NR 324 ADULT HEALTH I EXAM 1 ACTUAL EXAM 2026/2027 | CHAMBERLAIN
UNIVERSITY | MED-SURG NURSING | VERIFIED QUESTIONS & ANSWERS |
100% CORRECT | PASS GUARANTEED | ALREADY GRADED A+
COURSE: NR 324: Adult Health I (Medical-Surgical Nursing)
INSTITUTION: Chamberlain University College of Nursing
ACADEMIC YEAR: 2026/2027 | Latest Update
EXAM TYPE: Exam 1 | Fundamentals of Medical-Surgical Nursing
TOTAL QUESTIONS: 100 | Format: Multiple Choice, Select All That Apply, Clinical Scenarios
GRADE: A+ | 100% Verified Correct Answers with Detailed Rationales
TABLE OF CONTENTS
Section Topic Area Questions
Section 1 Fluid & Electrolyte Balance Q1-20
Section 2 Acid-Base Balance Q21-30
Section 3 Perioperative Nursing Q31-45
Section 4 Pain Management Q46-55
Section 5 Wound Care & Healing Q56-65
Section 6 Infection Control & Immunity Q66-75
Section 7 Respiratory Disorders Q76-85
Section 8 Cardiovascular Disorders Q86-95
Section 9 Integrated Clinical Scenarios Q96-100
,NR 324 ADULT HEALTH I EXAM 1 ACTUAL EXAM 2026/2027 | CHAMBERLAIN
UNIVERSITY | MED-SURG NURSING | VERIFIED QUESTIONS & ANSWERS |
100% CORRECT | PASS GUARANTEED | ALREADY GRADED A+
SECTION 1: FLUID & ELECTROLYTE BALANCE
Q1: A patient is admitted with dehydration. Which assessment finding would the nurse expect?
A. Bounding pulse
B. Jugular vein distention
C. Increased skin turgor
D. Orthostatic hypotension. [100% CORRECT]
Correct Answer: D
Rationale: Correct: Dehydration causes hypovolemia, leading to orthostatic hypotension (drop in BP upon
standing) . Incorrect A: Bounding pulse indicates fluid overload. Incorrect B: JVD indicates fluid overload.
Incorrect C: Decreased skin turgor occurs in dehydration.
Q2: A patient with heart failure is at risk for which fluid imbalance?
A. Dehydration
B. Hypervolemia. [100% CORRECT]
C. Hypovolemia
D. Third-spacing
Correct Answer: B
Rationale: Correct: Heart failure impairs cardiac output, leading to fluid retention and hypervolemia .
Incorrect A, C: Dehydration/hypovolemia are not typical. Incorrect D: Third-spacing occurs in conditions like
burns, ascites.
,NR 324 ADULT HEALTH I EXAM 1 ACTUAL EXAM 2026/2027 | CHAMBERLAIN
UNIVERSITY | MED-SURG NURSING | VERIFIED QUESTIONS & ANSWERS |
100% CORRECT | PASS GUARANTEED | ALREADY GRADED A+
Q3: A patient has a serum sodium level of 125 mEq/L. Which assessment finding is most concerning?
A. Dry mucous membranes
B. Altered mental status. [100% CORRECT]
C. Thirst
D. Fever
Correct Answer: B
Rationale: Correct: Severe hyponatremia (Na <125) causes cerebral edema, leading to confusion, seizures, and
coma . Incorrect A, C, D: These are signs of hypernatremia.
Q4: The nurse is caring for a patient with hyponatremia. Which intervention is most appropriate?
A. Restrict fluid intake. [100% CORRECT]
B. Administer hypotonic IV fluids
C. Encourage high-sodium foods
D. Restrict sodium intake
Correct Answer: A
Rationale: Correct: In hyponatremia, fluid restriction is often the first-line treatment to prevent further
dilution . Incorrect B: Hypotonic fluids would worsen hyponatremia. Incorrect C: Sodium may be needed but
fluid restriction is priority.
Q5: A patient has a serum potassium level of 6.8 mEq/L. Which ECG change would the nurse expect?
A. Peaked T waves. [100% CORRECT]
, NR 324 ADULT HEALTH I EXAM 1 ACTUAL EXAM 2026/2027 | CHAMBERLAIN
UNIVERSITY | MED-SURG NURSING | VERIFIED QUESTIONS & ANSWERS |
100% CORRECT | PASS GUARANTEED | ALREADY GRADED A+
B. Flattened T waves
C. U waves
D. Prolonged QT interval
Correct Answer: A
Rationale: Correct: Hyperkalemia causes peaked (tented) T waves, widened QRS, and prolonged PR interval .
Incorrect B, C: Flattened T waves and U waves occur in hypokalemia. Incorrect D: Prolonged QT occurs with
hypocalcemia, hypomagnesemia.
Q6: A patient with hyperkalemia is prescribed IV calcium gluconate. The nurse understands that this
medication works by:
A. Lowering serum potassium levels
B. Antagonizing the cardiac effects of hyperkalemia. [100% CORRECT]
C. Increasing potassium excretion
D. Shifting potassium into cells
Correct Answer: B
Rationale: Correct: IV calcium stabilizes cardiac membranes but does not lower potassium levels . Incorrect A,
C, D: Insulin/glucose, albuterol, and kayexalate lower potassium.
Q7: A patient has a serum calcium level of 7.0 mg/dL. Which assessment finding would the nurse expect?
A. Positive Trousseau's sign. [100% CORRECT]
B. Bone pain
C. Constipation
UNIVERSITY | MED-SURG NURSING | VERIFIED QUESTIONS & ANSWERS |
100% CORRECT | PASS GUARANTEED | ALREADY GRADED A+
COURSE: NR 324: Adult Health I (Medical-Surgical Nursing)
INSTITUTION: Chamberlain University College of Nursing
ACADEMIC YEAR: 2026/2027 | Latest Update
EXAM TYPE: Exam 1 | Fundamentals of Medical-Surgical Nursing
TOTAL QUESTIONS: 100 | Format: Multiple Choice, Select All That Apply, Clinical Scenarios
GRADE: A+ | 100% Verified Correct Answers with Detailed Rationales
TABLE OF CONTENTS
Section Topic Area Questions
Section 1 Fluid & Electrolyte Balance Q1-20
Section 2 Acid-Base Balance Q21-30
Section 3 Perioperative Nursing Q31-45
Section 4 Pain Management Q46-55
Section 5 Wound Care & Healing Q56-65
Section 6 Infection Control & Immunity Q66-75
Section 7 Respiratory Disorders Q76-85
Section 8 Cardiovascular Disorders Q86-95
Section 9 Integrated Clinical Scenarios Q96-100
,NR 324 ADULT HEALTH I EXAM 1 ACTUAL EXAM 2026/2027 | CHAMBERLAIN
UNIVERSITY | MED-SURG NURSING | VERIFIED QUESTIONS & ANSWERS |
100% CORRECT | PASS GUARANTEED | ALREADY GRADED A+
SECTION 1: FLUID & ELECTROLYTE BALANCE
Q1: A patient is admitted with dehydration. Which assessment finding would the nurse expect?
A. Bounding pulse
B. Jugular vein distention
C. Increased skin turgor
D. Orthostatic hypotension. [100% CORRECT]
Correct Answer: D
Rationale: Correct: Dehydration causes hypovolemia, leading to orthostatic hypotension (drop in BP upon
standing) . Incorrect A: Bounding pulse indicates fluid overload. Incorrect B: JVD indicates fluid overload.
Incorrect C: Decreased skin turgor occurs in dehydration.
Q2: A patient with heart failure is at risk for which fluid imbalance?
A. Dehydration
B. Hypervolemia. [100% CORRECT]
C. Hypovolemia
D. Third-spacing
Correct Answer: B
Rationale: Correct: Heart failure impairs cardiac output, leading to fluid retention and hypervolemia .
Incorrect A, C: Dehydration/hypovolemia are not typical. Incorrect D: Third-spacing occurs in conditions like
burns, ascites.
,NR 324 ADULT HEALTH I EXAM 1 ACTUAL EXAM 2026/2027 | CHAMBERLAIN
UNIVERSITY | MED-SURG NURSING | VERIFIED QUESTIONS & ANSWERS |
100% CORRECT | PASS GUARANTEED | ALREADY GRADED A+
Q3: A patient has a serum sodium level of 125 mEq/L. Which assessment finding is most concerning?
A. Dry mucous membranes
B. Altered mental status. [100% CORRECT]
C. Thirst
D. Fever
Correct Answer: B
Rationale: Correct: Severe hyponatremia (Na <125) causes cerebral edema, leading to confusion, seizures, and
coma . Incorrect A, C, D: These are signs of hypernatremia.
Q4: The nurse is caring for a patient with hyponatremia. Which intervention is most appropriate?
A. Restrict fluid intake. [100% CORRECT]
B. Administer hypotonic IV fluids
C. Encourage high-sodium foods
D. Restrict sodium intake
Correct Answer: A
Rationale: Correct: In hyponatremia, fluid restriction is often the first-line treatment to prevent further
dilution . Incorrect B: Hypotonic fluids would worsen hyponatremia. Incorrect C: Sodium may be needed but
fluid restriction is priority.
Q5: A patient has a serum potassium level of 6.8 mEq/L. Which ECG change would the nurse expect?
A. Peaked T waves. [100% CORRECT]
, NR 324 ADULT HEALTH I EXAM 1 ACTUAL EXAM 2026/2027 | CHAMBERLAIN
UNIVERSITY | MED-SURG NURSING | VERIFIED QUESTIONS & ANSWERS |
100% CORRECT | PASS GUARANTEED | ALREADY GRADED A+
B. Flattened T waves
C. U waves
D. Prolonged QT interval
Correct Answer: A
Rationale: Correct: Hyperkalemia causes peaked (tented) T waves, widened QRS, and prolonged PR interval .
Incorrect B, C: Flattened T waves and U waves occur in hypokalemia. Incorrect D: Prolonged QT occurs with
hypocalcemia, hypomagnesemia.
Q6: A patient with hyperkalemia is prescribed IV calcium gluconate. The nurse understands that this
medication works by:
A. Lowering serum potassium levels
B. Antagonizing the cardiac effects of hyperkalemia. [100% CORRECT]
C. Increasing potassium excretion
D. Shifting potassium into cells
Correct Answer: B
Rationale: Correct: IV calcium stabilizes cardiac membranes but does not lower potassium levels . Incorrect A,
C, D: Insulin/glucose, albuterol, and kayexalate lower potassium.
Q7: A patient has a serum calcium level of 7.0 mg/dL. Which assessment finding would the nurse expect?
A. Positive Trousseau's sign. [100% CORRECT]
B. Bone pain
C. Constipation
