NSG 3250 EXAM / ACTUAL NSG 3250 EXAM 3 ADULT HEALTH
APPROVED EXAM 2026/2027 PRACTICE QUESTIONS AND STUDY
GUIDE COMPLETE ACCURATE EXAM REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH DETAILED RATIONALES
(100% RELIABLE SOLUTIONS) CURRENTLY UPDATED VERSION
2026 EDITION |GUARANTEED SUCCESS A+ |FULL REVISED
EXAM |INSTANT DOWNLOAD PDF
A client is admitted with right-sided heart failure. Which clinical
manifestation should the nurse expect to find during the physical
assessment?
A. Crackles in the lungs
B. Orthopnea
C. Pink, frothy sputum
D. Jugular venous distention
Correct Answer: D. Jugular venous distention
Rationale: Right-sided heart failure results in systemic venous
congestion because the right ventricle cannot pump blood forward
effectively. This leads to symptoms such as jugular venous
distention, peripheral edema, and hepatomegaly. Left-sided heart
failure, conversely, causes pulmonary symptoms like crackles and
orthopnea .
A patient with chronic obstructive pulmonary disease (COPD) has
an arterial blood gas (ABG) result: pH 7.32, PaCO2 58 mm Hg,
HCO3- 30 mEq/L. The nurse interprets these findings as:
,A. Uncompensated respiratory acidosis
B. Uncompensated metabolic alkalosis
C. Partially compensated respiratory acidosis
D. Fully compensated metabolic acidosis
Correct Answer: C. Partially compensated respiratory acidosis
Rationale: The pH is acidic (7.32 < 7.35), indicating acidosis.
PaCO2 is elevated (58 > 45), indicating a respiratory cause. HCO3-
is elevated (30 > 26), suggesting the kidneys are attempting
compensation. Because pH is still abnormal, compensation is partial,
not full .
The nurse is teaching a patient with heart failure about a low-sodium
diet. Which food choice indicates the patient understands the
teaching?
A. Canned vegetable soup
B. Smoked ham and cheese sandwich
C. Frozen pepperoni pizza
D. Fresh grilled chicken and steamed broccoli
Correct Answer: D. Fresh grilled chicken and steamed broccoli
Rationale: Fresh foods such as grilled chicken and steamed
vegetables are naturally low in sodium compared to processed items.
Canned soups, smoked meats, and frozen meals are typically high in
sodium, which causes fluid retention and exacerbates heart failure .
,What is the primary purpose of pursed-lip breathing in a client with
emphysema?
A. To prevent airway collapse during expiration
B. To increase the respiratory rate
C. To strengthen the diaphragm
D. To decrease oxygen saturation
Correct Answer: A. To prevent airway collapse during expiration
Rationale: Pursed-lip breathing creates positive pressure in the
airways, which helps keep them open longer during exhalation. This
technique allows more trapped air to be expelled from the lungs,
reducing dyspnea. It is a vital self-management strategy for patients
with obstructive lung diseases like emphysema .
A patient taking digoxin for heart failure reports seeing yellow-green
halos around lights. What is the nurse's priority action?
A. Assess the patient's heart rate and notify the provider
B. Administer the next scheduled dose
C. Document the finding as a normal side effect
D. Increase the patient's potassium intake
Correct Answer: A. Assess the patient's heart rate and notify the
provider
Rationale: Visual changes such as yellow-green halos are a classic
sign of digoxin toxicity. The nurse must immediately check the
, apical pulse, as digoxin can cause dangerous arrhythmias, and alert
the healthcare provider .
A patient presents to the emergency department with sudden-onset
right-sided weakness and slurred speech that began 2 hours ago.
What is the nurse's priority action?
A. Obtain a full set of vital signs
B. Start an IV line of normal saline
C. Prepare for immediate CT scan without contrast
D. Administer aspirin 325 mg orally
Correct Answer: C. Prepare for immediate CT scan without contrast
Rationale: A non-contrast head CT is the priority to distinguish
ischemic from hemorrhagic stroke before any thrombolytic or
antiplatelet therapy is given. Time is brain—the CT must be obtained
as quickly as possible .
Which blood pressure reading would be an absolute contraindication
to administering IV alteplase (tPA) for acute ischemic stroke?
A. 150/90 mm Hg
B. 170/100 mm Hg
C. 185/110 mm Hg
D. 195/115 mm Hg
Correct Answer: D. 195/115 mm Hg
APPROVED EXAM 2026/2027 PRACTICE QUESTIONS AND STUDY
GUIDE COMPLETE ACCURATE EXAM REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH DETAILED RATIONALES
(100% RELIABLE SOLUTIONS) CURRENTLY UPDATED VERSION
2026 EDITION |GUARANTEED SUCCESS A+ |FULL REVISED
EXAM |INSTANT DOWNLOAD PDF
A client is admitted with right-sided heart failure. Which clinical
manifestation should the nurse expect to find during the physical
assessment?
A. Crackles in the lungs
B. Orthopnea
C. Pink, frothy sputum
D. Jugular venous distention
Correct Answer: D. Jugular venous distention
Rationale: Right-sided heart failure results in systemic venous
congestion because the right ventricle cannot pump blood forward
effectively. This leads to symptoms such as jugular venous
distention, peripheral edema, and hepatomegaly. Left-sided heart
failure, conversely, causes pulmonary symptoms like crackles and
orthopnea .
A patient with chronic obstructive pulmonary disease (COPD) has
an arterial blood gas (ABG) result: pH 7.32, PaCO2 58 mm Hg,
HCO3- 30 mEq/L. The nurse interprets these findings as:
,A. Uncompensated respiratory acidosis
B. Uncompensated metabolic alkalosis
C. Partially compensated respiratory acidosis
D. Fully compensated metabolic acidosis
Correct Answer: C. Partially compensated respiratory acidosis
Rationale: The pH is acidic (7.32 < 7.35), indicating acidosis.
PaCO2 is elevated (58 > 45), indicating a respiratory cause. HCO3-
is elevated (30 > 26), suggesting the kidneys are attempting
compensation. Because pH is still abnormal, compensation is partial,
not full .
The nurse is teaching a patient with heart failure about a low-sodium
diet. Which food choice indicates the patient understands the
teaching?
A. Canned vegetable soup
B. Smoked ham and cheese sandwich
C. Frozen pepperoni pizza
D. Fresh grilled chicken and steamed broccoli
Correct Answer: D. Fresh grilled chicken and steamed broccoli
Rationale: Fresh foods such as grilled chicken and steamed
vegetables are naturally low in sodium compared to processed items.
Canned soups, smoked meats, and frozen meals are typically high in
sodium, which causes fluid retention and exacerbates heart failure .
,What is the primary purpose of pursed-lip breathing in a client with
emphysema?
A. To prevent airway collapse during expiration
B. To increase the respiratory rate
C. To strengthen the diaphragm
D. To decrease oxygen saturation
Correct Answer: A. To prevent airway collapse during expiration
Rationale: Pursed-lip breathing creates positive pressure in the
airways, which helps keep them open longer during exhalation. This
technique allows more trapped air to be expelled from the lungs,
reducing dyspnea. It is a vital self-management strategy for patients
with obstructive lung diseases like emphysema .
A patient taking digoxin for heart failure reports seeing yellow-green
halos around lights. What is the nurse's priority action?
A. Assess the patient's heart rate and notify the provider
B. Administer the next scheduled dose
C. Document the finding as a normal side effect
D. Increase the patient's potassium intake
Correct Answer: A. Assess the patient's heart rate and notify the
provider
Rationale: Visual changes such as yellow-green halos are a classic
sign of digoxin toxicity. The nurse must immediately check the
, apical pulse, as digoxin can cause dangerous arrhythmias, and alert
the healthcare provider .
A patient presents to the emergency department with sudden-onset
right-sided weakness and slurred speech that began 2 hours ago.
What is the nurse's priority action?
A. Obtain a full set of vital signs
B. Start an IV line of normal saline
C. Prepare for immediate CT scan without contrast
D. Administer aspirin 325 mg orally
Correct Answer: C. Prepare for immediate CT scan without contrast
Rationale: A non-contrast head CT is the priority to distinguish
ischemic from hemorrhagic stroke before any thrombolytic or
antiplatelet therapy is given. Time is brain—the CT must be obtained
as quickly as possible .
Which blood pressure reading would be an absolute contraindication
to administering IV alteplase (tPA) for acute ischemic stroke?
A. 150/90 mm Hg
B. 170/100 mm Hg
C. 185/110 mm Hg
D. 195/115 mm Hg
Correct Answer: D. 195/115 mm Hg
