Questions with Correct Verified Detailed
Answers Latest Update 2025
Description:
This document contains a complete set of Adult Health II final exam
questions with verified correct and detailed answers. It covers
essential medical-surgical nursing concepts including
cardiovascular, respiratory, renal, endocrine, neurological,
gastrointestinal, musculoskeletal, and emergency care scenarios.
Designed as a high-quality study guide, it provides accurate exam
preparation aligned with current 2025 nursing standards and
practice expectations.
Exam Questions and Answers:
1. The nurse should assess the patient with left-side heart failure
for which findings? (SATA)? --- correct answer --- Paroxysmal
nocturnal dyspnea
Crackles in the lungs Fatigue
Orthopnea
,2. A patient is being screened for diabetes and has two recent
fasting blood glucose results of 132mg/dL (7.33mmol/L) and
146mg/dL (8.10mmol/L) How should these result be interpreted?? -
-- correct answer --- These results indicate diabetes mellitus.
Follow-up is required
3. A nurse is assessing a patient for a suspected anaphylactic
reaction follow- ing a CT scan with contrast media. For which of the
following patient findings should the nurse intervene first?? ---
correct answer --- Stridor
4. A nurse is caring for a patient who is undergoing initial
peritoneal dialysis. Which of the following should the nurse report
immediately to the provider?-
? --- correct answer --- Cloudy dialysate outflow
5. A nurse is caring for a patient who has a traumatic brain
injury. Which of the following findings should the nurse identify as
an indication of increased intracranial pressure (ICP)?? --- correct
answer --- Altered level of consciousness
6. A patient who has been treated for type 1 diabetes mellitus for
five years reports numbness and tingling in the lower extremities.
What should the nurse teach this patient?? --- correct answer ---
Inspect your feet daily
7. The mortality rate for burns is highest in the elderly
population. What factors put the very elderly at a high risk?
(SATA)? --- correct answer --- Elderly tend to heal more slowly
The elderly person has less physiological reserves Elderly patients
have comorbidities
,8. A patient with heart failure has met with his primary provider
and begun treatment with an angiotensin-converting enzyme (ACE)
inhibitor. When the patient begins treatment, the nurse should
prioritize what assessment?? --- correct answer --- Blood pressure
9. The home health nurse visits a patient with a diagnosis of type
1 diabetes mellitus. The patient relates a history of vomiting and
diarrhea and tells the nurse that no food has been consumed for the
last 24 hours. Which additional statement by the patient indicates a
need for further teaching?? --- correct answer --- I had to stop my
insulin
10. A nurse is caring for a patient who is at risk for shock. Which
of the following findings is the earliest indicator that this
complication is develop- ing?? --- correct answer --- Narrowing
pulse pressure
11. A patient without health insurance comes into the Emergency
department limping and dripping blood from a head wound. Which
of the following should
be done first for this patient?? --- correct answer --- Determine
triage level and examine and stabilize as needed
12. The patient with an ischemic stroke is placed on a cardiac
monitor. Which cardiac dysrhythmia places the patient at risk for
emboli?? --- correct answer --- Atrial fibrillation
13. A nurse in an emergency department is reviewing the medical
recoding of a patient who has an extensive burn injury. Which of
the following laboratory results should the nurse expect?? ---
correct answer --- Hyperkalemia
, 14. A patient is suspected of sepsis from a postsurgical incision
infection. What characteristics of sepsis would the nurse recognize?
(SATA)? --- correct answer --- Heart rate of 110 beats/minute
Temperature of 101F
15. A nurse is caring for a patient who has end-stage kidney
disease (ESKD) and reports having shortness of breath and swelling
in his lower extremities. Upon assessment, the nurse notes the
client has crackles in his lungs and an elevated blood pressure. The
nurse should suspect which of the following based on the client's
manifestation.? --- correct answer --- Hypervolemia
16. Which patient has the greatest risk of developing acute
respiratory dis- tress syndrome (ARDS)?? --- correct answer --- A
70 year old adult who aspirated vomit
17. A nurse is preparing to administer a dose of lactulose to a
patient who has cirrhosis The client states, I don't need this
medication. I am not constipated. The nurse should explain that in
clients who have cirrhosis, lactulose is used to decrease levels of
which of the following components in the bloodstream?-
? --- correct answer --- Ammonia
18. A family member of a patient diagnosed with hemorrhagic
stroke asks why the patient did not receive the clot busting
medication (tPA). What is the best response?? --- correct answer ---
Use of the drug could cause more bleeding
19. A nurse is caring for a patient who is postoperative for a
right-side mas- tectomy and has a drain connected to a portable
drainage evacuator. Which of the following actions should the nurse