NUR 3227L
Nursing Care of Adults II Clinical
MIDTERM READINESS EXAM
GUIDE
Q&S
©2024/2025
,1. A patient in chronic heart failure presents with sudden weight
gain and edema. What is the most appropriate nursing
intervention?
a) Administer diuretics immediately
b) Assess vital signs and fluid intake/output
c) Encourage high-sodium diet
d) Schedule a follow-up appointment
Answer: b) Assess vital signs and fluid intake/output
Rationale: Assessing vital signs and fluid balance helps in
evaluating the severity of heart failure and determining
appropriate interventions.
2. Which laboratory finding is indicative of acute kidney injury
in a patient with diabetes?
a) Decreased BUN
b) Elevated creatinine
c) Normal serum electrolytes
d) Increased hemoglobin
Answer: b) Elevated creatinine
Rationale: Elevated creatinine levels are a key indicator of
declining renal function and may signify acute kidney injury.
3. A patient has been diagnosed with pneumonia. What is the
priority nursing assessment?
a) Auscultation of bowel sounds
b) Respiratory rate and effort
c) Skin turgor
d) Capillary refill
Answer: b) Respiratory rate and effort
©2024/2025
, Rationale: The respiratory status is critical in pneumonia,
where breathing may be compromised.
4. In managing a patient with DKA (diabetic ketoacidosis), the
nurse understands that the priority intervention is to:
a) Administer insulin
b) Monitor glucose levels
c) Infuse IV fluids
d) Provide education on diabetes management
Answer: c) Infuse IV fluids
Rationale: Fluid resuscitation is crucial to restore
hemodynamic stability and dilute excess ketones.
5. Which nursing diagnosis is most appropriate for a patient
post-head injury with altered consciousness?
a) Impaired physical mobility
b) Risk for injury
c) Activity intolerance
d) Ineffective airway clearance
Answer: b) Risk for injury
Rationale: Altered consciousness predisposes the patient to
potential injuries related to mobility and safety.
### Fill-in-the-Blank Questions
6. Cushing's syndrome is characterized by an excess of
__________ hormone.
Answer: cortisol
Rationale: Cushing's syndrome results from prolonged
exposure to high levels of cortisol.
©2024/2025
Nursing Care of Adults II Clinical
MIDTERM READINESS EXAM
GUIDE
Q&S
©2024/2025
,1. A patient in chronic heart failure presents with sudden weight
gain and edema. What is the most appropriate nursing
intervention?
a) Administer diuretics immediately
b) Assess vital signs and fluid intake/output
c) Encourage high-sodium diet
d) Schedule a follow-up appointment
Answer: b) Assess vital signs and fluid intake/output
Rationale: Assessing vital signs and fluid balance helps in
evaluating the severity of heart failure and determining
appropriate interventions.
2. Which laboratory finding is indicative of acute kidney injury
in a patient with diabetes?
a) Decreased BUN
b) Elevated creatinine
c) Normal serum electrolytes
d) Increased hemoglobin
Answer: b) Elevated creatinine
Rationale: Elevated creatinine levels are a key indicator of
declining renal function and may signify acute kidney injury.
3. A patient has been diagnosed with pneumonia. What is the
priority nursing assessment?
a) Auscultation of bowel sounds
b) Respiratory rate and effort
c) Skin turgor
d) Capillary refill
Answer: b) Respiratory rate and effort
©2024/2025
, Rationale: The respiratory status is critical in pneumonia,
where breathing may be compromised.
4. In managing a patient with DKA (diabetic ketoacidosis), the
nurse understands that the priority intervention is to:
a) Administer insulin
b) Monitor glucose levels
c) Infuse IV fluids
d) Provide education on diabetes management
Answer: c) Infuse IV fluids
Rationale: Fluid resuscitation is crucial to restore
hemodynamic stability and dilute excess ketones.
5. Which nursing diagnosis is most appropriate for a patient
post-head injury with altered consciousness?
a) Impaired physical mobility
b) Risk for injury
c) Activity intolerance
d) Ineffective airway clearance
Answer: b) Risk for injury
Rationale: Altered consciousness predisposes the patient to
potential injuries related to mobility and safety.
### Fill-in-the-Blank Questions
6. Cushing's syndrome is characterized by an excess of
__________ hormone.
Answer: cortisol
Rationale: Cushing's syndrome results from prolonged
exposure to high levels of cortisol.
©2024/2025
