Maryville NR 324 Adult Health Nursing
Final Exam With Actual 120 Questions
& Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
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1. A nurse is caring for a client with COPD who is receiving oxygen therapy. Which
oxygen delivery device provides the most precise concentration of oxygen?
a. Nasal cannula
b. Simple face mask
c. Non-rebreather mask
d. Venturi mask
Answer: d. Venturi mask
Rationale: The Venturi mask delivers the most accurate oxygen concentration,
making it ideal for COPD patients who require controlled oxygen delivery.
2. A client with heart failure is prescribed furosemide. Which finding indicates the
medication is effective?
a. Weight gain
b. Increased blood pressure
c. Decreased crackles in lungs
d. Edema in lower extremities
Answer: c. Decreased crackles in lungs
Rationale: Furosemide is a diuretic that reduces fluid overload, improving lung sounds
and decreasing pulmonary congestion.
3. A client with type 2 diabetes reports polyuria, polydipsia, and polyphagia. Which lab
value supports these symptoms?
a. Fasting glucose 90 mg/dL
b. HbA1c 5.5%
, c. Random glucose 250 mg/dL
d. Fasting glucose 100 mg/dL
Answer: c. Random glucose 250 mg/dL
Rationale: A random glucose >200 mg/dL indicates hyperglycemia, consistent with
diabetes symptoms.
4. Which assessment finding is most concerning for a client with pneumonia?
a. Productive cough
b. Fever of 101°F
c. Oxygen saturation of 85%
d. Fatigue
Answer: c. Oxygen saturation of 85%
Rationale: Hypoxemia is the priority concern because it indicates inadequate
oxygenation.
5. The nurse is teaching a client with hypertension about lifestyle modifications. Which
statement indicates a need for further teaching?
a. “I will reduce sodium in my diet.”
b. “I will exercise 30 minutes most days.”
c. “I will stop taking my medication if my blood pressure is normal.”
d. “I will limit alcohol intake.”
Answer: c. I will stop taking my medication if my blood pressure is normal.
Rationale: Antihypertensive medications must be continued as prescribed; stopping
can cause rebound hypertension.
6. A client receiving chemotherapy has a WBC count of 2,000/mm³. Which nursing
action is most appropriate?
a. Encourage high-protein foods
b. Initiate neutropenic precautions
c. Administer oxygen therapy
d. Monitor for hypertension
Answer: b. Initiate neutropenic precautions
Rationale: A low WBC count increases infection risk, so protective isolation is
required.
7. The nurse is caring for a client post-thyroidectomy. Which complication is most
critical to monitor for?
a. Hypotension
b. Laryngeal stridor
c. Constipation
d. Hypoglycemia
Answer: b. Laryngeal stridor
, Rationale: Airway obstruction from swelling or hematoma is life-threatening after
thyroid surgery.
8. A client with liver cirrhosis develops ascites. Which intervention is appropriate?
a. Restrict fluid intake
b. Encourage high-sodium diet
c. Monitor abdominal girth
d. Increase protein intake
Answer: c. Monitor abdominal girth
Rationale: Measuring abdominal girth helps assess fluid accumulation and
progression of ascites.
9. The nurse is teaching a client with GERD about lifestyle changes. Which statement
shows understanding?
a. “I will lie down right after eating.”
b. “I will avoid spicy foods.”
c. “I will drink coffee with every meal.”
d. “I will wear tight-fitting clothes.”
Answer: b. I will avoid spicy foods.
Rationale: Spicy foods exacerbate GERD symptoms; avoiding them reduces reflux.
10. A nurse is assessing a client with DKA. Which finding is expected?
a. Bradypnea
b. Fruity breath odor
c. Bradycardia
d. Metabolic alkalosis
Answer: b. Fruity breath odor
Rationale: In DKA, ketones cause fruity-smelling breath and metabolic acidosis with
Kussmaul respirations.
11. A client with chronic kidney disease is prescribed epoetin alfa. Which lab value
should the nurse monitor to evaluate effectiveness?
a. Potassium
b. Hemoglobin
c. Creatinine
d. Calcium
Answer: b. Hemoglobin
Rationale: Epoetin alfa stimulates red blood cell production; hemoglobin levels
indicate treatment effectiveness.
12. Which finding requires immediate intervention in a client with a chest tube?
a. Serosanguinous drainage
b. Continuous bubbling in the water-seal chamber
Final Exam With Actual 120 Questions
& Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse is caring for a client with COPD who is receiving oxygen therapy. Which
oxygen delivery device provides the most precise concentration of oxygen?
a. Nasal cannula
b. Simple face mask
c. Non-rebreather mask
d. Venturi mask
Answer: d. Venturi mask
Rationale: The Venturi mask delivers the most accurate oxygen concentration,
making it ideal for COPD patients who require controlled oxygen delivery.
2. A client with heart failure is prescribed furosemide. Which finding indicates the
medication is effective?
a. Weight gain
b. Increased blood pressure
c. Decreased crackles in lungs
d. Edema in lower extremities
Answer: c. Decreased crackles in lungs
Rationale: Furosemide is a diuretic that reduces fluid overload, improving lung sounds
and decreasing pulmonary congestion.
3. A client with type 2 diabetes reports polyuria, polydipsia, and polyphagia. Which lab
value supports these symptoms?
a. Fasting glucose 90 mg/dL
b. HbA1c 5.5%
, c. Random glucose 250 mg/dL
d. Fasting glucose 100 mg/dL
Answer: c. Random glucose 250 mg/dL
Rationale: A random glucose >200 mg/dL indicates hyperglycemia, consistent with
diabetes symptoms.
4. Which assessment finding is most concerning for a client with pneumonia?
a. Productive cough
b. Fever of 101°F
c. Oxygen saturation of 85%
d. Fatigue
Answer: c. Oxygen saturation of 85%
Rationale: Hypoxemia is the priority concern because it indicates inadequate
oxygenation.
5. The nurse is teaching a client with hypertension about lifestyle modifications. Which
statement indicates a need for further teaching?
a. “I will reduce sodium in my diet.”
b. “I will exercise 30 minutes most days.”
c. “I will stop taking my medication if my blood pressure is normal.”
d. “I will limit alcohol intake.”
Answer: c. I will stop taking my medication if my blood pressure is normal.
Rationale: Antihypertensive medications must be continued as prescribed; stopping
can cause rebound hypertension.
6. A client receiving chemotherapy has a WBC count of 2,000/mm³. Which nursing
action is most appropriate?
a. Encourage high-protein foods
b. Initiate neutropenic precautions
c. Administer oxygen therapy
d. Monitor for hypertension
Answer: b. Initiate neutropenic precautions
Rationale: A low WBC count increases infection risk, so protective isolation is
required.
7. The nurse is caring for a client post-thyroidectomy. Which complication is most
critical to monitor for?
a. Hypotension
b. Laryngeal stridor
c. Constipation
d. Hypoglycemia
Answer: b. Laryngeal stridor
, Rationale: Airway obstruction from swelling or hematoma is life-threatening after
thyroid surgery.
8. A client with liver cirrhosis develops ascites. Which intervention is appropriate?
a. Restrict fluid intake
b. Encourage high-sodium diet
c. Monitor abdominal girth
d. Increase protein intake
Answer: c. Monitor abdominal girth
Rationale: Measuring abdominal girth helps assess fluid accumulation and
progression of ascites.
9. The nurse is teaching a client with GERD about lifestyle changes. Which statement
shows understanding?
a. “I will lie down right after eating.”
b. “I will avoid spicy foods.”
c. “I will drink coffee with every meal.”
d. “I will wear tight-fitting clothes.”
Answer: b. I will avoid spicy foods.
Rationale: Spicy foods exacerbate GERD symptoms; avoiding them reduces reflux.
10. A nurse is assessing a client with DKA. Which finding is expected?
a. Bradypnea
b. Fruity breath odor
c. Bradycardia
d. Metabolic alkalosis
Answer: b. Fruity breath odor
Rationale: In DKA, ketones cause fruity-smelling breath and metabolic acidosis with
Kussmaul respirations.
11. A client with chronic kidney disease is prescribed epoetin alfa. Which lab value
should the nurse monitor to evaluate effectiveness?
a. Potassium
b. Hemoglobin
c. Creatinine
d. Calcium
Answer: b. Hemoglobin
Rationale: Epoetin alfa stimulates red blood cell production; hemoglobin levels
indicate treatment effectiveness.
12. Which finding requires immediate intervention in a client with a chest tube?
a. Serosanguinous drainage
b. Continuous bubbling in the water-seal chamber
