NSG430 Final Exam V2 | NSG 430 Adult
Health Nursing II | Grand Canyon
University
This study guide is intended to help students consolidate foundational and advanced concepts
related to adult healthcare, acute care nursing, and evidence-based medical-surgical
interventions. The material reflects the style and complexity commonly encountered in nursing
final examinations.
This version contains realistic final exam-style questions covering adult disorders, nursing
assessments, and therapeutic interventions. Detailed expert explanations are included to support
deeper understanding and comprehensive exam preparation.
════════════════════════════════════
The Exam Covers:
• Acute and chronic adult illnesses
• Adult emergency nursing care
• Complex nursing interventions
• Adult fluid and electrolyte management
• Critical care prioritization
• Adult rehabilitation concepts
• Ethical and legal nursing care
• Nursing leadership and delegation
════════════════════════════════════
1. A nurse is caring for a patient with a potassium level of 6.8 mEq/L. Which of the following
interventions should the nurse prioritize first?
A. Administering oral sodium polystyrene sulfonate
B. Preparing the patient for emergency hemodialysis
C. Administering intravenous calcium gluconate
D. Providing a low-potassium diet meal plan
,Correct Answer: C
Expert Explanation: Hyperkalemia is a critical condition that can lead to lethal cardiac
arrhythmias. Administering calcium gluconate is the priority intervention because it
stabilizes the myocardial cell membrane to prevent arrest. While other treatments like
dialysis or exchange resins lower potassium levels, protecting the heart from electrical
instability is the immediate life-saving step.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is most
appropriate for the nurse to assign?
A. Assisting a stable patient with ambulation to the bathroom
B. Performing an initial skin assessment on a new admission
C. Adjusting the flow rate of an oxygen nasal cannula
D. Providing discharge instructions regarding wound care
Correct Answer: A
Expert Explanation: The RN must delegate tasks that do not require clinical judgment,
assessment, or complex teaching. Assisting a stable patient with activities of daily living,
such as ambulation, is within the scope of practice for a UAP. The nurse remains
responsible for assessing the patient’s stability and evaluating the outcome of the delegated
task.
, 3. A patient is exhibiting signs of Autonomic Dysreflexia. Which action should the nurse take
immediately?
A. Administer a dose of prescribed antihypertensive medication
B. Raise the head of the bed to a high-Fowler’s position
C. Place the patient in a supine position with legs elevated
D. Palpate the bladder for distention and check the catheter
Correct Answer: B
Expert Explanation: Autonomic dysreflexia is a medical emergency characterized by
severe hypertension in patients with spinal cord injuries. The first action is to sit the
patient upright (high-Fowler’s) to utilize orthostatic pressure to lower the blood pressure.
Subsequently, the nurse should identify the noxious stimulus, which is frequently a
distended bladder or impacted bowel.
4. A patient with Acute Respiratory Distress Syndrome (ARDS) is on a ventilator. Which
setting adjustment is typically expected to prevent barotrauma?
A. Increasing the tidal volume to 12 mL/kg
B. Implementing a low tidal volume strategy
C. Decreasing the Positive End-Expiratory Pressure (PEEP)
D. Setting the fraction of inspired oxygen (FiO2) to 100%
Correct Answer: B
Health Nursing II | Grand Canyon
University
This study guide is intended to help students consolidate foundational and advanced concepts
related to adult healthcare, acute care nursing, and evidence-based medical-surgical
interventions. The material reflects the style and complexity commonly encountered in nursing
final examinations.
This version contains realistic final exam-style questions covering adult disorders, nursing
assessments, and therapeutic interventions. Detailed expert explanations are included to support
deeper understanding and comprehensive exam preparation.
════════════════════════════════════
The Exam Covers:
• Acute and chronic adult illnesses
• Adult emergency nursing care
• Complex nursing interventions
• Adult fluid and electrolyte management
• Critical care prioritization
• Adult rehabilitation concepts
• Ethical and legal nursing care
• Nursing leadership and delegation
════════════════════════════════════
1. A nurse is caring for a patient with a potassium level of 6.8 mEq/L. Which of the following
interventions should the nurse prioritize first?
A. Administering oral sodium polystyrene sulfonate
B. Preparing the patient for emergency hemodialysis
C. Administering intravenous calcium gluconate
D. Providing a low-potassium diet meal plan
,Correct Answer: C
Expert Explanation: Hyperkalemia is a critical condition that can lead to lethal cardiac
arrhythmias. Administering calcium gluconate is the priority intervention because it
stabilizes the myocardial cell membrane to prevent arrest. While other treatments like
dialysis or exchange resins lower potassium levels, protecting the heart from electrical
instability is the immediate life-saving step.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is most
appropriate for the nurse to assign?
A. Assisting a stable patient with ambulation to the bathroom
B. Performing an initial skin assessment on a new admission
C. Adjusting the flow rate of an oxygen nasal cannula
D. Providing discharge instructions regarding wound care
Correct Answer: A
Expert Explanation: The RN must delegate tasks that do not require clinical judgment,
assessment, or complex teaching. Assisting a stable patient with activities of daily living,
such as ambulation, is within the scope of practice for a UAP. The nurse remains
responsible for assessing the patient’s stability and evaluating the outcome of the delegated
task.
, 3. A patient is exhibiting signs of Autonomic Dysreflexia. Which action should the nurse take
immediately?
A. Administer a dose of prescribed antihypertensive medication
B. Raise the head of the bed to a high-Fowler’s position
C. Place the patient in a supine position with legs elevated
D. Palpate the bladder for distention and check the catheter
Correct Answer: B
Expert Explanation: Autonomic dysreflexia is a medical emergency characterized by
severe hypertension in patients with spinal cord injuries. The first action is to sit the
patient upright (high-Fowler’s) to utilize orthostatic pressure to lower the blood pressure.
Subsequently, the nurse should identify the noxious stimulus, which is frequently a
distended bladder or impacted bowel.
4. A patient with Acute Respiratory Distress Syndrome (ARDS) is on a ventilator. Which
setting adjustment is typically expected to prevent barotrauma?
A. Increasing the tidal volume to 12 mL/kg
B. Implementing a low tidal volume strategy
C. Decreasing the Positive End-Expiratory Pressure (PEEP)
D. Setting the fraction of inspired oxygen (FiO2) to 100%
Correct Answer: B
