NR325 / NR 325EXAM1:(Latest Update 2025 /
2026) Adult Health II | Questions & Answers |
100% Correct | Chamberlain.
**1. Neurological Sensory Assessment** ANS Test 4 extremities with
patients eyes closed, light touch sharp to dull.
**2. Seizure Management Acute Interventions ANS Subjective and objective
data, recording of event is very important. Maintain a patent airway, support
the head, turn patient to the side, loosen constrictive clothing, ease to the
floor. May require suctioning or oxygen. Observe and treat seizure. Anticipate
administration of IV anticonvulsants or benzodiazepines for tonic/clonic
seizures or status epilepticus.
**3. Parkinson’s Disease Clinical Manifestations** ANS Classic triad of PD:
tremor, rigidity, bradykinesia. Tremors are often the first sign, and may be
minimal at first. The hand tremor is described as “pill rolling”. Rigidity is an
increased resistance to passive motion when limbs are moved through their
1
,range of motion. Bradykinesia is a lack of spontaneous activity, stooped
posture.
**4. Hypoglycemia** ANS Low blood glucose level that occurs when too
much insulin is given in proportion to glucose in the blood. Blood glucose
level less than 70 mg/dl. CM: confusion, difficulty speaking, diaphoresis,
shakiness, hunger, weakness, visual disturbances, can mimic alcohol
intoxication or stroke. Untreated hypoglycemia can progress to loss of
consciousness, seizures, coma, and death.
**5. Basal-Bolus Insulin Therapy** ANS Intensive insulin therapy consisting
of multiple daily injections and frequent self-monitoring of blood glucose
levels. It is insulin administration that mimics normal pancreas function.
**6. Diabetes Dietary Management** ANS Fats: eat <7% of saturated fats,
include fish for polyunsaturated fatty acids. Protein: 15-20%. Carbs: minimum
of 130g/day, use CHO counting in meal plan. Limit alcohol. Meals should be
timed according to medication peak times.
**7. Cranial Nerve VII** ANS Facial. Puffing of cheeks, smile, and frown.
2
,**8. Stroke Diagnostic Studies** ANS When symptoms of a stroke occur,
diagnosis is needed to confirm there is a stroke and to identify the cause. A
CT scan is the primary diagnostic test. You are looking for presence or
absence of blood in the brain.
**9. Alzheimer’s Disease Early Clinical Manifestations** ANS Memory loss
that affects job skills. Difficulty performing familiar tasks. Problems with
language. Disorientation to time and place. Poor or decreased judgement
skills. Problems with abstract thinking. Misplacing things. Changes in mood
or behavior. Changes in personality. Loss of initiative. Recent events and new
information cannot be recalled.
**10. Insulin Pump** ANS A continuous source of subcutaneous infusion of
rapid, exogenous insulin. Battery operated device. Connected via plastic
tubing to inserted into subcutaneous tissue in abdominal wall. Potential for
tight glucose control with a continuous basal bolus of insulin. More diabetics
are opting for a pump.
3
, **11. Head Injury** ANS Any injury to the scalp, skull, or brain. MVA and
falls are the most common causes of head injury. There is a high potential for
poor outcome.
**12. Oral Agent Biguanides** ANS Reduce glucose production by the liver.
Enhance insulin sensitivity at tissues. Improves glucose transport into cells.
Ex: metformin (Glucophage). Metformin is the first drug given, most
successful, and most cost effective. But you must be careful with a
hospitalized patient on metformin because there is a high incidence of
metformin and kidney failure. Metformin must be held before diagnostic test.
**13. Lumbar Puncture** ANS The most common method for obtaining CSF
for analysis. It is a sterile, invasive procedure that needs consent. Most
commonly the patient is placed in a side-lying position, with knees curled
inward. A sterile 18 gauge needle is passed between the first and second
lumbar vertebrae, and a manometer is attached to obtain CSF pressure and
collect a sample. Normal CSF fluid is clear like water. Post-procedure
headaches are common. To decrease chances of a headache, encourage fluids
4
2026) Adult Health II | Questions & Answers |
100% Correct | Chamberlain.
**1. Neurological Sensory Assessment** ANS Test 4 extremities with
patients eyes closed, light touch sharp to dull.
**2. Seizure Management Acute Interventions ANS Subjective and objective
data, recording of event is very important. Maintain a patent airway, support
the head, turn patient to the side, loosen constrictive clothing, ease to the
floor. May require suctioning or oxygen. Observe and treat seizure. Anticipate
administration of IV anticonvulsants or benzodiazepines for tonic/clonic
seizures or status epilepticus.
**3. Parkinson’s Disease Clinical Manifestations** ANS Classic triad of PD:
tremor, rigidity, bradykinesia. Tremors are often the first sign, and may be
minimal at first. The hand tremor is described as “pill rolling”. Rigidity is an
increased resistance to passive motion when limbs are moved through their
1
,range of motion. Bradykinesia is a lack of spontaneous activity, stooped
posture.
**4. Hypoglycemia** ANS Low blood glucose level that occurs when too
much insulin is given in proportion to glucose in the blood. Blood glucose
level less than 70 mg/dl. CM: confusion, difficulty speaking, diaphoresis,
shakiness, hunger, weakness, visual disturbances, can mimic alcohol
intoxication or stroke. Untreated hypoglycemia can progress to loss of
consciousness, seizures, coma, and death.
**5. Basal-Bolus Insulin Therapy** ANS Intensive insulin therapy consisting
of multiple daily injections and frequent self-monitoring of blood glucose
levels. It is insulin administration that mimics normal pancreas function.
**6. Diabetes Dietary Management** ANS Fats: eat <7% of saturated fats,
include fish for polyunsaturated fatty acids. Protein: 15-20%. Carbs: minimum
of 130g/day, use CHO counting in meal plan. Limit alcohol. Meals should be
timed according to medication peak times.
**7. Cranial Nerve VII** ANS Facial. Puffing of cheeks, smile, and frown.
2
,**8. Stroke Diagnostic Studies** ANS When symptoms of a stroke occur,
diagnosis is needed to confirm there is a stroke and to identify the cause. A
CT scan is the primary diagnostic test. You are looking for presence or
absence of blood in the brain.
**9. Alzheimer’s Disease Early Clinical Manifestations** ANS Memory loss
that affects job skills. Difficulty performing familiar tasks. Problems with
language. Disorientation to time and place. Poor or decreased judgement
skills. Problems with abstract thinking. Misplacing things. Changes in mood
or behavior. Changes in personality. Loss of initiative. Recent events and new
information cannot be recalled.
**10. Insulin Pump** ANS A continuous source of subcutaneous infusion of
rapid, exogenous insulin. Battery operated device. Connected via plastic
tubing to inserted into subcutaneous tissue in abdominal wall. Potential for
tight glucose control with a continuous basal bolus of insulin. More diabetics
are opting for a pump.
3
, **11. Head Injury** ANS Any injury to the scalp, skull, or brain. MVA and
falls are the most common causes of head injury. There is a high potential for
poor outcome.
**12. Oral Agent Biguanides** ANS Reduce glucose production by the liver.
Enhance insulin sensitivity at tissues. Improves glucose transport into cells.
Ex: metformin (Glucophage). Metformin is the first drug given, most
successful, and most cost effective. But you must be careful with a
hospitalized patient on metformin because there is a high incidence of
metformin and kidney failure. Metformin must be held before diagnostic test.
**13. Lumbar Puncture** ANS The most common method for obtaining CSF
for analysis. It is a sterile, invasive procedure that needs consent. Most
commonly the patient is placed in a side-lying position, with knees curled
inward. A sterile 18 gauge needle is passed between the first and second
lumbar vertebrae, and a manometer is attached to obtain CSF pressure and
collect a sample. Normal CSF fluid is clear like water. Post-procedure
headaches are common. To decrease chances of a headache, encourage fluids
4
