NR 341
EXAM 2
Verified Questions & Answers With Rationales
(Complex Adult Health)
Chamberlain
IT COVERS CONTENT
from Week 4, Week 5, and Week 6
,1. A postoperative client becomes suddenly anxious and confused. Skin is cool and
clammy. Vitals: BP 78/46 mmHg, HR 132/min. Which type of shock is most likely?
A. Hypovolemic
B. Neurogenic
C. Septic
D. Anaphylactic
Correct Answer: A. Hypovolemic
Why: Low BP + tachycardia + cool/clammy skin + altered mental status = volume loss with
compensatory vasoconstriction.
• B: Neurogenic usually presents with bradycardia and warm, dry skin.
• C: Early septic shock is often warm/flushed; infection clues would be expected.
• D: Anaphylaxis adds hives, airway edema, and wheezing after exposure.
Test-Taking Tip: Match the triad of low BP + high HR + cool/clammy skin to hypovolemia;
if you see bradycardia + warm skin, think neurogenic, not hypovolemic.
2. After a motorcycle crash, the client opens eyes only to painful stimuli, makes
incomprehensible sounds, and withdraws from pain. What is the client's Glasgow
Coma Scale (GCS) score?
,A. 6
B. 8
C. 10
D. 12
Correct Answer: B. 8
Why:
• Eye opening to pain = E2
• Verbal incomprehensible = V2
• Motor withdraws = M4
• Total: E2 + V2 + M4 = 8 — indicates severe brain injury and need for close
airway/neurologic monitoring.
Test-Taking Tip: Score each component first (E-V-M) and then add; remember "GCS eight,
intubate" to link the number with the need for airway protection.
3. A client with Addison's disease reports new palpitations along with fatigue and
salt craving. Which action is the priority?
A. Administer scheduled hydrocortisone dose
B. Encourage oral fluids and rest
C. Obtain a 12-lead ECG and check serum potassium; notify the provider
D. Document findings and reassess in 30 minutes
Correct Answer: C. Obtain a 12-lead ECG and check serum potassium; notify the
provider
Why: Addison's disease involves aldosterone deficiency, predisposing to hyperkalemia,
which can cause life-threatening dysrhythmias — palpitations may be the warning sign.
ECG and a stat K+ level address an ABCs/Circulation threat.
Test-Taking Tip: For endocrine disorders, prioritize symptoms that threaten airway,
breathing, or circulation — in Addison's, palpitations = think hyperkalemia → ECG + K+
now, before routine meds or comfort measures.
, 4. During the primary survey (ABCDE) on a trauma client, which assessments belong
in this rapid check? (Select all that apply)
A. Airway patency
B. Capillary refill
C. Level of alertness
D. Pupil response
E. Ventilation effectiveness
F. Skin turgor
G. Detailed pain history
Correct Answers: A, B, C, D, E
Why:
• A: Airway = immediate patency check.
• B: Circulation = perfusion via cap refill.
• C-D: Disability = quick neuro (alertness, pupils).
• E: Breathing = ventilation effectiveness.
• F-G: Are secondary survey components.
Test-Taking Tip: Map choices to A-B-C-D-E (Airway, Breathing/ventilation, Circulation/cap
refill, Disability — alertness/pupils); anything beyond this rapid life-threat screen is
secondary.
EXAM 2
Verified Questions & Answers With Rationales
(Complex Adult Health)
Chamberlain
IT COVERS CONTENT
from Week 4, Week 5, and Week 6
,1. A postoperative client becomes suddenly anxious and confused. Skin is cool and
clammy. Vitals: BP 78/46 mmHg, HR 132/min. Which type of shock is most likely?
A. Hypovolemic
B. Neurogenic
C. Septic
D. Anaphylactic
Correct Answer: A. Hypovolemic
Why: Low BP + tachycardia + cool/clammy skin + altered mental status = volume loss with
compensatory vasoconstriction.
• B: Neurogenic usually presents with bradycardia and warm, dry skin.
• C: Early septic shock is often warm/flushed; infection clues would be expected.
• D: Anaphylaxis adds hives, airway edema, and wheezing after exposure.
Test-Taking Tip: Match the triad of low BP + high HR + cool/clammy skin to hypovolemia;
if you see bradycardia + warm skin, think neurogenic, not hypovolemic.
2. After a motorcycle crash, the client opens eyes only to painful stimuli, makes
incomprehensible sounds, and withdraws from pain. What is the client's Glasgow
Coma Scale (GCS) score?
,A. 6
B. 8
C. 10
D. 12
Correct Answer: B. 8
Why:
• Eye opening to pain = E2
• Verbal incomprehensible = V2
• Motor withdraws = M4
• Total: E2 + V2 + M4 = 8 — indicates severe brain injury and need for close
airway/neurologic monitoring.
Test-Taking Tip: Score each component first (E-V-M) and then add; remember "GCS eight,
intubate" to link the number with the need for airway protection.
3. A client with Addison's disease reports new palpitations along with fatigue and
salt craving. Which action is the priority?
A. Administer scheduled hydrocortisone dose
B. Encourage oral fluids and rest
C. Obtain a 12-lead ECG and check serum potassium; notify the provider
D. Document findings and reassess in 30 minutes
Correct Answer: C. Obtain a 12-lead ECG and check serum potassium; notify the
provider
Why: Addison's disease involves aldosterone deficiency, predisposing to hyperkalemia,
which can cause life-threatening dysrhythmias — palpitations may be the warning sign.
ECG and a stat K+ level address an ABCs/Circulation threat.
Test-Taking Tip: For endocrine disorders, prioritize symptoms that threaten airway,
breathing, or circulation — in Addison's, palpitations = think hyperkalemia → ECG + K+
now, before routine meds or comfort measures.
, 4. During the primary survey (ABCDE) on a trauma client, which assessments belong
in this rapid check? (Select all that apply)
A. Airway patency
B. Capillary refill
C. Level of alertness
D. Pupil response
E. Ventilation effectiveness
F. Skin turgor
G. Detailed pain history
Correct Answers: A, B, C, D, E
Why:
• A: Airway = immediate patency check.
• B: Circulation = perfusion via cap refill.
• C-D: Disability = quick neuro (alertness, pupils).
• E: Breathing = ventilation effectiveness.
• F-G: Are secondary survey components.
Test-Taking Tip: Map choices to A-B-C-D-E (Airway, Breathing/ventilation, Circulation/cap
refill, Disability — alertness/pupils); anything beyond this rapid life-threat screen is
secondary.
