NR | 341
OBJECTIVE ASSESSMENT - EXAM
Complex Adult
Health Exam 1
NR 341 | Chamberlain | 2026/2027
100 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Cardiovascular Disorders Neurological Disorders
Respiratory Disorders Endocrine & Metabolic Disorders
Renal & Fluid/Electrolyte
COVER PAGE - 1
,SECTION 1 | Cardiovascular Disorders | Q1-Q20 | NR 341 2026/2027
Q1 Question 1 of 100
Q1. A 75-year-old patient presents to the emergency department with symptoms characteristic
of acute myocardial infarction. Identify the priority nursing action for this patient.
A. Assess for bilateral lower extremity edema
B. Request an immediate psychiatric evaluation to rule out somatic symptom disorder
C. Administer oxygen and aspirin as prescribed
D. Instruct the patient to remain flat in bed to optimize cerebral perfusion
Correct Answer: C
Rationale:
The priority or most appropriate action for acute myocardial infarction is to administer oxygen and
aspirin as prescribed. Incorrect interventions such as assess for bilateral lower extremity edema can
lead to negative patient outcomes and contraindicate standard care guidelines.
Q2 Question 2 of 100
Q2. A 43-year-old client is admitted to the medical-surgical unit for the management of heart
failure exacerbation. Select the most appropriate intervention to include in the care plan.
A. Discontinue all current intravenous fluids to prevent circulatory overload
B. Encourage a high sodium diet to increase volume
C. Instruct the patient to remain flat in bed to optimize cerebral perfusion
D. Administer intravenous furosemide to reduce preload
Correct Answer: D
Rationale:
The priority or most appropriate action for heart failure exacerbation is to administer intravenous
furosemide to reduce preload. Incorrect interventions such as encourage a high sodium diet to
increase volume can lead to negative patient outcomes and contraindicate standard care guidelines.
NR 341 - 2026/2027 | Passing Score: 80% | Page 2
,Q3 Question 3 of 100
Q3. A 37-year-old adult receives a diagnosis of atrial fibrillation after a comprehensive
evaluation. Determine the primary focus of the initial treatment strategy.
A. Perform a vigorous range of motion exercise on all extremities
B. Request an immediate psychiatric evaluation to rule out somatic symptom disorder
C. Assess heart rate and rhythm frequently
D. Prepare for immediate unsynchronized defibrillation
Correct Answer: C
Rationale:
The priority or most appropriate action for atrial fibrillation is to assess heart rate and rhythm frequently.
Incorrect interventions such as prepare for immediate unsynchronized defibrillation can lead to
negative patient outcomes and contraindicate standard care guidelines.
Q4 Question 4 of 100
Q4. A 70-year-old patient is experiencing a severe acute episode of hypertensive crisis. Choose
the priority clinical assessment or action the nurse must perform.
A. Administer an over-the-counter pain reliever and re-evaluate in four hours
B. Elevate the legs above heart level immediately
C. Administer prescribed intravenous antihypertensives
D. Discontinue all current intravenous fluids to prevent circulatory overload
Correct Answer: C
Rationale:
The priority or most appropriate action for hypertensive crisis is to administer prescribed intravenous
antihypertensives. Incorrect interventions such as elevate the legs above heart level immediately can
lead to negative patient outcomes and contraindicate standard care guidelines.
NR 341 - 2026/2027 | Passing Score: 80% | Page 3
, Q5 Question 5 of 100
Q5. A 72-year-old patient presents to the emergency department with symptoms characteristic
of aortic aneurysm. Identify the priority nursing action for this patient.
A. Encourage immediate independent ambulation to prevent deep vein thrombosis
B. Encourage vigorous coughing and deep breathing exercises
C. Apply warm compresses to the affected area to promote vasodilation and healing
D. Monitor blood pressure and maintain it strictly within prescribed limits
Correct Answer: D
Rationale:
The priority or most appropriate action for aortic aneurysm is to monitor blood pressure and maintain it
strictly within prescribed limits. Incorrect interventions such as encourage vigorous coughing and deep
breathing exercises can lead to negative patient outcomes and contraindicate standard care
guidelines.
Q6 Question 6 of 100
Q6. A 56-year-old client is admitted to the medical-surgical unit for the management of acute
myocardial infarction. Select the most appropriate intervention to include in the care plan.
A. Encourage immediate independent ambulation to prevent deep vein thrombosis
B. Administer oxygen and aspirin as prescribed
C. Instruct the patient to remain flat in bed to optimize cerebral perfusion
D. Assess for bilateral lower extremity edema
Correct Answer: B
Rationale:
The priority or most appropriate action for acute myocardial infarction is to administer oxygen and
aspirin as prescribed. Incorrect interventions such as assess for bilateral lower extremity edema can
lead to negative patient outcomes and contraindicate standard care guidelines.
NR 341 - 2026/2027 | Passing Score: 80% | Page 4
OBJECTIVE ASSESSMENT - EXAM
Complex Adult
Health Exam 1
NR 341 | Chamberlain | 2026/2027
100 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Cardiovascular Disorders Neurological Disorders
Respiratory Disorders Endocrine & Metabolic Disorders
Renal & Fluid/Electrolyte
COVER PAGE - 1
,SECTION 1 | Cardiovascular Disorders | Q1-Q20 | NR 341 2026/2027
Q1 Question 1 of 100
Q1. A 75-year-old patient presents to the emergency department with symptoms characteristic
of acute myocardial infarction. Identify the priority nursing action for this patient.
A. Assess for bilateral lower extremity edema
B. Request an immediate psychiatric evaluation to rule out somatic symptom disorder
C. Administer oxygen and aspirin as prescribed
D. Instruct the patient to remain flat in bed to optimize cerebral perfusion
Correct Answer: C
Rationale:
The priority or most appropriate action for acute myocardial infarction is to administer oxygen and
aspirin as prescribed. Incorrect interventions such as assess for bilateral lower extremity edema can
lead to negative patient outcomes and contraindicate standard care guidelines.
Q2 Question 2 of 100
Q2. A 43-year-old client is admitted to the medical-surgical unit for the management of heart
failure exacerbation. Select the most appropriate intervention to include in the care plan.
A. Discontinue all current intravenous fluids to prevent circulatory overload
B. Encourage a high sodium diet to increase volume
C. Instruct the patient to remain flat in bed to optimize cerebral perfusion
D. Administer intravenous furosemide to reduce preload
Correct Answer: D
Rationale:
The priority or most appropriate action for heart failure exacerbation is to administer intravenous
furosemide to reduce preload. Incorrect interventions such as encourage a high sodium diet to
increase volume can lead to negative patient outcomes and contraindicate standard care guidelines.
NR 341 - 2026/2027 | Passing Score: 80% | Page 2
,Q3 Question 3 of 100
Q3. A 37-year-old adult receives a diagnosis of atrial fibrillation after a comprehensive
evaluation. Determine the primary focus of the initial treatment strategy.
A. Perform a vigorous range of motion exercise on all extremities
B. Request an immediate psychiatric evaluation to rule out somatic symptom disorder
C. Assess heart rate and rhythm frequently
D. Prepare for immediate unsynchronized defibrillation
Correct Answer: C
Rationale:
The priority or most appropriate action for atrial fibrillation is to assess heart rate and rhythm frequently.
Incorrect interventions such as prepare for immediate unsynchronized defibrillation can lead to
negative patient outcomes and contraindicate standard care guidelines.
Q4 Question 4 of 100
Q4. A 70-year-old patient is experiencing a severe acute episode of hypertensive crisis. Choose
the priority clinical assessment or action the nurse must perform.
A. Administer an over-the-counter pain reliever and re-evaluate in four hours
B. Elevate the legs above heart level immediately
C. Administer prescribed intravenous antihypertensives
D. Discontinue all current intravenous fluids to prevent circulatory overload
Correct Answer: C
Rationale:
The priority or most appropriate action for hypertensive crisis is to administer prescribed intravenous
antihypertensives. Incorrect interventions such as elevate the legs above heart level immediately can
lead to negative patient outcomes and contraindicate standard care guidelines.
NR 341 - 2026/2027 | Passing Score: 80% | Page 3
, Q5 Question 5 of 100
Q5. A 72-year-old patient presents to the emergency department with symptoms characteristic
of aortic aneurysm. Identify the priority nursing action for this patient.
A. Encourage immediate independent ambulation to prevent deep vein thrombosis
B. Encourage vigorous coughing and deep breathing exercises
C. Apply warm compresses to the affected area to promote vasodilation and healing
D. Monitor blood pressure and maintain it strictly within prescribed limits
Correct Answer: D
Rationale:
The priority or most appropriate action for aortic aneurysm is to monitor blood pressure and maintain it
strictly within prescribed limits. Incorrect interventions such as encourage vigorous coughing and deep
breathing exercises can lead to negative patient outcomes and contraindicate standard care
guidelines.
Q6 Question 6 of 100
Q6. A 56-year-old client is admitted to the medical-surgical unit for the management of acute
myocardial infarction. Select the most appropriate intervention to include in the care plan.
A. Encourage immediate independent ambulation to prevent deep vein thrombosis
B. Administer oxygen and aspirin as prescribed
C. Instruct the patient to remain flat in bed to optimize cerebral perfusion
D. Assess for bilateral lower extremity edema
Correct Answer: B
Rationale:
The priority or most appropriate action for acute myocardial infarction is to administer oxygen and
aspirin as prescribed. Incorrect interventions such as assess for bilateral lower extremity edema can
lead to negative patient outcomes and contraindicate standard care guidelines.
NR 341 - 2026/2027 | Passing Score: 80% | Page 4
