NR 324 Adult Health I Exam 2 Weeks 4-7
Actual 2026/2027 – 100% Verified |
Questions and Answers With Detailed
Rationales – Pass Guaranteed –
GRADED A+
Q: A nurse is caring for a client with heart failure who is receiving IV furosemide.
Which finding indicates the medication is having a therapeutic effect?
A) Weight gain of 2 lb in 24 hours
B) Increased jugular vein distention
C) Decreased pulmonary crackles
D) Increased blood pressure
Correct Answer: C
Rationale: Furosemide is a loop diuretic used to reduce fluid volume overload in heart
failure. A therapeutic effect is indicated by a reduction in fluid in the lungs, which
manifests as decreased pulmonary crackles on auscultation. Other expected findings
would include weight loss, decreased jugular venous distention, and decreased blood
pressure .
Q: A client with a history of chronic obstructive pulmonary disease (COPD) is
admitted with pneumonia. The client’s SpO2 is 85% on room air. What should the
nurse do first?
A) Administer the prescribed bronchodilator
B) Apply oxygen via nasal cannula as prescribed
C) Obtain a sputum culture
D) Place the client in a supine position
Correct Answer: B
Rationale: An SpO2 of 85% indicates significant hypoxemia, which is a life-threatening
emergency. The priority action is to immediately improve oxygenation by administering
supplemental oxygen as prescribed .
Q: A client is admitted with a diagnosis of acute myocardial infarction. Which
laboratory finding is most specific to cardiac muscle damage?
A) Elevated myoglobin
, B) Elevated troponin I
C) Elevated C-reactive protein
D) Elevated white blood cell count
Correct Answer: B
Rationale: Cardiac troponins (I and T) are proteins found exclusively in cardiac muscle.
Their elevation is the most sensitive and specific marker for myocardial necrosis (heart
attack). While myoglobin is an early marker, it is not cardiac-specific .
Q: A nurse is teaching a client with a new prescription for lisinopril. Which
statement by the client indicates a need for further teaching?
A) “I will change positions slowly to avoid dizziness.”
B) “I will report any swelling of my lips or face.”
C) “I can use salt substitutes freely because this drug causes potassium loss.”
D) “I will have my blood pressure monitored regularly.”
Correct Answer: C
Rationale: Lisinopril is an ACE inhibitor. A key side effect is hyperkalemia (high
potassium levels). Salt substitutes often contain potassium, so using them freely could
lead to dangerously high potassium levels. Salt substitutes should be used with caution
or avoided .
Q: What is the priority nursing assessment for a client with a cervical spinal cord
injury at C5?
A) Motor function of the lower extremities
B) Respiratory rate and depth
C) Bladder distention
D) Pain level
Correct Answer: B
Rationale: The phrenic nerve, which innervates the diaphragm, originates from spinal
segments C3-C5. A C5 injury can compromise diaphragmatic function, making
respiratory failure a priority concern. Respiratory rate and depth must be assessed
frequently .
Gastrointestinal & Endocrine Disorders
Q: A client with a new ileostomy should be taught to avoid which of the following
foods?
A) Applesauce
B) Gas-forming foods
Actual 2026/2027 – 100% Verified |
Questions and Answers With Detailed
Rationales – Pass Guaranteed –
GRADED A+
Q: A nurse is caring for a client with heart failure who is receiving IV furosemide.
Which finding indicates the medication is having a therapeutic effect?
A) Weight gain of 2 lb in 24 hours
B) Increased jugular vein distention
C) Decreased pulmonary crackles
D) Increased blood pressure
Correct Answer: C
Rationale: Furosemide is a loop diuretic used to reduce fluid volume overload in heart
failure. A therapeutic effect is indicated by a reduction in fluid in the lungs, which
manifests as decreased pulmonary crackles on auscultation. Other expected findings
would include weight loss, decreased jugular venous distention, and decreased blood
pressure .
Q: A client with a history of chronic obstructive pulmonary disease (COPD) is
admitted with pneumonia. The client’s SpO2 is 85% on room air. What should the
nurse do first?
A) Administer the prescribed bronchodilator
B) Apply oxygen via nasal cannula as prescribed
C) Obtain a sputum culture
D) Place the client in a supine position
Correct Answer: B
Rationale: An SpO2 of 85% indicates significant hypoxemia, which is a life-threatening
emergency. The priority action is to immediately improve oxygenation by administering
supplemental oxygen as prescribed .
Q: A client is admitted with a diagnosis of acute myocardial infarction. Which
laboratory finding is most specific to cardiac muscle damage?
A) Elevated myoglobin
, B) Elevated troponin I
C) Elevated C-reactive protein
D) Elevated white blood cell count
Correct Answer: B
Rationale: Cardiac troponins (I and T) are proteins found exclusively in cardiac muscle.
Their elevation is the most sensitive and specific marker for myocardial necrosis (heart
attack). While myoglobin is an early marker, it is not cardiac-specific .
Q: A nurse is teaching a client with a new prescription for lisinopril. Which
statement by the client indicates a need for further teaching?
A) “I will change positions slowly to avoid dizziness.”
B) “I will report any swelling of my lips or face.”
C) “I can use salt substitutes freely because this drug causes potassium loss.”
D) “I will have my blood pressure monitored regularly.”
Correct Answer: C
Rationale: Lisinopril is an ACE inhibitor. A key side effect is hyperkalemia (high
potassium levels). Salt substitutes often contain potassium, so using them freely could
lead to dangerously high potassium levels. Salt substitutes should be used with caution
or avoided .
Q: What is the priority nursing assessment for a client with a cervical spinal cord
injury at C5?
A) Motor function of the lower extremities
B) Respiratory rate and depth
C) Bladder distention
D) Pain level
Correct Answer: B
Rationale: The phrenic nerve, which innervates the diaphragm, originates from spinal
segments C3-C5. A C5 injury can compromise diaphragmatic function, making
respiratory failure a priority concern. Respiratory rate and depth must be assessed
frequently .
Gastrointestinal & Endocrine Disorders
Q: A client with a new ileostomy should be taught to avoid which of the following
foods?
A) Applesauce
B) Gas-forming foods
