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Adult Health II Exam 2 Practice Questions 2026 | Verified
Nursing Test Bank & Comprehensive Study Guide – Instant PDF
Download
The nurse is reviewing the lab values for a client being cared for on the unit.The
client's phosphorus level is currently 2.0 mg/dL. Based on this data, which nursing
intervention is most appropriate for the nurse to implement?
A)Enforce contact precautions.
B)Encourage consumption of a high-calorie carbohydrate diet.
C)Strain all urine.
D)Encourage consumption of milk and yogurt. - ANSWER-D) Encourage
consumption of milk and yogurt.
A home health nurse is providing care for a client diagnosed with heart failure. The
client is taking furosemide (Lasix). The nurse reviews the client's most recent serum
potassium, which was 3.4 mEq/L. Based on this data, which food should the nurse
encourage the client to consume?
A)Baked fish
B)Iced tea
C)Banana
D)Peas - ANSWER-C) Banana
Which of the following total serum calcium levels would be considered normal inan
adult client?
A)9.88 mg/dL
B)2.21 mg/dL
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C)4.87 mg/dL
D)7.03 mg/dL - ANSWER-A) 9.88 mg/dL
The nurse is caring for an older adult client who is receiving intravenous fluids at
150 mL/hr. Upon assessment, the nurse notes crackles, shortness of breath, and
jugular vein distention. Based on this data, which complication ofIV fluid therapy
does the nurse anticipate?
A)Speed shock
B)Fluid volume excess
C)Pulmonary embolism
D)An allergic reaction - ANSWER-B) Fluid volume excess
An increase in blood hydrostatic pressure would result in which fluid volume
disturbance?
A)Fluid volume excess, because the pressure would force fluid out through the
lymphatic system and into the interstitial compartment.
B)Fluid volume deficit because the pressure would force fluid out of the interstitial
compartment and into the lymphatic system.
C)Fluid volume excess because the pressure would force fluid out through the
capillary walls and into the interstitial compartment.
D)Fluid volume deficit because the pressure would force fluid out of the interstitial
compartment and into the capillaries. - ANSWER-C) Fluid volume excess because
the pressure would force fluid out through the capillary walls and into the interstitial
compartment.
Which client statement indicates that additional teaching is required?
A)"I can use as much salt substitute as I want."
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B)"I have to read the labels on foods to find out the sodium content."
C)"I have to limit the intake of food with baking soda or baking powder."
D)"I can use spices and lemon juice to add flavor to food when cooking." - ANSWER-
A) "I can use as much salt substitute as I want."
The nurse is caring for a client with a potassium level of 5.9 mEq/L. The healthcare
provider prescribes both glucose and insulin for the client. The client's spouse asks,
"Why is insulin needed?" Which response by the nurse is the most appropriate?
A)"The insulin will cause extra potassium to move into his cells, which will lower the
potassium level in the blood."
B)"Insulin is safer than other medications that can lower potassium levels."
C)"The insulin lowers his blood sugar levels and causes the extra potassium to be
excreted."
D)"The insulin will help his kidneys excrete the extra potassium." - ANSWER-A)
"The insulin will cause extra potassium to move into his cells, which will lower the
potassium level in the blood."
The nurse is instructing a client diagnosed with heart failure about a prescribed
sodium-restricted diet. Which of the following terms refers to severe, generalized
edema, which may occur as a result of fluid volume excess?
A)Ascites
B)Anasarca
C)Hypervolemia
D)Orthopnea - ANSWER-B) Anasarca
The nurse is caring for a client who is receiving intravenous fluids postoperatively
following cardiac surgery. The nurse is aware that this client is at risk for fluid
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volume excess. The family asks why the client is at risk for this condition. Which
response by the nurse is the most appropriate?
A)"Fluid volume excess commonly occurs due to new-onset liver failure caused by the
surgery."
B)"Fluid volume excess is frequently caused by the administration of intravenous
fluids."
C)"Fluid volume excess is common due to increased levels of antidiuretic hormone in
response to the stress of surgery."
D)"Fluid volume excess is frequently caused by inactivity." - ANSWER-C) "Fluid
volume excess is common due to increased levels of antidiuretic hormone in
response to the stress of surgery."
The nurse is planning care for a client admitted to the unit with a diagnosis of
dehydration. The client's lab values indicate a low level of serum sodium. Based on
the assessment finding, the nurse determines that Risk for ElectrolyteImbalance is
an appropriate nursing diagnosis. Which medical condition supports this nursing
diagnosis?
A)Isotonic dehydration
B)Hydrostatic pressure
C)Hypotonic dehydration
D)Osmotic pressure - ANSWER-C) Hypotonic dehydration
An older adult client is brought to the emergency department. The client has been
experiencing fever, nausea, and vomiting for the past 2 days. The client denies thirst.
Urine dipstick indicates a decreased urine specific gravity. Based on this data, which
diagnosis should the nurse most anticipate for this client?
A)Congestive heart failure
B)Dehydration
Adult Health II Exam 2 Practice Questions 2026 | Verified
Nursing Test Bank & Comprehensive Study Guide – Instant PDF
Download
The nurse is reviewing the lab values for a client being cared for on the unit.The
client's phosphorus level is currently 2.0 mg/dL. Based on this data, which nursing
intervention is most appropriate for the nurse to implement?
A)Enforce contact precautions.
B)Encourage consumption of a high-calorie carbohydrate diet.
C)Strain all urine.
D)Encourage consumption of milk and yogurt. - ANSWER-D) Encourage
consumption of milk and yogurt.
A home health nurse is providing care for a client diagnosed with heart failure. The
client is taking furosemide (Lasix). The nurse reviews the client's most recent serum
potassium, which was 3.4 mEq/L. Based on this data, which food should the nurse
encourage the client to consume?
A)Baked fish
B)Iced tea
C)Banana
D)Peas - ANSWER-C) Banana
Which of the following total serum calcium levels would be considered normal inan
adult client?
A)9.88 mg/dL
B)2.21 mg/dL
, Page 2 of 37
C)4.87 mg/dL
D)7.03 mg/dL - ANSWER-A) 9.88 mg/dL
The nurse is caring for an older adult client who is receiving intravenous fluids at
150 mL/hr. Upon assessment, the nurse notes crackles, shortness of breath, and
jugular vein distention. Based on this data, which complication ofIV fluid therapy
does the nurse anticipate?
A)Speed shock
B)Fluid volume excess
C)Pulmonary embolism
D)An allergic reaction - ANSWER-B) Fluid volume excess
An increase in blood hydrostatic pressure would result in which fluid volume
disturbance?
A)Fluid volume excess, because the pressure would force fluid out through the
lymphatic system and into the interstitial compartment.
B)Fluid volume deficit because the pressure would force fluid out of the interstitial
compartment and into the lymphatic system.
C)Fluid volume excess because the pressure would force fluid out through the
capillary walls and into the interstitial compartment.
D)Fluid volume deficit because the pressure would force fluid out of the interstitial
compartment and into the capillaries. - ANSWER-C) Fluid volume excess because
the pressure would force fluid out through the capillary walls and into the interstitial
compartment.
Which client statement indicates that additional teaching is required?
A)"I can use as much salt substitute as I want."
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B)"I have to read the labels on foods to find out the sodium content."
C)"I have to limit the intake of food with baking soda or baking powder."
D)"I can use spices and lemon juice to add flavor to food when cooking." - ANSWER-
A) "I can use as much salt substitute as I want."
The nurse is caring for a client with a potassium level of 5.9 mEq/L. The healthcare
provider prescribes both glucose and insulin for the client. The client's spouse asks,
"Why is insulin needed?" Which response by the nurse is the most appropriate?
A)"The insulin will cause extra potassium to move into his cells, which will lower the
potassium level in the blood."
B)"Insulin is safer than other medications that can lower potassium levels."
C)"The insulin lowers his blood sugar levels and causes the extra potassium to be
excreted."
D)"The insulin will help his kidneys excrete the extra potassium." - ANSWER-A)
"The insulin will cause extra potassium to move into his cells, which will lower the
potassium level in the blood."
The nurse is instructing a client diagnosed with heart failure about a prescribed
sodium-restricted diet. Which of the following terms refers to severe, generalized
edema, which may occur as a result of fluid volume excess?
A)Ascites
B)Anasarca
C)Hypervolemia
D)Orthopnea - ANSWER-B) Anasarca
The nurse is caring for a client who is receiving intravenous fluids postoperatively
following cardiac surgery. The nurse is aware that this client is at risk for fluid
, Page 4 of 37
volume excess. The family asks why the client is at risk for this condition. Which
response by the nurse is the most appropriate?
A)"Fluid volume excess commonly occurs due to new-onset liver failure caused by the
surgery."
B)"Fluid volume excess is frequently caused by the administration of intravenous
fluids."
C)"Fluid volume excess is common due to increased levels of antidiuretic hormone in
response to the stress of surgery."
D)"Fluid volume excess is frequently caused by inactivity." - ANSWER-C) "Fluid
volume excess is common due to increased levels of antidiuretic hormone in
response to the stress of surgery."
The nurse is planning care for a client admitted to the unit with a diagnosis of
dehydration. The client's lab values indicate a low level of serum sodium. Based on
the assessment finding, the nurse determines that Risk for ElectrolyteImbalance is
an appropriate nursing diagnosis. Which medical condition supports this nursing
diagnosis?
A)Isotonic dehydration
B)Hydrostatic pressure
C)Hypotonic dehydration
D)Osmotic pressure - ANSWER-C) Hypotonic dehydration
An older adult client is brought to the emergency department. The client has been
experiencing fever, nausea, and vomiting for the past 2 days. The client denies thirst.
Urine dipstick indicates a decreased urine specific gravity. Based on this data, which
diagnosis should the nurse most anticipate for this client?
A)Congestive heart failure
B)Dehydration
