NSG430 Exam 3 V3 | NSG 430 Adult Health
Nursing II | Grand Canyon University
This comprehensive exam-style resource is designed to prepare students for adult health nursing
assessments focused on multisystem disorders, neurological emergencies, and rehabilitation
nursing care. The material emphasizes safe nursing interventions and evidence-based adult
healthcare management strategies.
The questions are structured to closely mirror actual course exams while reinforcing analytical
reasoning, nursing prioritization, and patient care decision-making skills. Detailed expert
explanations support deeper understanding and successful exam performance.
════════════════════════════════════
The Exam Covers:
• Neurovascular assessment
• Parkinson’s disease management
• Orthopedic traction and casts
• Hematologic cancers
• Chronic pain management
• Adult rehabilitation nursing
• Mobility assistance and safety
• Nursing care planning for adults
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1. Which of the following is considered the earliest sign of neurovascular compromise in a
patient with a lower extremity cast?
A. Paresthesia or tingling
B. Absence of a pedal pulse
C. Paralysis of the toes
D. Cool skin temperature
Correct Answer: A
,Expert Explanation: Paresthesia is often the first sign of nerve compression or
compartment syndrome. While loss of pulses and paralysis are signs of neurovascular
damage, they are late findings. The nurse must monitor for numbness or tingling to
intervene before irreversible damage occurs.
2. A patient with Parkinson’s disease is prescribed Levodopa-Carbidopa. Which teaching point
is most important for the nurse to include?
A. Take the medication with a high-protein meal to improve absorption.
B. Stop the medication immediately if you experience a dry mouth.
C. Expect the urine to turn a bright green color.
D. Move slowly when rising from a sitting or lying position.
Correct Answer: D
Expert Explanation: Levodopa-Carbidopa can cause orthostatic hypotension, which
increases the risk for falls. Patients should be taught to change positions slowly to allow
their blood pressure to adjust. High-protein meals should actually be avoided as they can
interfere with the absorption of the drug.
3. The nurse is caring for a patient in skeletal traction. Which action should the nurse take to
maintain the integrity of the traction system?
A. Remove the weights once per shift to assess the skin.
B. Allow the weights to hang freely at all times.
C. Ensure the weights are resting lightly on the floor.
, D. Lift the weights when the patient is being repositioned in bed.
Correct Answer: B
Expert Explanation: Weights in a traction system must hang freely to provide the
necessary pulling force for alignment. They should never be removed or lifted without a
specific provider order, as this interrupts the treatment. If the weights are on the floor, the
traction is no longer effective.
4. A patient with leukemia has an absolute neutrophil count (ANC) of 400/mm3. Which
intervention is the priority?
A. Assess for signs of bleeding in the gums.
B. Encourage the patient to eat fresh fruits and vegetables.
C. Administer an intramuscular injection of vitamin K.
D. Place the patient in a private room and initiate neutropenic precautions.
Correct Answer: D
Expert Explanation: An ANC below 500/mm3 indicates severe neutropenia and a high
risk for infection. Neutropenic precautions are necessary to protect the patient from
environmental pathogens. Fresh fruits and vegetables should be avoided because they can
harbor bacteria and fungi.
5. When assessing a patient for chronic pain, which statement by the patient suggests the
need for a change in the management plan?
A. I use a heating pad every night to help me sleep better.
Nursing II | Grand Canyon University
This comprehensive exam-style resource is designed to prepare students for adult health nursing
assessments focused on multisystem disorders, neurological emergencies, and rehabilitation
nursing care. The material emphasizes safe nursing interventions and evidence-based adult
healthcare management strategies.
The questions are structured to closely mirror actual course exams while reinforcing analytical
reasoning, nursing prioritization, and patient care decision-making skills. Detailed expert
explanations support deeper understanding and successful exam performance.
════════════════════════════════════
The Exam Covers:
• Neurovascular assessment
• Parkinson’s disease management
• Orthopedic traction and casts
• Hematologic cancers
• Chronic pain management
• Adult rehabilitation nursing
• Mobility assistance and safety
• Nursing care planning for adults
════════════════════════════════════
1. Which of the following is considered the earliest sign of neurovascular compromise in a
patient with a lower extremity cast?
A. Paresthesia or tingling
B. Absence of a pedal pulse
C. Paralysis of the toes
D. Cool skin temperature
Correct Answer: A
,Expert Explanation: Paresthesia is often the first sign of nerve compression or
compartment syndrome. While loss of pulses and paralysis are signs of neurovascular
damage, they are late findings. The nurse must monitor for numbness or tingling to
intervene before irreversible damage occurs.
2. A patient with Parkinson’s disease is prescribed Levodopa-Carbidopa. Which teaching point
is most important for the nurse to include?
A. Take the medication with a high-protein meal to improve absorption.
B. Stop the medication immediately if you experience a dry mouth.
C. Expect the urine to turn a bright green color.
D. Move slowly when rising from a sitting or lying position.
Correct Answer: D
Expert Explanation: Levodopa-Carbidopa can cause orthostatic hypotension, which
increases the risk for falls. Patients should be taught to change positions slowly to allow
their blood pressure to adjust. High-protein meals should actually be avoided as they can
interfere with the absorption of the drug.
3. The nurse is caring for a patient in skeletal traction. Which action should the nurse take to
maintain the integrity of the traction system?
A. Remove the weights once per shift to assess the skin.
B. Allow the weights to hang freely at all times.
C. Ensure the weights are resting lightly on the floor.
, D. Lift the weights when the patient is being repositioned in bed.
Correct Answer: B
Expert Explanation: Weights in a traction system must hang freely to provide the
necessary pulling force for alignment. They should never be removed or lifted without a
specific provider order, as this interrupts the treatment. If the weights are on the floor, the
traction is no longer effective.
4. A patient with leukemia has an absolute neutrophil count (ANC) of 400/mm3. Which
intervention is the priority?
A. Assess for signs of bleeding in the gums.
B. Encourage the patient to eat fresh fruits and vegetables.
C. Administer an intramuscular injection of vitamin K.
D. Place the patient in a private room and initiate neutropenic precautions.
Correct Answer: D
Expert Explanation: An ANC below 500/mm3 indicates severe neutropenia and a high
risk for infection. Neutropenic precautions are necessary to protect the patient from
environmental pathogens. Fresh fruits and vegetables should be avoided because they can
harbor bacteria and fungi.
5. When assessing a patient for chronic pain, which statement by the patient suggests the
need for a change in the management plan?
A. I use a heating pad every night to help me sleep better.
