NUR 325 EXAM 1 (ASU) NEWEST 2026/ 2027 ACTUAL
EXAM TEST BANK| NUR325 HEALTH AND ILLNESS
CONCEPTS I EXAM 1 REVIEW WITH COMPLETE 400
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
A client with a history of chronic constipation is prescribed senna.
Which adverse effect should the nurse monitor for most closely?
a. Electrolyte imbalance
b. Intestinal obstruction
c. Urinary retention
d. Allergic reaction - Correct Answer - a. Electrolyte imbalance
A nurse is teaching a client about the proper use of bulk-forming
laxatives. Which instruction is most important for the nurse to
emphasize?
a. Take the medication with meals
b. Avoid dairy products while using this medication
c. Drink plenty of water with each dose
d. Use the medication only for short-term relief - Correct Answer - c.
Drink plenty of water with each dose
A 40-year-old client is recovering from abdominal surgery and is
prescribed IV morphine for severe postoperative pain. After receiving a
dose, the client reports pain relief but the nurse notes a respiratory rate
of 8 breaths/min., drowsiness, and shallow breathing. Which action
should the nurse take first?
pg. 1
,a. Notify the healthcare provider
b. Administer naloxone as prescribed
c. Place the client on their side
d. Decrease the next morphine dose - Correct Answer - b. Administer
naloxone as prescribed
A client with chronic back pain takes acetaminophen 1,000 mg every 6
hours as prescribed. The client also reports drinking 4-6 beers daily.
Which risk should the nurse prioritize when teaching this client?
a. Potential for liver toxicity
b. Increased risk of GI bleeding
c. Reduced effectiveness of the drug
d. Risk of opioid dependence - Correct Answer - a. Potential for liver
toxicity
A client with postoperative pain receives IV morphine. Thirty minutes
later, the nurse notes a respiratory rate of 8 breaths/min and oxygen
saturation of 86%. Which action should the nurse take first?
a. Administer naloxone per protocol
b. Increase IV fluids to improve circulation
c. Place the client in high Fowler's position
d. Encourage the client to take deep breaths - Correct Answer - a.
Administer naloxone per protocol
A client with advanced liver disease is prescribed a medication primarily
metabolized by the liver. Which nursing action is most appropriate?
a. Administer the full dose as ordered and monitor for effectiveness
pg. 2
,b. Expect the provider to order a higher dose to overcome reduced
metabolism
c. Monitor closely for drug toxicity and anticipate dose adjustments
d. Encourage the client to take the medication with food to slow
absorption - Correct Answer - c. Monitor closely for drug toxicity and
anticipate dose adjustments
A drug has a half-life of 4 hours. If the initial plasma concentration is
100 mg, what is the expected concentration after 12 hours (assuming no
additional doses)?
a. 25 mg
b. 300 mg
c. 12.5 mg
d. 200 mg - Correct Answer - c. 12.5 mg
An older adult with chronic kidney disease is prescribed gentamicin, an
antibiotic primarily excreted by the kidneys. Which nursing action is
most important?
a. Administer the drug as ordered, monitoring for pain relief
b. Encourage increased protein intake to support drug metabolism
c. Expect the provider to double the dose to overcome reduced clearance
d. Monitor serum creatinine and urine output closely - Correct Answer -
d. Monitor serum creatinine and urine output closely
A nurse is caring for a postoperative client receiving opioid analgesics.
Which finding requires immediate intervention?
a. Respiratory rate of 8 breaths/min
pg. 3
, b. Pain score of 6/10
c. Blood pressure of 120/78 mmHg
d. Client reports mild nausea - Correct Answer - a. Respiratory rate of 8
breaths/min
A nurse is caring for a client prescribed acetaminophen for pain. Which
lab value should the nurse monitor closely?
a. Serum creatinine
b. Platelet count
c. White blood cell count
d. Liver function tests (AST, ALT) - Correct Answer - d. Liver function
tests (AST, ALT)
A nurse is preparing to administer digoxin to an older adult client. The
client's lab results show an elevated creatinine level and decreased
glomerular filtration rate (GFR). Which action should the nurse take?
a. Administer the drug as ordered since renal function doesn't affect
digoxin.
b. Hold the medication and notify the provider due to risk of toxicity.
c. Double the dose because of decreased absorption in older adults.
d. Give the medication with food to protect the stomach lining. - Correct
Answer - b. Hold the medication and notify the provider due to risk of
toxicity.
A nurse administers a medication and notes that the patient begins to
have difficulty breathing, hives, and swelling of the lips. What is the
priority action?
pg. 4
EXAM TEST BANK| NUR325 HEALTH AND ILLNESS
CONCEPTS I EXAM 1 REVIEW WITH COMPLETE 400
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
A client with a history of chronic constipation is prescribed senna.
Which adverse effect should the nurse monitor for most closely?
a. Electrolyte imbalance
b. Intestinal obstruction
c. Urinary retention
d. Allergic reaction - Correct Answer - a. Electrolyte imbalance
A nurse is teaching a client about the proper use of bulk-forming
laxatives. Which instruction is most important for the nurse to
emphasize?
a. Take the medication with meals
b. Avoid dairy products while using this medication
c. Drink plenty of water with each dose
d. Use the medication only for short-term relief - Correct Answer - c.
Drink plenty of water with each dose
A 40-year-old client is recovering from abdominal surgery and is
prescribed IV morphine for severe postoperative pain. After receiving a
dose, the client reports pain relief but the nurse notes a respiratory rate
of 8 breaths/min., drowsiness, and shallow breathing. Which action
should the nurse take first?
pg. 1
,a. Notify the healthcare provider
b. Administer naloxone as prescribed
c. Place the client on their side
d. Decrease the next morphine dose - Correct Answer - b. Administer
naloxone as prescribed
A client with chronic back pain takes acetaminophen 1,000 mg every 6
hours as prescribed. The client also reports drinking 4-6 beers daily.
Which risk should the nurse prioritize when teaching this client?
a. Potential for liver toxicity
b. Increased risk of GI bleeding
c. Reduced effectiveness of the drug
d. Risk of opioid dependence - Correct Answer - a. Potential for liver
toxicity
A client with postoperative pain receives IV morphine. Thirty minutes
later, the nurse notes a respiratory rate of 8 breaths/min and oxygen
saturation of 86%. Which action should the nurse take first?
a. Administer naloxone per protocol
b. Increase IV fluids to improve circulation
c. Place the client in high Fowler's position
d. Encourage the client to take deep breaths - Correct Answer - a.
Administer naloxone per protocol
A client with advanced liver disease is prescribed a medication primarily
metabolized by the liver. Which nursing action is most appropriate?
a. Administer the full dose as ordered and monitor for effectiveness
pg. 2
,b. Expect the provider to order a higher dose to overcome reduced
metabolism
c. Monitor closely for drug toxicity and anticipate dose adjustments
d. Encourage the client to take the medication with food to slow
absorption - Correct Answer - c. Monitor closely for drug toxicity and
anticipate dose adjustments
A drug has a half-life of 4 hours. If the initial plasma concentration is
100 mg, what is the expected concentration after 12 hours (assuming no
additional doses)?
a. 25 mg
b. 300 mg
c. 12.5 mg
d. 200 mg - Correct Answer - c. 12.5 mg
An older adult with chronic kidney disease is prescribed gentamicin, an
antibiotic primarily excreted by the kidneys. Which nursing action is
most important?
a. Administer the drug as ordered, monitoring for pain relief
b. Encourage increased protein intake to support drug metabolism
c. Expect the provider to double the dose to overcome reduced clearance
d. Monitor serum creatinine and urine output closely - Correct Answer -
d. Monitor serum creatinine and urine output closely
A nurse is caring for a postoperative client receiving opioid analgesics.
Which finding requires immediate intervention?
a. Respiratory rate of 8 breaths/min
pg. 3
, b. Pain score of 6/10
c. Blood pressure of 120/78 mmHg
d. Client reports mild nausea - Correct Answer - a. Respiratory rate of 8
breaths/min
A nurse is caring for a client prescribed acetaminophen for pain. Which
lab value should the nurse monitor closely?
a. Serum creatinine
b. Platelet count
c. White blood cell count
d. Liver function tests (AST, ALT) - Correct Answer - d. Liver function
tests (AST, ALT)
A nurse is preparing to administer digoxin to an older adult client. The
client's lab results show an elevated creatinine level and decreased
glomerular filtration rate (GFR). Which action should the nurse take?
a. Administer the drug as ordered since renal function doesn't affect
digoxin.
b. Hold the medication and notify the provider due to risk of toxicity.
c. Double the dose because of decreased absorption in older adults.
d. Give the medication with food to protect the stomach lining. - Correct
Answer - b. Hold the medication and notify the provider due to risk of
toxicity.
A nurse administers a medication and notes that the patient begins to
have difficulty breathing, hives, and swelling of the lips. What is the
priority action?
pg. 4
