would be best for this client to consume?
Answer:
Apples and green beans
Question:
The LPN is caring for a client in sickle cell crisis with severe pain. Which intervention would be a priority to be initiated?
Answer:
Administration of oxygen
Question:
The LPN is caring for a client experiencing difficulty with elimination. Which statement by the client indicates a need for further teaching?
Answer:
"I will reduce my fluid intake to prevent excessive voiding."
Question:
Answer:
Collect more information to determine why the patient is unable to walk.
Question:
The LPN is completing discharge planning on a client diagnosed with atrial fibrillation. What instructions will the LPN include for this client who will be taking Coumadin at home? (Select all that apply)
Answer:
Your dose will be dependent on the PT values taken on a routine basis, Your therapeutic values for INR should be between 2.0 and 3.
Question:
A 50-year-old female client arrives at the emergency department (ED) reporting shortness of breath (SOB), nausea, and cool clammy skin. What test should the LPN expect to be ordered by the physician based on this information?
Answer:
12 - lead EKG
Question:
The LPN is caring for an 86 year old client who was alert and oriented the previous day, and now is confused, agitated and incontinent. What should the LPN recognize as the possible cause?
Answer:
Urinary tract infection
Question:
The LPN recognizes the need to look at which lab values when reviewing the renal status of a client? (Select all that apply)
Answer:
Blood Urea Nitrogen (BUN), Creatinine test
Question:
The LPN is providing care to a client diagnosed with renal failure who has a potassium level of 6.2 mEq/L. Which medication should the LPN anticipate being ordered related to this status?
Answer:
Sodium polystyrene sulfonate (Kayexalate)
Question:
The LPN is evaluating the side effects of the drug finasteride (Proscar). Which statement indicates the patient may be experiencing a side effect of the drug?
Answer:
"I am having a problem with maintaining an erection."
Question:
The LPN is assisting a client newly diagnosed with hemophilia and asks for an explanation. Which response would be best from the LPN? (Select all that apply)
Answer:
This condition is caused by absence of blood clotting factors, If you are injured you will most likely need a blood or plasma transfusions, due to this condition, You should use an electric razor for safety unless you are on oxygen therapy
Question:
The LPN is caring for a client with a sickle cell anemia exacerbation. What assessment data would require immediate intervention?
Answer:
SpO2 reading of 87% on oxygen
Question:
The LPN is caring for a client with pernicious anemia. Which symptom needs to be reported to the RN immediately?
Answer:
Dyspnea
Question:
What is the purpose of continuous bladder irrigation after a TURP procedure? Prevent blood clots from forming
Answer:
Question:
The LPN is caring for a client with recent diagnosis of (CHF) Congestive Heart Failure with right side heart involvement. Which assessment data will the nurse expect to see related to an exacerbation of this condition? (Select all that apply)
Answer:
Ascites, Weight gain
Question:
The LPN is caring for a 64-year- old client who has undergone a femoral cardiac catheterization. To predict and manage potential complications, what action will the LPN implement initially following the procedure?
Answer:
Check vital signs and puncture site for bleeding
Question:
The LPN is obtaining a health history on a client diagnosed with high cholesterol, and hypertension who smokes 2 packs per day (ppd). The LPN is teaching the client about risk factors for heart failure. Which statement by the client indicates the need for further teaching?
Answer:
"I will eat better and then I won't need to exercise."
Question:
The LPN is teaching a client with a history of angina who is taking aspirin 81mg P.O.Q.D. Which statement best indicates the patient understands the education provided?
Answer:
"Aspirin will act as an antiplatelet to thin my blood, allowing blood to flow easier."
Question:
A client presents to the ED with a low grade fever of 100 degrees F, WBC of 12,500 and rebound tenderness (Rovsing's sign) with severe pain in the RLQ of the abdomen. The diagnosis is acute appendicitis. The LPN should anticipate which priority intervention to
The LPN is admitting a client to the emergency department (ED) who reports substernal crushing chest pain that radiates down the left arm. What action will the LPN implement to best predict and manage potential complications?
Answer:
Place the patient on a heart monitor.
Question:
The LPN is caring for a client taking furosemide (Lasix). What lab result would be a priority assessment for this client related to the medication?
Answer:
Potassium level
Question:
The LPN is reviewing discharge instructions with a client who has a colostomy. Which instruction should be included in the discharge plans?
Answer:
Ensure stoma wafer is fit properly around the stoma
Question:
The LPN is caring for a client diagnosed with sickle cell anemia. Which statement by the client indicates a need for further teaching?
Answer:
"I will need to take a B12 shot for the rest of my life."
Question:
The client is complaining of recent difficulty taking a deep breath, and abdominal swelling. The client has a history of right side heart failure. Which condition does the nurse suspect?
Answer:
Possible abdominal ascites
Question:
The LPN is taking care of a client with a diagnosis of chest pain to rule out myocardial infarction (MI). The client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA). Which statement by the client indicates a need for additional teaching regarding the procedure.
Answer:
"During the procedure, I will be unconscious."
Question:
An LPN is teaching a client proper Nitroglycerin administration. Which statement by the client indicates proper understanding of how to take this medication?
Answer:
Take 1 tablet every 5 min, after 3 tablets if unresolved call 9- 1 - 1.
Question:
The LPN is teaching dietary practices to a client diagnosed with heart failure. Which foods should the nurse educate the client to avoid?
Answer:
Canned soup or frozen meals
Question:
Question:
The LPN is caring for a client scheduled for a barium swallow study. The LPN would include which statement in the education?
Answer:
It is important to increase fluid intake to prevent complications.
Question:
The LPN is aware that clients exhibiting lethargy, weakness, and shortness of breath on exertion, are potential signs of which condition?
Answer:
Severe anemia
Question:
The LPN is caring for a client diagnosed with Crohn's disease. They complain of soft stools, small amounts of blood and mucous in the stool frequently. What action will then nurse take initially?
Answer:
Ask more information about the findings and discuss options
Question:
The LPN is caring for a client experiencing severe edema who has been on loop diuretic therapy. The lab result shows a potassium level of 2.9. The LPN would expect to see a change in current medication order to which new medication?
Answer:
Aldactone (Spironalatone)
Question:
The LPN is monitoring a client during a hemodialysis procedure. What is the LPN's priority assessment during the procedure to prevent potential complications?
Answer:
Maintain vitals, dialysis site and sterile technique
Question:
The LPN is caring for a client diagnosed with a DVT. The patient is on warfarin (Coumadin) and a heparin drip. The client asks the nurse why they are on two different blood thinners. Which response by the LPN shows understanding of the medications?
Answer:
"Warfarin (Coumadin) takes several days to reach therapeutic levels in the blood."
Question:
The nurse is assessing a client with a history of severe CAD (coronary artery disease), and should expect to observe which symptoms related to this condition?
Answer:
Periods of chest pain even when at rest
Question:
The nurse is aware that clients with pacemakers should avoid which procedure?
Answer:
MRI
Encourage physical activity as tolerated
Question:
While caring for a client diagnosed with severe anemia, which assessment and interventions should be taught to the client? (Select all that apply)
Answer:
Alternate periods of rest and activity, Monitor urine and stool for s/s of bleeding, proper temperature control for optimal circulation
Question:
The client complains of sharp stabbing pain when walking recently. The LPN recognizes which tests and assessments might be required? (Select all that apply.)
Answer:
Doppler of lower extremity, Measuring circumference of both legs, Assess Pedal Pulses in Lower extremities, Assessment of both lower extremities
Question:
The LPN is caring for a client with left sided heart failure. Which signs and symptoms are indicative of left sided heart failure? (Select all that apply.)
Answer:
Dyspnea, Orthopnea, Pulmonary Crackles
Question:
The LPN is assessing a client and determines they are experiencing severe hypertension based on which findings? (Select all that apply.)
Answer:
Unexplained nosebleeds, visual disturbances, awakening with a headache
Question:
Which assessment finding by the LPN is considered a common part of the elderly aging process? (Select all that apply.)
Answer:
Urinary frequency, urinary urgency, Nocturia
Question:
The LPN is caring for a client in the emergency department who is diagnosed with a myocardial infarction. The LPN begins to initiate MONA. Which medications or treatments are included in this process? (Select all that apply.)
Answer:
Nitroglycerin, Oxygen
Question:
The doctor has ordered clindamycin 600 mg in 150 ml D5W to infuse over 2 hours. How many ml per hour should the IV pump be set at?
Answer:
75 ml per hour
