NR 325 EXAM 1 (CHAMBERLAIN) NEWEST 2026/ 2027
ACTUAL EXAM TEST BANK| NR325 ADULT HEALTH II
EXAM 1 REVIEW WITH COMPLETE 400 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
Which of the following factors does the nurse recognize as being a risk
for altered sensory perception in the older adult client?
A. Diabetes mellitus
B. Hypotension
C. Osteoarthritis
D. Peptic ulcer disease – Correct Answer - A
Which condition or manifestation in the client with a serum sodium level
of 149 mEq/L indicates to the nurse that this electrolyte imbalance may
be caused by excessive fluid loss?
A. The client has calf muscle cramping.
B. The serum chloride level is low.
C. The urine-specific gravity is high.
D. The hematocrit is 52%. – Correct Answer - D
A client is receiving an intravenous infusion of 100 mEq (mmol) of
potassium chloride in 1000 mL of normal saline. How many mEq
(mmol) of potassium per hour does the nurse calculate the client will
receive if the IV is infused at a rate of 150 mL/hour?
A. 12 mEq (mmol)
pg. 1
,B. 15 mEq (mmol)
C. 18 mEq (mmol)
D. 20 mEq (mmol) – Correct Answer - B
Which assessment data is most relevant for the nurse to obtain from a
client who has a serum potassium level of 2.9 mEq/L?
A. Asking about the use of sugar substitutes
B. Determining what drugs are taken daily
C. Measuring the client's response to Chvostek testing
D. Asking about a history of kidney disease – Correct Answer - B
A client receiving gentamicin intravenously reports that the peripheral
IV insertion site has become painful and reddened. What is the priority
nursing action?
A. Contact the primary health care provider
B. Document findings in the electronic health record
C. Change the IV site to a new location
D. Stop the infusion of the drug – Correct Answer - D
An older adult client receiving an infusion of 5% dextrose in 0.9%
normal saline at 150 mL/hour has developed shortness of breath with a
decrease in oxygen saturation to 86%. What is the priority nursing
intervention?
A. Notify the health care provider
B. Place the client on oxygen
C. Sit the client upright in bed
pg. 2
,D. Assess the client's lung sounds – Correct Answer - C
The nurse is completing a preoperative physical assessment for a client
who will have surgery this afternoon. Which assessment finding will the
nurse report to the operative team? Select all that apply.
A. Left-arm prosthesis
B. Skin turgor <3 seconds
C. Blood pressure 160/100 mm Hg
D. Presence of chest rigidity
E. Has been NPO since midnight
F. Expressed concern about surgery payment – Correct Answer - A C D
The hand grasp strength of a client with metabolic acidosis has
diminished since the previous assessment 1 hour ago. What is the nurse's
best first action?
A. Measure the client's pulse and blood pressure
B. Apply humidified oxygen by nasal cannula
C. Assess the client's oxygen saturation
D. Notify the Rapid Response Team – Correct Answer - C
Which respiratory side effect does the nurse teach the client who is now
prescribed an angiotensin-converting enzyme (ACE) inhibitor to expect?
A. Wheezing on exertion
B. Increased secretions
C. Persistent dry cough
D. Orthopnea – Correct Answer - C
pg. 3
, While responding to questions in a health history, the client reports that
he usually expectorates about 2 ounces of thin, clear, colorless sputum
daily, usually on getting up in the morning. What is the nurse's best
action related to this finding?
A. Document the report as the only action.
B. Arrange for the client to have tuberculosis testing.
C. Collect a sputum specimen for laboratory analysis.
D. Alert the primary health care provider about this funding. – Correct
Answer - A
Which assessment finding for a client receiving oxygen therapy with a
non-rebreather mask requires the nurse to intervene immediately?
A. The oxygen flow rate is set at 12 L/min.
B. The exhalation ports are open during exhalation.
C. The exhalation ports are closed during inhalation.
D. The reservoir bag is not inflated during inhalation. – Correct Answer
-D
A client with severe angioedema and tongue swelling from a drug
allergy has stridor and an oxygen saturation of 60%. For which type of
respiratory support does the nurse prepare?
A. Nasal CPAP
B. Tracheotomy
C. Cricothyroidotomy
D. Endotracheal intubation – Correct Answer - C
pg. 4
ACTUAL EXAM TEST BANK| NR325 ADULT HEALTH II
EXAM 1 REVIEW WITH COMPLETE 400 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
Which of the following factors does the nurse recognize as being a risk
for altered sensory perception in the older adult client?
A. Diabetes mellitus
B. Hypotension
C. Osteoarthritis
D. Peptic ulcer disease – Correct Answer - A
Which condition or manifestation in the client with a serum sodium level
of 149 mEq/L indicates to the nurse that this electrolyte imbalance may
be caused by excessive fluid loss?
A. The client has calf muscle cramping.
B. The serum chloride level is low.
C. The urine-specific gravity is high.
D. The hematocrit is 52%. – Correct Answer - D
A client is receiving an intravenous infusion of 100 mEq (mmol) of
potassium chloride in 1000 mL of normal saline. How many mEq
(mmol) of potassium per hour does the nurse calculate the client will
receive if the IV is infused at a rate of 150 mL/hour?
A. 12 mEq (mmol)
pg. 1
,B. 15 mEq (mmol)
C. 18 mEq (mmol)
D. 20 mEq (mmol) – Correct Answer - B
Which assessment data is most relevant for the nurse to obtain from a
client who has a serum potassium level of 2.9 mEq/L?
A. Asking about the use of sugar substitutes
B. Determining what drugs are taken daily
C. Measuring the client's response to Chvostek testing
D. Asking about a history of kidney disease – Correct Answer - B
A client receiving gentamicin intravenously reports that the peripheral
IV insertion site has become painful and reddened. What is the priority
nursing action?
A. Contact the primary health care provider
B. Document findings in the electronic health record
C. Change the IV site to a new location
D. Stop the infusion of the drug – Correct Answer - D
An older adult client receiving an infusion of 5% dextrose in 0.9%
normal saline at 150 mL/hour has developed shortness of breath with a
decrease in oxygen saturation to 86%. What is the priority nursing
intervention?
A. Notify the health care provider
B. Place the client on oxygen
C. Sit the client upright in bed
pg. 2
,D. Assess the client's lung sounds – Correct Answer - C
The nurse is completing a preoperative physical assessment for a client
who will have surgery this afternoon. Which assessment finding will the
nurse report to the operative team? Select all that apply.
A. Left-arm prosthesis
B. Skin turgor <3 seconds
C. Blood pressure 160/100 mm Hg
D. Presence of chest rigidity
E. Has been NPO since midnight
F. Expressed concern about surgery payment – Correct Answer - A C D
The hand grasp strength of a client with metabolic acidosis has
diminished since the previous assessment 1 hour ago. What is the nurse's
best first action?
A. Measure the client's pulse and blood pressure
B. Apply humidified oxygen by nasal cannula
C. Assess the client's oxygen saturation
D. Notify the Rapid Response Team – Correct Answer - C
Which respiratory side effect does the nurse teach the client who is now
prescribed an angiotensin-converting enzyme (ACE) inhibitor to expect?
A. Wheezing on exertion
B. Increased secretions
C. Persistent dry cough
D. Orthopnea – Correct Answer - C
pg. 3
, While responding to questions in a health history, the client reports that
he usually expectorates about 2 ounces of thin, clear, colorless sputum
daily, usually on getting up in the morning. What is the nurse's best
action related to this finding?
A. Document the report as the only action.
B. Arrange for the client to have tuberculosis testing.
C. Collect a sputum specimen for laboratory analysis.
D. Alert the primary health care provider about this funding. – Correct
Answer - A
Which assessment finding for a client receiving oxygen therapy with a
non-rebreather mask requires the nurse to intervene immediately?
A. The oxygen flow rate is set at 12 L/min.
B. The exhalation ports are open during exhalation.
C. The exhalation ports are closed during inhalation.
D. The reservoir bag is not inflated during inhalation. – Correct Answer
-D
A client with severe angioedema and tongue swelling from a drug
allergy has stridor and an oxygen saturation of 60%. For which type of
respiratory support does the nurse prepare?
A. Nasal CPAP
B. Tracheotomy
C. Cricothyroidotomy
D. Endotracheal intubation – Correct Answer - C
pg. 4
