Maryville NURS 620 Adult 1 EXAM 1
(COMPLETE ANSWERS elaborations)
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1. A patient with chronic kidney disease is likely to show which lab finding?
A. Increased creatinine
B. Decreased BUN
C. Low potassium
D. Increased hemoglobin
Answer: A
Rationale: CKD reduces renal clearance, causing elevated creatinine and BUN.
2. A patient with congestive heart failure presents with shortness of breath and
edema. The priority assessment is:
A. Lung auscultation and oxygen saturation
B. Pain assessment only
C. Hearing assessment
D. Vision assessment
Answer: A
Rationale: Fluid overload affects lungs and oxygenation; assess breathing first.
3. A patient with diabetic ketoacidosis will present with:
A. Fruity breath and Kussmaul respirations
B. Bradycardia
C. Hypothermia
D. Low blood glucose
,Answer: A
Rationale: DKA causes ketone production and metabolic acidosis leading to Kussmaul
breathing.
4. A patient with COPD is most likely to have:
A. Elevated CO2 retention
B. Low CO2
C. High oxygen saturation
D. Increased lung compliance
Answer: A
Rationale: COPD causes CO2 retention and respiratory acidosis.
5. A patient with hyperthyroidism may present with:
A. Heat intolerance and weight loss
B. Cold intolerance and weight gain
C. Bradycardia
D. Dry skin
Answer: A
Rationale: Hyperthyroidism increases metabolic rate leading to heat intolerance.
2. Cardiac
6. A patient with atrial fibrillation is at risk for:
A. Stroke
B. Kidney failure
C. Hyperglycemia
D. Hearing loss
Answer: A
Rationale: AFib causes blood stasis in the atria, increasing clot risk.
, 7. The priority treatment for an acute MI is:
A. Administer aspirin
B. Start antibiotics
C. Administer insulin
D. Give antihistamines
Answer: A
Rationale: Aspirin reduces platelet aggregation and improves outcomes.
8. A patient with heart failure should avoid which diet?
A. High sodium
B. High protein
C. Low carb
D. High fiber
Answer: A
Rationale: Sodium causes fluid retention, worsening HF symptoms.
9. A patient with left-sided HF will likely have:
A. Pulmonary edema
B. Peripheral edema only
C. No respiratory symptoms
D. Jaundice
Answer: A
Rationale: Left HF causes fluid back-up into lungs.
10. A patient on beta-blockers should be monitored for:
A. Bradycardia
B. Tachycardia
C. Increased appetite
D. Insomnia
Answer: A
Rationale: Beta-blockers reduce heart rate and contractility.
(COMPLETE ANSWERS elaborations)
answers Plus Answers 100% satisfaction
guarantee 2026 UPDATE
1. A patient with chronic kidney disease is likely to show which lab finding?
A. Increased creatinine
B. Decreased BUN
C. Low potassium
D. Increased hemoglobin
Answer: A
Rationale: CKD reduces renal clearance, causing elevated creatinine and BUN.
2. A patient with congestive heart failure presents with shortness of breath and
edema. The priority assessment is:
A. Lung auscultation and oxygen saturation
B. Pain assessment only
C. Hearing assessment
D. Vision assessment
Answer: A
Rationale: Fluid overload affects lungs and oxygenation; assess breathing first.
3. A patient with diabetic ketoacidosis will present with:
A. Fruity breath and Kussmaul respirations
B. Bradycardia
C. Hypothermia
D. Low blood glucose
,Answer: A
Rationale: DKA causes ketone production and metabolic acidosis leading to Kussmaul
breathing.
4. A patient with COPD is most likely to have:
A. Elevated CO2 retention
B. Low CO2
C. High oxygen saturation
D. Increased lung compliance
Answer: A
Rationale: COPD causes CO2 retention and respiratory acidosis.
5. A patient with hyperthyroidism may present with:
A. Heat intolerance and weight loss
B. Cold intolerance and weight gain
C. Bradycardia
D. Dry skin
Answer: A
Rationale: Hyperthyroidism increases metabolic rate leading to heat intolerance.
2. Cardiac
6. A patient with atrial fibrillation is at risk for:
A. Stroke
B. Kidney failure
C. Hyperglycemia
D. Hearing loss
Answer: A
Rationale: AFib causes blood stasis in the atria, increasing clot risk.
, 7. The priority treatment for an acute MI is:
A. Administer aspirin
B. Start antibiotics
C. Administer insulin
D. Give antihistamines
Answer: A
Rationale: Aspirin reduces platelet aggregation and improves outcomes.
8. A patient with heart failure should avoid which diet?
A. High sodium
B. High protein
C. Low carb
D. High fiber
Answer: A
Rationale: Sodium causes fluid retention, worsening HF symptoms.
9. A patient with left-sided HF will likely have:
A. Pulmonary edema
B. Peripheral edema only
C. No respiratory symptoms
D. Jaundice
Answer: A
Rationale: Left HF causes fluid back-up into lungs.
10. A patient on beta-blockers should be monitored for:
A. Bradycardia
B. Tachycardia
C. Increased appetite
D. Insomnia
Answer: A
Rationale: Beta-blockers reduce heart rate and contractility.
