NUR 3227
Nursing Care of Adults II
MIDTERM READINESS EXAM
GUIDE
Q&S
©2024/2025
,1. Which of the following is a priority intervention for a
patient experiencing acute respiratory distress syndrome
(ARDS)?
- A) Administer bronchodilators
- B) Provide supplemental oxygen
- C) Initiate intravenous fluids
- D) Perform chest physiotherapy
Answer: B) Provide supplemental oxygen
Rationale: Supplemental oxygen is critical to improve
oxygenation in ARDS patients, who have significant
impaired gas exchange.
2. A patient with congestive heart failure presents with
peripheral edema, shortness of breath, and third heart
sound (S3). What is the most appropriate initial
intervention?
- A) Administer a diuretic
- B) Increase fluid intake
- C) Schedule an echocardiogram
- D) Start an IV analgesic
Answer: A) Administer a diuretic
Rationale: Diuretics help reduce fluid overload and
relieve symptoms associated with congestive heart failure.
3. In managing pain for a patient post-surgery, which
NSAID is commonly preferred for its anti-inflammatory
effects?
- A) Acetaminophen
- B) Aspirin
- C) Ibuprofen
- D) Morphine
©2024/2025
, Answer: C) Ibuprofen
Rationale: Ibuprofen is an effective NSAID providing
pain relief and has anti-inflammatory properties.
4. Which laboratory value would indicate a patient may be
developing renal failure?
- A) Decreased BUN/Creatinine ratio
- B) Elevated serum potassium
- C) Decreased serum sodium
- D) Elevated hemoglobin
Answer: B) Elevated serum potassium
Rationale: Hyperkalemia can occur with renal failure
due to impaired potassium excretion.
5. When caring for a diabetic patient post-operatively,
which vital sign must be monitored closely due to the risk
associated with insulin administration?
- A) Blood pressure
- B) Heart rate
- C) Respiratory rate
- D) Blood glucose
Answer: D) Blood glucose
Rationale: Post-operative patients, especially diabetics,
require close monitoring of blood glucose levels due to
fluctuations caused by surgery and insulin therapy.
### Fill-in-the-Blank Questions
6. The main purpose of a patient care plan is to provide a
systematic approach to _________________.
Answer: patient care
Rationale: Care plans assist in delivering organized,
individualized care in a systematic manner.
©2024/2025
Nursing Care of Adults II
MIDTERM READINESS EXAM
GUIDE
Q&S
©2024/2025
,1. Which of the following is a priority intervention for a
patient experiencing acute respiratory distress syndrome
(ARDS)?
- A) Administer bronchodilators
- B) Provide supplemental oxygen
- C) Initiate intravenous fluids
- D) Perform chest physiotherapy
Answer: B) Provide supplemental oxygen
Rationale: Supplemental oxygen is critical to improve
oxygenation in ARDS patients, who have significant
impaired gas exchange.
2. A patient with congestive heart failure presents with
peripheral edema, shortness of breath, and third heart
sound (S3). What is the most appropriate initial
intervention?
- A) Administer a diuretic
- B) Increase fluid intake
- C) Schedule an echocardiogram
- D) Start an IV analgesic
Answer: A) Administer a diuretic
Rationale: Diuretics help reduce fluid overload and
relieve symptoms associated with congestive heart failure.
3. In managing pain for a patient post-surgery, which
NSAID is commonly preferred for its anti-inflammatory
effects?
- A) Acetaminophen
- B) Aspirin
- C) Ibuprofen
- D) Morphine
©2024/2025
, Answer: C) Ibuprofen
Rationale: Ibuprofen is an effective NSAID providing
pain relief and has anti-inflammatory properties.
4. Which laboratory value would indicate a patient may be
developing renal failure?
- A) Decreased BUN/Creatinine ratio
- B) Elevated serum potassium
- C) Decreased serum sodium
- D) Elevated hemoglobin
Answer: B) Elevated serum potassium
Rationale: Hyperkalemia can occur with renal failure
due to impaired potassium excretion.
5. When caring for a diabetic patient post-operatively,
which vital sign must be monitored closely due to the risk
associated with insulin administration?
- A) Blood pressure
- B) Heart rate
- C) Respiratory rate
- D) Blood glucose
Answer: D) Blood glucose
Rationale: Post-operative patients, especially diabetics,
require close monitoring of blood glucose levels due to
fluctuations caused by surgery and insulin therapy.
### Fill-in-the-Blank Questions
6. The main purpose of a patient care plan is to provide a
systematic approach to _________________.
Answer: patient care
Rationale: Care plans assist in delivering organized,
individualized care in a systematic manner.
©2024/2025
