Chamberlain University
NR-324 Adult Health 1
Comprehensive –Questions and
answers Test Bank
Latest 2025/2026 | Acute and
Chronic Care | Detailed Rationales
, COURSE INFORMATION REFERENCE
Attribute Details
Course Code NR-324
Course Name Adult Health I
Credit Hours Theory 3, Clinical 2
Needs of adult patients and families in relation to health promotion and management of
Focus
conditions requiring acute and chronic care
Prerequisites BIOS-251, BIOS-252, BIOS-255, BIOS-256, MATH-105N, NR-226, NR-293
Corequisite PSYC-290N
DOMAIN 1: FLUID, ELECTROLYTE, AND ACID-BASE BALANCE
(Questions 1-15)
Question 1
A nurse is assessing a client who has fluid volume deficit. Which of the following findings
should the nurse expect?
,A. Bounding peripheral pulses
B. Distended neck veins
C. Decreased urine output
D. Crackles in the lung bases
Correct Answer: C
Rationale: In fluid volume deficit (hypovolemia), the body attempts to conserve fluid,
leading to decreased urine output (oliguria). Other expected findings include tachycardia,
hypotension, poor skin turgor, dry mucous membranes, and flat neck veins. Bounding
pulses (A), distended neck veins (B), and crackles (D) are signs of fluid volume excess .
Question 2
A client with heart failure presents with peripheral edema, crackles in the lung bases, and
jugular vein distention. The nurse should identify these findings as indicative of which
condition?
A. Fluid volume deficit
B. Fluid volume excess
C. Hypokalemia
D. Metabolic acidosis
Correct Answer: B
, Rationale: Peripheral edema, crackles (pulmonary congestion), and jugular vein distention
are classic signs of fluid volume excess (hypervolemia). This occurs when the body retains
fluid, often due to conditions like heart failure, renal failure, or cirrhosis. Fluid volume
deficit (A) would present with flat neck veins and poor skin turgor .
Question 3
A client's laboratory results show a serum sodium level of 150 mEq/L. The nurse should
identify this as:
A. Hyponatremia
B. Hypernatremia
C. Hypokalemia
D. Hyperkalemia
Correct Answer: B
Rationale: Normal serum sodium range is 135-145 mEq/L. A value of 150 mEq/L indicates
hypernatremia (elevated sodium). This can result from fluid loss (dehydration), excessive
sodium intake, or diabetes insipidus. Manifestations include thirst, dry mucous
membranes, agitation, and seizures .
Question 4
A client is admitted with confusion, muscle weakness, and a serum potassium level of 2.8
mEq/L. Which electrocardiogram (EKG) change should the nurse expect to see?
NR-324 Adult Health 1
Comprehensive –Questions and
answers Test Bank
Latest 2025/2026 | Acute and
Chronic Care | Detailed Rationales
, COURSE INFORMATION REFERENCE
Attribute Details
Course Code NR-324
Course Name Adult Health I
Credit Hours Theory 3, Clinical 2
Needs of adult patients and families in relation to health promotion and management of
Focus
conditions requiring acute and chronic care
Prerequisites BIOS-251, BIOS-252, BIOS-255, BIOS-256, MATH-105N, NR-226, NR-293
Corequisite PSYC-290N
DOMAIN 1: FLUID, ELECTROLYTE, AND ACID-BASE BALANCE
(Questions 1-15)
Question 1
A nurse is assessing a client who has fluid volume deficit. Which of the following findings
should the nurse expect?
,A. Bounding peripheral pulses
B. Distended neck veins
C. Decreased urine output
D. Crackles in the lung bases
Correct Answer: C
Rationale: In fluid volume deficit (hypovolemia), the body attempts to conserve fluid,
leading to decreased urine output (oliguria). Other expected findings include tachycardia,
hypotension, poor skin turgor, dry mucous membranes, and flat neck veins. Bounding
pulses (A), distended neck veins (B), and crackles (D) are signs of fluid volume excess .
Question 2
A client with heart failure presents with peripheral edema, crackles in the lung bases, and
jugular vein distention. The nurse should identify these findings as indicative of which
condition?
A. Fluid volume deficit
B. Fluid volume excess
C. Hypokalemia
D. Metabolic acidosis
Correct Answer: B
, Rationale: Peripheral edema, crackles (pulmonary congestion), and jugular vein distention
are classic signs of fluid volume excess (hypervolemia). This occurs when the body retains
fluid, often due to conditions like heart failure, renal failure, or cirrhosis. Fluid volume
deficit (A) would present with flat neck veins and poor skin turgor .
Question 3
A client's laboratory results show a serum sodium level of 150 mEq/L. The nurse should
identify this as:
A. Hyponatremia
B. Hypernatremia
C. Hypokalemia
D. Hyperkalemia
Correct Answer: B
Rationale: Normal serum sodium range is 135-145 mEq/L. A value of 150 mEq/L indicates
hypernatremia (elevated sodium). This can result from fluid loss (dehydration), excessive
sodium intake, or diabetes insipidus. Manifestations include thirst, dry mucous
membranes, agitation, and seizures .
Question 4
A client is admitted with confusion, muscle weakness, and a serum potassium level of 2.8
mEq/L. Which electrocardiogram (EKG) change should the nurse expect to see?
