NUR 176 EXAM 2 STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
HONDROS
1. Signs and symptoms of appendicitis - ANSWER ✔ -elevated blood count
-severe RLQ pain
-Rovings Sign
-low BP
-fever
2. Signs and symptoms of DVT - ANSWER ✔ -pain (priority)
-redness and tenderness in calf
-pain with breathing (sign of PE REPORT IMMEDIATELY)
3. AFIB discharge teaching - ANSWER ✔ Coumadin depends on pt/INR
4. Sickle Cell crisis - ANSWER ✔ -SOB, pain
-give pain meds and oxygen therapy
5. Patient has SOB and chest pain - ANSWER ✔ EKG immediately
6. pernicious anemia - ANSWER ✔ -b12 deficiency
-report dyspnea to RN immediately
7. Celiac disease - ANSWER ✔ -gluten allergy
-gluten free diet
8. PTCA (percutaneous transluminal coronary angioplasty) - ANSWER ✔ -
warm flush all over body
,-does not need to be asleep for procedure
-must lay flat
Inject into occluded artery
9. Colonoscopy - ANSWER ✔ -rectal bleeding after
-bloated and distended stomach
-means something was perforated something in bowel
10.Patient with Crohn's disease has mucous and blood in stool, what do you do?
- ANSWER ✔ Document as normal findings
11.Pacemaker Patient - ANSWER ✔ Avoid MRI as it can kill the patient
12.Nitroglycerin - ANSWER ✔ -sublingual
-give every 5 minutes up to. 3 times
- if chest pain is not resolved after 3rd time, call 911 if at home
13.Nitroglycerin side effects - ANSWER ✔ Drops BP and causes a severe
headache
14.Patient is complaining of SOB and chest pain - ANSWER ✔ Place on
monitor and do EKG ASAP
15.Asprin - ANSWER ✔ Blood thinner, helps blood flow
16.Cardiac catheterization - ANSWER ✔ -Gives better visual of what is going
on in the heart
-after the procedure, monitor site for bleeding or hematoma
-vials frequently to ensure patient does not bleed out
17.One patient c/o radiating back pain and another c/o severe chest pain. Which
patient is the priority? - ANSWER ✔ The patient with severe chest pain
18.If a patient on dialysis has an AV fistula, which arm is the dialysis done on?
- ANSWER ✔ Whichever arm does not have the fistula
19.ARF Causes - ANSWER ✔ Hemorrhage, trauma, infection, decreased
cardiac output, medications
,20.ARF S/S - ANSWER ✔ mimics dehydration s/s, anorexia, h/a, edema,
vomiting, nausea, lethargy,
21.Malignan hypertension - ANSWER ✔ Is the most severe
22.S/S of Malignant hypertension - ANSWER ✔ - Diastolic >120
- Blurred vision
- Severe h/a
- High cholesterol
- Dyspnea
- History of hypertension
23.Nursing interventions for barium swallow - ANSWER ✔ Pt is NPO after
midnight
Educate importance of expelling all barium
Laxative may be ordered to aid in evacuation post procedure
ENCOURAGE FLUIDS post procedure
24.What is endoscopy? - ANSWER ✔ Enables direct visualization of a
particular hollow organ or cavity by means of a long, fiberoptic scope for
routine screening or diagnostics
Enables evaluations of the esophagus, stomach and duodenum
25.Nursing interventions for endoscopy - ANSWER ✔ Pt is NPO after
midnight
Given pre-op IV sedative & pts throat anesthetized with lidocaine spray
Vitals signs/ Monitor O2 sat
26.Post procedure for endoscopy - ANSWER ✔ Pt may not eat/drink until gag
reflex returns
Monitor vitals & O2 sat
Assess for s/s of perforation - Abdominal pain, tenderness, guarding, oral
bleeding, melena (stool containing undigested blood), hypovolemic shock
27.What is cystoscopy? - ANSWER ✔ Visual exam done to inspect, treat or
diagnosis disorders of the urinary bladder & proximal structures
, 28.Nursing interventions for cystoscopy - ANSWER ✔ Hydration to dilute
urine
Monitor the first post-op void - assess time, amount, color & any
painful/difficult urination
First void is normally blood tinged
29.Hgb lab value - ANSWER ✔ 12-18 g/dL
30.Creatinine lab value - ANSWER ✔ 0.6-1.2 mg/dL
31.INR lab value - ANSWER ✔ 0.8-12
32.INR therapeutic lab value - ANSWER ✔ 2-3
33.BUN lab value - ANSWER ✔ 10-20 mg/dL
34.Calcium lab value - ANSWER ✔ 8.5-10.5 mg/dL
35.Magnesium lab value - ANSWER ✔ 1.5-2.5 mEq/L
36.Sodium lab value - ANSWER ✔ 135-145 mEq/L
37.Potassium lab value - ANSWER ✔ 3.5-5.0 mEq/L
38.What is Celiac disease? - ANSWER ✔ Genetic disorder most commonly
effects the small intestine
Autoimmune disease that disrupts the absorption of gluten.
When ingested the immune system begins damaging the inner lining of small
intestine & destroying villi
39.S/s of celiac disease - ANSWER ✔ Abdominal pain
Diarrhea after ingesting gluten
Malabsorption b/c of damage - weight loss & vitamin deficiencies
Vitamin deficiencies - affects brain, PNS, bones, liver & other vital organs
40.Nursing interventions for celiac disease? - ANSWER ✔ Educate pt on how
to incorporate a gluten free diet into life
Educate no wheat, rye, barley
ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
HONDROS
1. Signs and symptoms of appendicitis - ANSWER ✔ -elevated blood count
-severe RLQ pain
-Rovings Sign
-low BP
-fever
2. Signs and symptoms of DVT - ANSWER ✔ -pain (priority)
-redness and tenderness in calf
-pain with breathing (sign of PE REPORT IMMEDIATELY)
3. AFIB discharge teaching - ANSWER ✔ Coumadin depends on pt/INR
4. Sickle Cell crisis - ANSWER ✔ -SOB, pain
-give pain meds and oxygen therapy
5. Patient has SOB and chest pain - ANSWER ✔ EKG immediately
6. pernicious anemia - ANSWER ✔ -b12 deficiency
-report dyspnea to RN immediately
7. Celiac disease - ANSWER ✔ -gluten allergy
-gluten free diet
8. PTCA (percutaneous transluminal coronary angioplasty) - ANSWER ✔ -
warm flush all over body
,-does not need to be asleep for procedure
-must lay flat
Inject into occluded artery
9. Colonoscopy - ANSWER ✔ -rectal bleeding after
-bloated and distended stomach
-means something was perforated something in bowel
10.Patient with Crohn's disease has mucous and blood in stool, what do you do?
- ANSWER ✔ Document as normal findings
11.Pacemaker Patient - ANSWER ✔ Avoid MRI as it can kill the patient
12.Nitroglycerin - ANSWER ✔ -sublingual
-give every 5 minutes up to. 3 times
- if chest pain is not resolved after 3rd time, call 911 if at home
13.Nitroglycerin side effects - ANSWER ✔ Drops BP and causes a severe
headache
14.Patient is complaining of SOB and chest pain - ANSWER ✔ Place on
monitor and do EKG ASAP
15.Asprin - ANSWER ✔ Blood thinner, helps blood flow
16.Cardiac catheterization - ANSWER ✔ -Gives better visual of what is going
on in the heart
-after the procedure, monitor site for bleeding or hematoma
-vials frequently to ensure patient does not bleed out
17.One patient c/o radiating back pain and another c/o severe chest pain. Which
patient is the priority? - ANSWER ✔ The patient with severe chest pain
18.If a patient on dialysis has an AV fistula, which arm is the dialysis done on?
- ANSWER ✔ Whichever arm does not have the fistula
19.ARF Causes - ANSWER ✔ Hemorrhage, trauma, infection, decreased
cardiac output, medications
,20.ARF S/S - ANSWER ✔ mimics dehydration s/s, anorexia, h/a, edema,
vomiting, nausea, lethargy,
21.Malignan hypertension - ANSWER ✔ Is the most severe
22.S/S of Malignant hypertension - ANSWER ✔ - Diastolic >120
- Blurred vision
- Severe h/a
- High cholesterol
- Dyspnea
- History of hypertension
23.Nursing interventions for barium swallow - ANSWER ✔ Pt is NPO after
midnight
Educate importance of expelling all barium
Laxative may be ordered to aid in evacuation post procedure
ENCOURAGE FLUIDS post procedure
24.What is endoscopy? - ANSWER ✔ Enables direct visualization of a
particular hollow organ or cavity by means of a long, fiberoptic scope for
routine screening or diagnostics
Enables evaluations of the esophagus, stomach and duodenum
25.Nursing interventions for endoscopy - ANSWER ✔ Pt is NPO after
midnight
Given pre-op IV sedative & pts throat anesthetized with lidocaine spray
Vitals signs/ Monitor O2 sat
26.Post procedure for endoscopy - ANSWER ✔ Pt may not eat/drink until gag
reflex returns
Monitor vitals & O2 sat
Assess for s/s of perforation - Abdominal pain, tenderness, guarding, oral
bleeding, melena (stool containing undigested blood), hypovolemic shock
27.What is cystoscopy? - ANSWER ✔ Visual exam done to inspect, treat or
diagnosis disorders of the urinary bladder & proximal structures
, 28.Nursing interventions for cystoscopy - ANSWER ✔ Hydration to dilute
urine
Monitor the first post-op void - assess time, amount, color & any
painful/difficult urination
First void is normally blood tinged
29.Hgb lab value - ANSWER ✔ 12-18 g/dL
30.Creatinine lab value - ANSWER ✔ 0.6-1.2 mg/dL
31.INR lab value - ANSWER ✔ 0.8-12
32.INR therapeutic lab value - ANSWER ✔ 2-3
33.BUN lab value - ANSWER ✔ 10-20 mg/dL
34.Calcium lab value - ANSWER ✔ 8.5-10.5 mg/dL
35.Magnesium lab value - ANSWER ✔ 1.5-2.5 mEq/L
36.Sodium lab value - ANSWER ✔ 135-145 mEq/L
37.Potassium lab value - ANSWER ✔ 3.5-5.0 mEq/L
38.What is Celiac disease? - ANSWER ✔ Genetic disorder most commonly
effects the small intestine
Autoimmune disease that disrupts the absorption of gluten.
When ingested the immune system begins damaging the inner lining of small
intestine & destroying villi
39.S/s of celiac disease - ANSWER ✔ Abdominal pain
Diarrhea after ingesting gluten
Malabsorption b/c of damage - weight loss & vitamin deficiencies
Vitamin deficiencies - affects brain, PNS, bones, liver & other vital organs
40.Nursing interventions for celiac disease? - ANSWER ✔ Educate pt on how
to incorporate a gluten free diet into life
Educate no wheat, rye, barley
