NUR176/NUR 176 Exam 2 V1 | Concepts of
Adult Health Nursing for the Practical
Nurse I Q&A with Rationale | Hondros
College of Nursing
1. A nurse is caring for a patient with Chronic Obstructive Pulmonary Disease (COPD) who is
receiving oxygen therapy. Which of the following delivery methods is most precise for
delivering a specific concentration of oxygen?
A. Nasal Cannula
B. Simple Face Mask
C. Partial Rebreather Mask
D. Venturi Mask
Correct Answer: D
Rationale: The Venturi mask is the most accurate device for delivering a fixed
concentration of oxygen. It uses different sized adapters to mix room air with a specific
flow of oxygen to achieve a precise percentage. This is particularly important for patients
with COPD who require controlled oxygen levels to avoid suppressing their hypoxic drive
to breathe.
2. A patient with heart failure is prescribed Furosemide (Lasix). Which laboratory value
should the nurse monitor most closely for this patient?
A. Serum Potassium
,B. Serum Sodium
C. Serum Glucose
D. Serum Creatinine
Correct Answer: A
Rationale: Furosemide is a loop diuretic that causes the excretion of water, sodium, and
potassium. Hypokalemia is a significant side effect that can lead to life-threatening cardiac
arrhythmias. The nurse must monitor potassium levels and encourage the intake of
potassium-rich foods or supplements as ordered.
3. A nurse is educating a patient about the symptoms of hypoglycemia. Which clinical
manifestation should the nurse include in the teaching?
A. Increased thirst and urination
B. Abdominal pain and nausea
C. Fruity breath odor
D. Shakiness and diaphoresis
Correct Answer: D
Rationale: Hypoglycemia triggers the sympathetic nervous system, resulting in symptoms
such as shakiness, sweating (diaphoresis), and tachycardia. These signs indicate that the
blood glucose is too low and requires immediate intervention with fast-acting
, carbohydrates. Thirst and fruity breath are associated with hyperglycemia and
ketoacidosis rather than hypoglycemia.
4. Which position is most appropriate for a patient immediately following a cholecystectomy
to minimize referred shoulder pain from carbon dioxide insufflation?
A. Sims’ position on the left side
B. Prone position
C. Supine position
D. High-Fowler’s position
Correct Answer: A
Rationale: Sims’ position on the left side helps move the gas pocket away from the
diaphragm and the phrenic nerve. Shoulder pain post-laparoscopy is common due to the
CO2 used during surgery irritating the nerves. Encouraging early ambulation is also a key
nursing intervention to help the body absorb and expel the gas.
5. A nurse is collecting data from a patient with suspected appendicitis. Where would the
nurse expect to find the point of maximal tenderness?
A. Left Upper Quadrant
B. Left Lower Quadrant
C. Epigastric region
D. McBurney’s Point
Adult Health Nursing for the Practical
Nurse I Q&A with Rationale | Hondros
College of Nursing
1. A nurse is caring for a patient with Chronic Obstructive Pulmonary Disease (COPD) who is
receiving oxygen therapy. Which of the following delivery methods is most precise for
delivering a specific concentration of oxygen?
A. Nasal Cannula
B. Simple Face Mask
C. Partial Rebreather Mask
D. Venturi Mask
Correct Answer: D
Rationale: The Venturi mask is the most accurate device for delivering a fixed
concentration of oxygen. It uses different sized adapters to mix room air with a specific
flow of oxygen to achieve a precise percentage. This is particularly important for patients
with COPD who require controlled oxygen levels to avoid suppressing their hypoxic drive
to breathe.
2. A patient with heart failure is prescribed Furosemide (Lasix). Which laboratory value
should the nurse monitor most closely for this patient?
A. Serum Potassium
,B. Serum Sodium
C. Serum Glucose
D. Serum Creatinine
Correct Answer: A
Rationale: Furosemide is a loop diuretic that causes the excretion of water, sodium, and
potassium. Hypokalemia is a significant side effect that can lead to life-threatening cardiac
arrhythmias. The nurse must monitor potassium levels and encourage the intake of
potassium-rich foods or supplements as ordered.
3. A nurse is educating a patient about the symptoms of hypoglycemia. Which clinical
manifestation should the nurse include in the teaching?
A. Increased thirst and urination
B. Abdominal pain and nausea
C. Fruity breath odor
D. Shakiness and diaphoresis
Correct Answer: D
Rationale: Hypoglycemia triggers the sympathetic nervous system, resulting in symptoms
such as shakiness, sweating (diaphoresis), and tachycardia. These signs indicate that the
blood glucose is too low and requires immediate intervention with fast-acting
, carbohydrates. Thirst and fruity breath are associated with hyperglycemia and
ketoacidosis rather than hypoglycemia.
4. Which position is most appropriate for a patient immediately following a cholecystectomy
to minimize referred shoulder pain from carbon dioxide insufflation?
A. Sims’ position on the left side
B. Prone position
C. Supine position
D. High-Fowler’s position
Correct Answer: A
Rationale: Sims’ position on the left side helps move the gas pocket away from the
diaphragm and the phrenic nerve. Shoulder pain post-laparoscopy is common due to the
CO2 used during surgery irritating the nerves. Encouraging early ambulation is also a key
nursing intervention to help the body absorb and expel the gas.
5. A nurse is collecting data from a patient with suspected appendicitis. Where would the
nurse expect to find the point of maximal tenderness?
A. Left Upper Quadrant
B. Left Lower Quadrant
C. Epigastric region
D. McBurney’s Point
