NUR185/NUR 185 Exam 2 V3 | Concepts of
Adult Health Nursing for the Practical
Nurse II Q&A with Rationale | Hondros
College of Nursing
1. A nurse is caring for a patient who is 24 hours postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take to prevent dislocation of
the new prosthesis?
A. Maintain the patient’s hip in a flexed position of 100 degrees.
B. Encourage the patient to cross their legs at the ankles.
C. Place an abductor pillow between the patient’s legs when turning.
D. Instruct the patient to lean forward while sitting in a chair.
Correct Answer: C
Rationale: An abductor pillow or wedge is used to keep the operative leg in alignment and
prevent adduction, which can lead to dislocation. The nurse must ensure the hip does not
flex beyond 90 degrees to maintain joint integrity. Crossing the legs or leaning forward are
contraindicated movements that increase the risk of the prosthesis popping out of the
socket.
2. A patient with Type 1 Diabetes Mellitus is found unconscious and diaphoretic. What is the
nurse’s priority action?
A. Check the patient’s blood glucose level.
,B. Administer 15 grams of simple carbohydrates orally.
C. Call the healthcare provider for an insulin order.
D. Administer intramuscular glucagon per protocol.
Correct Answer: D
Rationale: Since the patient is unconscious, they are at risk for aspiration and cannot
safely swallow oral carbohydrates. Intramuscular glucagon is the emergency treatment of
choice to rapidly increase blood sugar in a non-responsive patient. After administration,
the nurse should monitor the patient’s level of consciousness and follow up with a snack
once they are alert.
3. The nurse is assessing a patient with Graves’ disease. Which of the following findings is
most characteristic of this condition?
A. Weight gain and bradycardia.
B. Lethargy and periorbital edema.
C. Cold intolerance and dry skin.
D. Exophthalmos and heat intolerance.
Correct Answer: D
Rationale: Graves’ disease is a form of hyperthyroidism characterized by an overactive
metabolism. Exophthalmos, or bulging eyes, is a classic sign due to edema in the
, extraocular muscles and fatty tissue behind the eye. Patients also frequently report heat
intolerance, palpitations, and unexplained weight loss despite an increased appetite.
4. A patient is being treated for an acute exacerbation of Addison’s disease (Addisonian
Crisis). Which laboratory result should the nurse expect to find?
A. Hyperglycemia
B. Hyponatremia
C. Hypokalemia
D. Hypocalcemia
Correct Answer: B
Rationale: Addisonian crisis involves an acute insufficiency of adrenocortical hormones,
leading to a loss of sodium and water. This results in hyponatremia and hyperkalemia
rather than hypokalemia. The nurse must monitor for hypotension and shock, which are
life-threatening complications of this electrolyte imbalance.
5. A nurse is providing discharge teaching for a patient with a new prescription for
Alendronate (Fosamax) for osteoporosis. Which instruction is vital?
A. Take the medication with a full glass of milk.
B. Take the medication with 8 ounces of plain water on an empty stomach.
C. Lie down for 30 minutes after taking the medication.
D. Take the medication right before going to bed.
Adult Health Nursing for the Practical
Nurse II Q&A with Rationale | Hondros
College of Nursing
1. A nurse is caring for a patient who is 24 hours postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take to prevent dislocation of
the new prosthesis?
A. Maintain the patient’s hip in a flexed position of 100 degrees.
B. Encourage the patient to cross their legs at the ankles.
C. Place an abductor pillow between the patient’s legs when turning.
D. Instruct the patient to lean forward while sitting in a chair.
Correct Answer: C
Rationale: An abductor pillow or wedge is used to keep the operative leg in alignment and
prevent adduction, which can lead to dislocation. The nurse must ensure the hip does not
flex beyond 90 degrees to maintain joint integrity. Crossing the legs or leaning forward are
contraindicated movements that increase the risk of the prosthesis popping out of the
socket.
2. A patient with Type 1 Diabetes Mellitus is found unconscious and diaphoretic. What is the
nurse’s priority action?
A. Check the patient’s blood glucose level.
,B. Administer 15 grams of simple carbohydrates orally.
C. Call the healthcare provider for an insulin order.
D. Administer intramuscular glucagon per protocol.
Correct Answer: D
Rationale: Since the patient is unconscious, they are at risk for aspiration and cannot
safely swallow oral carbohydrates. Intramuscular glucagon is the emergency treatment of
choice to rapidly increase blood sugar in a non-responsive patient. After administration,
the nurse should monitor the patient’s level of consciousness and follow up with a snack
once they are alert.
3. The nurse is assessing a patient with Graves’ disease. Which of the following findings is
most characteristic of this condition?
A. Weight gain and bradycardia.
B. Lethargy and periorbital edema.
C. Cold intolerance and dry skin.
D. Exophthalmos and heat intolerance.
Correct Answer: D
Rationale: Graves’ disease is a form of hyperthyroidism characterized by an overactive
metabolism. Exophthalmos, or bulging eyes, is a classic sign due to edema in the
, extraocular muscles and fatty tissue behind the eye. Patients also frequently report heat
intolerance, palpitations, and unexplained weight loss despite an increased appetite.
4. A patient is being treated for an acute exacerbation of Addison’s disease (Addisonian
Crisis). Which laboratory result should the nurse expect to find?
A. Hyperglycemia
B. Hyponatremia
C. Hypokalemia
D. Hypocalcemia
Correct Answer: B
Rationale: Addisonian crisis involves an acute insufficiency of adrenocortical hormones,
leading to a loss of sodium and water. This results in hyponatremia and hyperkalemia
rather than hypokalemia. The nurse must monitor for hypotension and shock, which are
life-threatening complications of this electrolyte imbalance.
5. A nurse is providing discharge teaching for a patient with a new prescription for
Alendronate (Fosamax) for osteoporosis. Which instruction is vital?
A. Take the medication with a full glass of milk.
B. Take the medication with 8 ounces of plain water on an empty stomach.
C. Lie down for 30 minutes after taking the medication.
D. Take the medication right before going to bed.
