NR-341 Complex Adult Health – Certification Exam
Newest 2025-2026 Update Practice Questions Fast
Reviewed From Actual Exams 170 Questions And
100% Verified Answers With Convenient
Explanations Grade A+ Q&A | Instant Download
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1. A patient with chronic heart failure presents with worsening dyspnea,
crackles in both lungs, and a weight gain of 3 kg in 2 days. Which
intervention should the nurse anticipate as the priority?
A. Increase oral fluids
B. Administer IV furosemide
C. Encourage ambulation
D. Provide high-sodium diet
Answer: B. Administer IV furosemide ✓
Rationale: The findings indicate fluid volume overload; IV loop diuretics
such as furosemide promote rapid diuresis and reduce pulmonary
congestion.
2. A postoperative patient suddenly develops unilateral chest pain,
tachycardia, and shortness of breath. Which condition is most likely?
A. Pneumonia
B. Pulmonary embolism
C. Atelectasis
D. Pleural effusion
Answer: B. Pulmonary embolism ✓
, Rationale: The triad of sudden dyspnea, pleuritic chest pain, and
tachycardia is highly suggestive of PE.
3. Which laboratory finding is most concerning in a patient with acute kidney
injury?
A. Sodium 140 mEq/L
B. Potassium 6.8 mEq/L
C. Calcium 9.2 mg/dL
D. Chloride 100 mEq/L
Answer: B. Potassium 6.8 mEq/L ✓
Rationale: Hyperkalemia can lead to life-threatening dysrhythmias and
requires immediate intervention.
4. A patient with COPD is receiving oxygen therapy. Which oxygen delivery
method is most appropriate?
A. Non-rebreather mask at 15 L/min
B. Nasal cannula at 1–2 L/min
C. Simple mask at 10 L/min
D. Venturi mask at 60%
Answer: B. Nasal cannula at 1–2 L/min ✓
Rationale: COPD patients require low-flow oxygen to prevent suppression
of hypoxic drive.
5. A patient with acute pancreatitis should be assessed for which expected
finding?
A. Bradycardia
B. Abdominal guarding and epigastric pain
C. Increased bowel sounds
D. Hypertension
Answer: B. Abdominal guarding and epigastric pain ✓
, Rationale: Pancreatic inflammation causes severe epigastric pain
radiating to the back.
6. Which sign is most indicative of increased intracranial pressure (ICP)?
A. Bradycardia, hypertension, irregular respirations
B. Hypotension and tachycardia
C. Fever and neck stiffness
D. Polyuria and polydipsia
Answer: A. Bradycardia, hypertension, irregular respirations ✓
Rationale: This is Cushing’s triad, a late sign of elevated ICP.
7. A patient receiving heparin therapy has which lab value that indicates
therapeutic effect?
A. INR 5.0
B. aPTT 70 seconds
C. Platelets 300,000
D. PT 12 seconds
Answer: B. aPTT 70 seconds ✓
Rationale: aPTT is used to monitor heparin therapy, and 1.5–2.5 times
normal is therapeutic.
8. Which condition requires immediate airborne isolation?
A. Influenza
B. Tuberculosis
C. MRSA wound infection
D. Pneumonia
Answer: B. Tuberculosis ✓
Rationale: TB spreads via airborne droplets, requiring negative pressure
isolation.
, 9. A patient with diabetic ketoacidosis (DKA) is most likely to present with:
A. Hypoglycemia and bradycardia
B. Kussmaul respirations and fruity breath
C. Fluid overload
D. Respiratory alkalosis
Answer: B. Kussmaul respirations and fruity breath ✓
Rationale: DKA causes metabolic acidosis, leading to compensatory deep
breathing and ketone odor.
10.What is the priority action for a patient experiencing anaphylaxis?
A. Administer diphenhydramine orally
B. Give epinephrine IM
C. Start oxygen at 2 L/min
D. Obtain blood cultures
Answer: B. Give epinephrine IM ✓
Rationale: Epinephrine is first-line treatment for anaphylactic shock.
11.A patient with stroke has right-sided weakness and aphasia. Which artery is
most likely affected?
A. Vertebral artery
B. Left middle cerebral artery
C. Basilar artery
D. Right anterior cerebral artery
Answer: B. Left middle cerebral artery ✓
Rationale: The left MCA controls language and right motor function.
12.Which electrolyte imbalance is associated with loop diuretics?
A. Hyperkalemia
Newest 2025-2026 Update Practice Questions Fast
Reviewed From Actual Exams 170 Questions And
100% Verified Answers With Convenient
Explanations Grade A+ Q&A | Instant Download
1. A patient with chronic heart failure presents with worsening dyspnea,
crackles in both lungs, and a weight gain of 3 kg in 2 days. Which
intervention should the nurse anticipate as the priority?
A. Increase oral fluids
B. Administer IV furosemide
C. Encourage ambulation
D. Provide high-sodium diet
Answer: B. Administer IV furosemide ✓
Rationale: The findings indicate fluid volume overload; IV loop diuretics
such as furosemide promote rapid diuresis and reduce pulmonary
congestion.
2. A postoperative patient suddenly develops unilateral chest pain,
tachycardia, and shortness of breath. Which condition is most likely?
A. Pneumonia
B. Pulmonary embolism
C. Atelectasis
D. Pleural effusion
Answer: B. Pulmonary embolism ✓
, Rationale: The triad of sudden dyspnea, pleuritic chest pain, and
tachycardia is highly suggestive of PE.
3. Which laboratory finding is most concerning in a patient with acute kidney
injury?
A. Sodium 140 mEq/L
B. Potassium 6.8 mEq/L
C. Calcium 9.2 mg/dL
D. Chloride 100 mEq/L
Answer: B. Potassium 6.8 mEq/L ✓
Rationale: Hyperkalemia can lead to life-threatening dysrhythmias and
requires immediate intervention.
4. A patient with COPD is receiving oxygen therapy. Which oxygen delivery
method is most appropriate?
A. Non-rebreather mask at 15 L/min
B. Nasal cannula at 1–2 L/min
C. Simple mask at 10 L/min
D. Venturi mask at 60%
Answer: B. Nasal cannula at 1–2 L/min ✓
Rationale: COPD patients require low-flow oxygen to prevent suppression
of hypoxic drive.
5. A patient with acute pancreatitis should be assessed for which expected
finding?
A. Bradycardia
B. Abdominal guarding and epigastric pain
C. Increased bowel sounds
D. Hypertension
Answer: B. Abdominal guarding and epigastric pain ✓
, Rationale: Pancreatic inflammation causes severe epigastric pain
radiating to the back.
6. Which sign is most indicative of increased intracranial pressure (ICP)?
A. Bradycardia, hypertension, irregular respirations
B. Hypotension and tachycardia
C. Fever and neck stiffness
D. Polyuria and polydipsia
Answer: A. Bradycardia, hypertension, irregular respirations ✓
Rationale: This is Cushing’s triad, a late sign of elevated ICP.
7. A patient receiving heparin therapy has which lab value that indicates
therapeutic effect?
A. INR 5.0
B. aPTT 70 seconds
C. Platelets 300,000
D. PT 12 seconds
Answer: B. aPTT 70 seconds ✓
Rationale: aPTT is used to monitor heparin therapy, and 1.5–2.5 times
normal is therapeutic.
8. Which condition requires immediate airborne isolation?
A. Influenza
B. Tuberculosis
C. MRSA wound infection
D. Pneumonia
Answer: B. Tuberculosis ✓
Rationale: TB spreads via airborne droplets, requiring negative pressure
isolation.
, 9. A patient with diabetic ketoacidosis (DKA) is most likely to present with:
A. Hypoglycemia and bradycardia
B. Kussmaul respirations and fruity breath
C. Fluid overload
D. Respiratory alkalosis
Answer: B. Kussmaul respirations and fruity breath ✓
Rationale: DKA causes metabolic acidosis, leading to compensatory deep
breathing and ketone odor.
10.What is the priority action for a patient experiencing anaphylaxis?
A. Administer diphenhydramine orally
B. Give epinephrine IM
C. Start oxygen at 2 L/min
D. Obtain blood cultures
Answer: B. Give epinephrine IM ✓
Rationale: Epinephrine is first-line treatment for anaphylactic shock.
11.A patient with stroke has right-sided weakness and aphasia. Which artery is
most likely affected?
A. Vertebral artery
B. Left middle cerebral artery
C. Basilar artery
D. Right anterior cerebral artery
Answer: B. Left middle cerebral artery ✓
Rationale: The left MCA controls language and right motor function.
12.Which electrolyte imbalance is associated with loop diuretics?
A. Hyperkalemia
