NR 341 COMPLEX ADULT HEALTH EXAM 1
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) Q&A 2026/2027 INSTANT
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1. A nurse is assessing a client with heart failure. Which
finding indicates fluid volume overload?
A. Weight loss of 2 kg in 24 hours
B. Dry mucous membranes
C. Bilateral crackles in lung fields
D. Increased urine output
Correct Answer: C. Bilateral crackles in lung fields
Rationale: Crackles indicate pulmonary congestion caused by
excess fluid accumulation, a common sign of worsening heart
failure.
2. Which assessment finding is most concerning in a client
experiencing chest pain?
A. Pain relieved by rest
B. Chest pain radiating to the left arm
C. Heart rate of 88/min
D. Mild anxiety
,Correct Answer: B. Chest pain radiating to the left arm
Rationale: Radiation of chest pain to the arm is a classic sign of
myocardial ischemia or infarction.
3. A nurse caring for a client with COPD should place the client
in which position to improve breathing?
A. Supine position
B. Trendelenburg position
C. High-Fowler’s position
D. Prone position
Correct Answer: C. High-Fowler’s position
Rationale: Upright positioning improves lung expansion and
decreases respiratory effort.
4. Which oxygen delivery method provides the highest
concentration of oxygen without intubation?
A. Nasal cannula
B. Simple face mask
C. Non-rebreather mask
D. Venturi mask
Correct Answer: C. Non-rebreather mask
Rationale: A non-rebreather mask can deliver high oxygen
concentrations for clients with severe hypoxemia.
,5. Which laboratory value should the nurse monitor for a
client receiving anticoagulant therapy with warfarin?
A. Hemoglobin A1C
B. INR
C. Serum potassium
D. Troponin
Correct Answer: B. INR
Rationale: INR measures the effectiveness and safety of
warfarin therapy.
6. A client with diabetes reports sweating, shakiness, and
confusion. What should the nurse suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Diabetic ketoacidosis
D. Hyperosmolar syndrome
Correct Answer: B. Hypoglycemia
Rationale: Sweating, tremors, and confusion are common
symptoms of low blood glucose.
7. Which finding is expected in a client with pneumonia?
, A. Clear lung sounds
B. Productive cough with fever
C. Bradycardia
D. Decreased respiratory secretions
Correct Answer: B. Productive cough with fever
Rationale: Pneumonia commonly causes fever, productive
cough, and abnormal lung sounds.
8. The nurse caring for a client with acute kidney injury should
monitor which laboratory value closely?
A. Calcium
B. Potassium
C. Hemoglobin
D. Platelets
Correct Answer: B. Potassium
Rationale: Kidney dysfunction can cause potassium retention,
leading to life-threatening dysrhythmias.
9. Which symptom is commonly associated with left-sided
heart failure?
A. Peripheral edema
B. Jugular vein distention
C. Pulmonary congestion
D. Ascites
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) Q&A 2026/2027 INSTANT
DOWNLOAD PDF
1. A nurse is assessing a client with heart failure. Which
finding indicates fluid volume overload?
A. Weight loss of 2 kg in 24 hours
B. Dry mucous membranes
C. Bilateral crackles in lung fields
D. Increased urine output
Correct Answer: C. Bilateral crackles in lung fields
Rationale: Crackles indicate pulmonary congestion caused by
excess fluid accumulation, a common sign of worsening heart
failure.
2. Which assessment finding is most concerning in a client
experiencing chest pain?
A. Pain relieved by rest
B. Chest pain radiating to the left arm
C. Heart rate of 88/min
D. Mild anxiety
,Correct Answer: B. Chest pain radiating to the left arm
Rationale: Radiation of chest pain to the arm is a classic sign of
myocardial ischemia or infarction.
3. A nurse caring for a client with COPD should place the client
in which position to improve breathing?
A. Supine position
B. Trendelenburg position
C. High-Fowler’s position
D. Prone position
Correct Answer: C. High-Fowler’s position
Rationale: Upright positioning improves lung expansion and
decreases respiratory effort.
4. Which oxygen delivery method provides the highest
concentration of oxygen without intubation?
A. Nasal cannula
B. Simple face mask
C. Non-rebreather mask
D. Venturi mask
Correct Answer: C. Non-rebreather mask
Rationale: A non-rebreather mask can deliver high oxygen
concentrations for clients with severe hypoxemia.
,5. Which laboratory value should the nurse monitor for a
client receiving anticoagulant therapy with warfarin?
A. Hemoglobin A1C
B. INR
C. Serum potassium
D. Troponin
Correct Answer: B. INR
Rationale: INR measures the effectiveness and safety of
warfarin therapy.
6. A client with diabetes reports sweating, shakiness, and
confusion. What should the nurse suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Diabetic ketoacidosis
D. Hyperosmolar syndrome
Correct Answer: B. Hypoglycemia
Rationale: Sweating, tremors, and confusion are common
symptoms of low blood glucose.
7. Which finding is expected in a client with pneumonia?
, A. Clear lung sounds
B. Productive cough with fever
C. Bradycardia
D. Decreased respiratory secretions
Correct Answer: B. Productive cough with fever
Rationale: Pneumonia commonly causes fever, productive
cough, and abnormal lung sounds.
8. The nurse caring for a client with acute kidney injury should
monitor which laboratory value closely?
A. Calcium
B. Potassium
C. Hemoglobin
D. Platelets
Correct Answer: B. Potassium
Rationale: Kidney dysfunction can cause potassium retention,
leading to life-threatening dysrhythmias.
9. Which symptom is commonly associated with left-sided
heart failure?
A. Peripheral edema
B. Jugular vein distention
C. Pulmonary congestion
D. Ascites
