NR 341 Complex Adult Health Midterm Exam Q&A for Nursing Students 2026 update

NR 341 Complex Adult Health Midterm Exam
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(Exam 2) Questions and Answers with Ration
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ales 2026 update b b




 Hemodynamics

 Shock (Septic, Hypovolemic, Cardiogenic)
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 Burns

 Respiratory Failure b




 Mechanical Ventilation b




 MODS (Multiple Organ Dysfunction Syndrome)
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 Dysrhythmias

 Cardiovascular emergencies b




1. A client with chronic obstructive pulmonary disease (COPD) is receiving
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oxygen therapy. Which oxygen delivery device is most appropriate for this
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client?
A. Non-rebreather mask b




B. Simple face mask b b

,C. Nasal cannula b




D. Venturi mask b




ANS>>: D. Venturi mask
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Rationale: The Venturi mask delivers precise oxygen concentrations and is ideal fo
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r COPD clients to avoid suppressing the respiratory drive.
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2. A client with heart failure is receiving furosemide IV. What is the priority assess
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ment?
A. Blood glucose b




B. Apical pulse b




C. Serum potassium b




D. Bowel sounds b




ANS>>: C. Serum potassium
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Rationale: Furosemide is a loop diuretic that can cause hypokalemia. Monitor potas
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sium to prevent dysrhythmias.
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3. Which ECG change is associated with hypokalemia?
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A. Peaked T waves b b




B. Prolonged PR interval b b




C. ST depression
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D. Wide QRS complex b b

, ANS>>: C. ST depression
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Rationale: Hypokalemia commonly causes ST depression, flattened T waves, and th
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e appearance of U waves.
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4. A nurse finds a patient post-
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op with a sudden onset of dyspnea, tachycardia, and sharp chest pain. What is t
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he most likely cause?
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A. Pulmonary embolism b




B. Myocardial infarction b




C. Pneumonia
D. Pleural effusion b




ANS>>: A. Pulmonary embolism
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Rationale: Sudden dyspnea, chest pain, and tachycardia post-
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op suggest a PE, a critical complication of immobility or DVT.
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5. Which sign is an early indicator of hypovolemic shock?
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A. Bradycardia
B. Cold, mottled skin
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C. Increased urine output b b




D. Restlessness

ANS>>: D. Restlessness
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Rationale: Early hypoxia from shock affects the brain first, leading to restlessness an
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d anxiety.
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