NUR 3226
Nursing Care of Adults I
MIDTERM READINESS EXAM
GUIDE
Q&S
©2024/2025
,1. Which of the following is a primary objective of
advanced nursing assessment?
A) Scheduling appointments
B) Diagnosing a patient's condition
C) Patient education
D) Developing a therapeutic relationship
Correct Answer: B) Diagnosing a patient's condition
Rationale: The primary objective of advanced nursing
assessment is to accurately diagnose the patient's condition
to guide intervention and care.
2. A patient with chronic obstructive pulmonary disease
(COPD) is experiencing increased shortness of breath.
What is the most appropriate initial nursing intervention?
A) Administering bronchodilators
B) Positioning the patient in high Fowler's position
C) Providing oxygen therapy
D) Notifying the physician
Correct Answer: B) Positioning the patient in high
Fowler's position
Rationale: High Fowler's position facilitates easier
breathing and maximizes lung expansion, which is essential
for a COPD patient.
3. Which of the following medications is classified as a
potassium-sparing diuretic?
A) Furosemide
B) Spironolactone
C) Hydrochlorothiazide
D) Metolazone
Correct Answer: B) Spironolactone
Rationale: Spironolactone is a potassium-sparing
©2024/2025
, diuretic that helps to prevent the loss of potassium when
fluid is being removed from the body.
4. What is the most critical nursing action when
administering anticoagulants?
A) Monitoring electrolyte levels
B) Assessing urinary output
C) Monitoring for signs of bleeding
D) Checking vital signs
Correct Answer: C) Monitoring for signs of bleeding
Rationale: The primary risk associated with
anticoagulants is bleeding; therefore, monitoring for signs
such as easy bruising or hematuria is essential.
5. Which of the following lab values is most concerning for
a patient with renal failure?
A) Serum potassium of 6.5 mEq/L
B) Serum sodium of 135 mEq/L
C) Serum creatinine of 1.2 mg/dL
D) Blood urea nitrogen (BUN) of 15 mg/dL
Correct Answer: A) Serum potassium of 6.5 mEq/L
Rationale: Hyperkalemia, or elevated potassium, can
lead to life-threatening cardiac arrhythmias, especially in
patients with renal failure.
### Fill-in-the-Blank Questions
6. The leading cause of death in patients with diabetes is
__________ disease.
Correct Answer: cardiovascular
Rationale: Cardiovascular disease is the leading cause
of mortality among individuals with diabetes due to
associated risks such as hypertension and dyslipidemia.
©2024/2025
Nursing Care of Adults I
MIDTERM READINESS EXAM
GUIDE
Q&S
©2024/2025
,1. Which of the following is a primary objective of
advanced nursing assessment?
A) Scheduling appointments
B) Diagnosing a patient's condition
C) Patient education
D) Developing a therapeutic relationship
Correct Answer: B) Diagnosing a patient's condition
Rationale: The primary objective of advanced nursing
assessment is to accurately diagnose the patient's condition
to guide intervention and care.
2. A patient with chronic obstructive pulmonary disease
(COPD) is experiencing increased shortness of breath.
What is the most appropriate initial nursing intervention?
A) Administering bronchodilators
B) Positioning the patient in high Fowler's position
C) Providing oxygen therapy
D) Notifying the physician
Correct Answer: B) Positioning the patient in high
Fowler's position
Rationale: High Fowler's position facilitates easier
breathing and maximizes lung expansion, which is essential
for a COPD patient.
3. Which of the following medications is classified as a
potassium-sparing diuretic?
A) Furosemide
B) Spironolactone
C) Hydrochlorothiazide
D) Metolazone
Correct Answer: B) Spironolactone
Rationale: Spironolactone is a potassium-sparing
©2024/2025
, diuretic that helps to prevent the loss of potassium when
fluid is being removed from the body.
4. What is the most critical nursing action when
administering anticoagulants?
A) Monitoring electrolyte levels
B) Assessing urinary output
C) Monitoring for signs of bleeding
D) Checking vital signs
Correct Answer: C) Monitoring for signs of bleeding
Rationale: The primary risk associated with
anticoagulants is bleeding; therefore, monitoring for signs
such as easy bruising or hematuria is essential.
5. Which of the following lab values is most concerning for
a patient with renal failure?
A) Serum potassium of 6.5 mEq/L
B) Serum sodium of 135 mEq/L
C) Serum creatinine of 1.2 mg/dL
D) Blood urea nitrogen (BUN) of 15 mg/dL
Correct Answer: A) Serum potassium of 6.5 mEq/L
Rationale: Hyperkalemia, or elevated potassium, can
lead to life-threatening cardiac arrhythmias, especially in
patients with renal failure.
### Fill-in-the-Blank Questions
6. The leading cause of death in patients with diabetes is
__________ disease.
Correct Answer: cardiovascular
Rationale: Cardiovascular disease is the leading cause
of mortality among individuals with diabetes due to
associated risks such as hypertension and dyslipidemia.
©2024/2025
