, NSG 3800 | Exam 1 | Original Adult Health II Practice
NSG 3800 Exam 1| Adult Health II| 2026 Update |
100% Correct – Galen College
1. A nurse caring for an adult patient must apply the concept of magnesium. Which action
orinterpretation is most appropriate?
A) Magnesium eliminates the need for reassessment or monitoring.
B) Magnesium should be determined without laboratory or clinical assessment.
C) Magnesium is unrelated to fluid, hematologic, or acid-base management.
D) Magnesium supports neuromuscular stability, enzyme function, and cardiac conduction.
Correct Answer: Magnesium supports neuromuscular stability, enzyme function, and cardiac conduction.
Rationale: Magnesium supports neuromuscular stability, enzyme function, and cardiac conduction. In practice, the
nurse links this principle to focused assessment, patient safety, laboratory trends, timely intervention, and
reassessment.
2. Which statement best describes sickle cell crisis in Adult Health II?
A) Hypoxemia does not affect sickling
B) During vaso-occlusive crisis, priorities include pain control, hydration as appropriate, oxygen if
hypoxemic, andassessment for complications.
C) Dehydration is therapeutic
D) Pain should be ignored to avoid dependence
Correct Answer: During vaso-occlusive crisis, priorities include pain control, hydration as appropriate, oxygen
if hypoxemic, and assessment for complications.
Rationale: During vaso-occlusive crisis, priorities include pain control, hydration as appropriate, oxygen if
hypoxemic, and assessment for complications. This principle aligns with the NSG 3800 Exam 1 blueprint covering
fluid/electrolytes, hematology, and acid-base management.
3. A nurse caring for an adult patient must apply the concept of bleeding precautions. Which action
orinterpretation is most appropriate?
A) Minor bleeding never requires reassessment
B) Intramuscular injections are preferred
C) Hard-bristle toothbrushes reduce bleeding
D) Bleeding precautions include minimizing trauma, avoiding unnecessary invasive procedures, and
monitoring foroccult or overt bleeding.
Correct Answer: Bleeding precautions include minimizing trauma, avoiding unnecessary invasive procedures,
and monitoring for occult or overt bleeding.
Rationale: Bleeding precautions include minimizing trauma, avoiding unnecessary invasive procedures, and
monitoring for occult or overt bleeding. In practice, the nurse links this principle to focused assessment, patient
safety, laboratory trends, timely intervention, and reassessment.
4. A nurse caring for an adult patient must apply the concept of hyponatremia. Which action
orinterpretation is most appropriate?
A) Hyponatremia is defined by elevated serum sodium
B) Hyponatremia can cause headache, confusion, seizures, and other neurologic manifestations due to
cellularswelling.
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, NSG 3800 | Exam 1 | Original Adult Health II Practice
C) Hyponatremia never affects the brain
D) Hyponatremia causes cellular dehydration
Correct Answer: Hyponatremia can cause headache, confusion, seizures, and other neurologic manifestations
due to cellular swelling.
Rationale: Hyponatremia can cause headache, confusion, seizures, and other neurologic manifestations due to
cellular swelling. In practice, the nurse links this principle to focused assessment, patient safety, laboratory trends,
timely intervention, and reassessment.
5. A nurse caring for an adult patient must apply the concept of aplastic anemia. Which action
orinterpretation is most appropriate?
A) Bone marrow is unaffected
B) Aplastic anemia involves bone-marrow failure leading to pancytopenia and increased risk for infection,
bleeding,and fatigue.
C) Aplastic anemia increases all blood-cell lines
D) Aplastic anemia causes isolated thrombocytosis
Correct Answer: Aplastic anemia involves bone-marrow failure leading to pancytopenia and increased risk for
infection, bleeding, and fatigue.
Rationale: Aplastic anemia involves bone-marrow failure leading to pancytopenia and increased risk for infection,
bleeding, and fatigue. In practice, the nurse links this principle to focused assessment, patient safety, laboratory
trends, timely intervention, and reassessment.
6. A nurse caring for an adult patient must apply the concept of hypomagnesemia. Which action
orinterpretation is most appropriate?
A) Low magnesium always slows neuromuscular activity
B) Hypomagnesemia can cause tremors, hyperreflexia, seizures, and dysrhythmias.
C) Hypomagnesemia cannot cause seizures
D) Low magnesium causes absent reflexes only
Correct Answer: Hypomagnesemia can cause tremors, hyperreflexia, seizures, and dysrhythmias.
Rationale: Hypomagnesemia can cause tremors, hyperreflexia, seizures, and dysrhythmias. In practice, the nurse
links this principle to focused assessment, patient safety, laboratory trends, timely intervention, and reassessment.
7. Which statement best describes coagulation in Adult Health II?
A) Normal hemostasis depends on vascular response, platelets, coagulation factors, and fibrinolysis.
B) Coagulation eliminates the need for reassessment or monitoring.
C) Coagulation should be determined without laboratory or clinical assessment.
D) Coagulation is unrelated to fluid, hematologic, or acid-base management.
Correct Answer: Normal hemostasis depends on vascular response, platelets, coagulation factors, and
fibrinolysis.
Rationale: Normal hemostasis depends on vascular response, platelets, coagulation factors, and fibrinolysis. This
principle aligns with the NSG 3800 Exam 1 blueprint covering fluid/electrolytes, hematology, and acid-base
management.
8. A nurse caring for an adult patient must apply the concept of oncotic pressure. Which action
orinterpretation is most appropriate?
A) Oncotic Pressure eliminates the need for reassessment or monitoring.
B) Plasma oncotic pressure, largely generated by albumin, pulls water into the vascular space.
Page 3
NSG 3800 Exam 1| Adult Health II| 2026 Update |
100% Correct – Galen College
1. A nurse caring for an adult patient must apply the concept of magnesium. Which action
orinterpretation is most appropriate?
A) Magnesium eliminates the need for reassessment or monitoring.
B) Magnesium should be determined without laboratory or clinical assessment.
C) Magnesium is unrelated to fluid, hematologic, or acid-base management.
D) Magnesium supports neuromuscular stability, enzyme function, and cardiac conduction.
Correct Answer: Magnesium supports neuromuscular stability, enzyme function, and cardiac conduction.
Rationale: Magnesium supports neuromuscular stability, enzyme function, and cardiac conduction. In practice, the
nurse links this principle to focused assessment, patient safety, laboratory trends, timely intervention, and
reassessment.
2. Which statement best describes sickle cell crisis in Adult Health II?
A) Hypoxemia does not affect sickling
B) During vaso-occlusive crisis, priorities include pain control, hydration as appropriate, oxygen if
hypoxemic, andassessment for complications.
C) Dehydration is therapeutic
D) Pain should be ignored to avoid dependence
Correct Answer: During vaso-occlusive crisis, priorities include pain control, hydration as appropriate, oxygen
if hypoxemic, and assessment for complications.
Rationale: During vaso-occlusive crisis, priorities include pain control, hydration as appropriate, oxygen if
hypoxemic, and assessment for complications. This principle aligns with the NSG 3800 Exam 1 blueprint covering
fluid/electrolytes, hematology, and acid-base management.
3. A nurse caring for an adult patient must apply the concept of bleeding precautions. Which action
orinterpretation is most appropriate?
A) Minor bleeding never requires reassessment
B) Intramuscular injections are preferred
C) Hard-bristle toothbrushes reduce bleeding
D) Bleeding precautions include minimizing trauma, avoiding unnecessary invasive procedures, and
monitoring foroccult or overt bleeding.
Correct Answer: Bleeding precautions include minimizing trauma, avoiding unnecessary invasive procedures,
and monitoring for occult or overt bleeding.
Rationale: Bleeding precautions include minimizing trauma, avoiding unnecessary invasive procedures, and
monitoring for occult or overt bleeding. In practice, the nurse links this principle to focused assessment, patient
safety, laboratory trends, timely intervention, and reassessment.
4. A nurse caring for an adult patient must apply the concept of hyponatremia. Which action
orinterpretation is most appropriate?
A) Hyponatremia is defined by elevated serum sodium
B) Hyponatremia can cause headache, confusion, seizures, and other neurologic manifestations due to
cellularswelling.
Page 2
, NSG 3800 | Exam 1 | Original Adult Health II Practice
C) Hyponatremia never affects the brain
D) Hyponatremia causes cellular dehydration
Correct Answer: Hyponatremia can cause headache, confusion, seizures, and other neurologic manifestations
due to cellular swelling.
Rationale: Hyponatremia can cause headache, confusion, seizures, and other neurologic manifestations due to
cellular swelling. In practice, the nurse links this principle to focused assessment, patient safety, laboratory trends,
timely intervention, and reassessment.
5. A nurse caring for an adult patient must apply the concept of aplastic anemia. Which action
orinterpretation is most appropriate?
A) Bone marrow is unaffected
B) Aplastic anemia involves bone-marrow failure leading to pancytopenia and increased risk for infection,
bleeding,and fatigue.
C) Aplastic anemia increases all blood-cell lines
D) Aplastic anemia causes isolated thrombocytosis
Correct Answer: Aplastic anemia involves bone-marrow failure leading to pancytopenia and increased risk for
infection, bleeding, and fatigue.
Rationale: Aplastic anemia involves bone-marrow failure leading to pancytopenia and increased risk for infection,
bleeding, and fatigue. In practice, the nurse links this principle to focused assessment, patient safety, laboratory
trends, timely intervention, and reassessment.
6. A nurse caring for an adult patient must apply the concept of hypomagnesemia. Which action
orinterpretation is most appropriate?
A) Low magnesium always slows neuromuscular activity
B) Hypomagnesemia can cause tremors, hyperreflexia, seizures, and dysrhythmias.
C) Hypomagnesemia cannot cause seizures
D) Low magnesium causes absent reflexes only
Correct Answer: Hypomagnesemia can cause tremors, hyperreflexia, seizures, and dysrhythmias.
Rationale: Hypomagnesemia can cause tremors, hyperreflexia, seizures, and dysrhythmias. In practice, the nurse
links this principle to focused assessment, patient safety, laboratory trends, timely intervention, and reassessment.
7. Which statement best describes coagulation in Adult Health II?
A) Normal hemostasis depends on vascular response, platelets, coagulation factors, and fibrinolysis.
B) Coagulation eliminates the need for reassessment or monitoring.
C) Coagulation should be determined without laboratory or clinical assessment.
D) Coagulation is unrelated to fluid, hematologic, or acid-base management.
Correct Answer: Normal hemostasis depends on vascular response, platelets, coagulation factors, and
fibrinolysis.
Rationale: Normal hemostasis depends on vascular response, platelets, coagulation factors, and fibrinolysis. This
principle aligns with the NSG 3800 Exam 1 blueprint covering fluid/electrolytes, hematology, and acid-base
management.
8. A nurse caring for an adult patient must apply the concept of oncotic pressure. Which action
orinterpretation is most appropriate?
A) Oncotic Pressure eliminates the need for reassessment or monitoring.
B) Plasma oncotic pressure, largely generated by albumin, pulls water into the vascular space.
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