NR 325 FINAL EXAM (CHAMBERLAIN) NEWEST 2026/
2027 ACTUAL EXAM TEST BANK| NR325 ADULT
HEALTH II FINAL EXAM REVIEW WITH COMPLETE
500 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GRADED A+ (MOST RECENT!!)
A nurse is assessing the neurovascular (NV) status of a patient who
returned to the floor 4 hours ago after undergoing an aortoiliac bypass
graft. The surgical leg is warm, red, and slightly edematous. The pedal
pulse is palpable and unchanged from admission. How does the nurse
interpret the NV status of this patient?
a. slightly deteriorating and should be monitored for another hour
b. these are normal and expected findings
c. moderately impaired and the surgeon should be notified
d. adequate from the arterial approach, but venous complications are
occurring - Correct Answer - b. these are normal and expected findings
Warmth, redness, and swelling in the surgical leg post aortoiliac bypass
graft surgery are normal and expected findings. The indicate that blood
is flowing to the area.
Following assessment of a patient with pneumonia, the nurse identifies a
nursing diagnosis of ineffective airway clearance. Which information
best supports this diagnosis?
a. Resting pulse oximetry (SpO2) of 85%
b. Respiratory rate of 28
c. Large amounts of greenish sputum
d. Weak, nonproductive cough effort - Correct Answer - D
pg. 1
,The weak, nonproductive cough indicates that the patient is unable to
clear the airway effectively. The other data would be used to support
diagnoses such as impaired gas exchange and ineffective breathing
pattern.
A 77-year-old patient with pneumonia has a fever of 101.2° F (38.5° C),
a nonproductive cough, and an oxygen saturation of 89%. The patient is
very weak and needs assistance to get out of bed. The priority nursing
diagnosis for the patient is
a. hyperthermia related to infectious illness.
b. ineffective airway clearance related to thick secretions.
c. impaired transfer ability related to weakness.
d. impaired gas exchange related to respiratory congestion. - Correct
Answer - D
All these nursing diagnoses are appropriate for the patient, but the
patient's oxygen saturation indicates that all body tissues are at risk for
hypoxia unless the gas exchange is improved.
A 68-year-old man has a long history of COPD and is admitted to the
hospital with cor pulmonale. Which clinical manifestation noted by the
nurse is consistent with the cor pulmonale diagnosis?
a. Audible crackles at both lung bases
b. 3+ edema in the lower extremities
c. Loud murmur at the mitral area
d. High systemic BP - Correct Answer - B
Cor pulmonale is right ventricular failure caused by pulmonary
hypertension, so clinical manifestations of right ventricular failure such
as peripheral edema, jugular vein distension, and right upper-quadrant
pg. 2
,abdominal tenderness would be expected. Lung crackles, a murmur, and
numbness and tingling are not caused by cor pulmonale.
A patient with primary pulmonary hypertension is receiving nifedipine
(Procardia). The nurse will evaluate that the treatment is effective if
a. the patient reports decreased exertional dyspnea.
b. the blood pressure is less than 140/90 mm Hg.
c. the heart rate is between 60 and 100 beats/minute.
d. the patient's chest x-ray indicates clear lung fields. - Correct Answer -
A
Since a major symptom of PPH is exertional dyspnea, an improvement
in this symptom would indicate that the medication was effective.
Nifedipine will affect BP and heart rate, but these parameters would not
be used to monitor effectiveness of therapy for a patient with PPH. The
chest x-ray will show clear lung fields even if the therapy is not
effective.
A patient with a deep vein thrombophlebitis complains of sudden chest
pain and difficulty breathing. The nurse finds a heart rate of 142, BP of
100/60, and respirations of 42. The nurse's first action should be to
a. elevate the head of the bed.
b. administer the ordered pain medication.
c. notify the patient's health care provider.
d. offer emotional support and reassurance. - Correct Answer - A
The patient has symptoms consistent with a pulmonary embolism;
elevating the head of the bed will improve ventilation and gas exchange.
The other actions can be accomplished after the head is elevated (and
oxygen is started).
pg. 3
, During an assessment of a 45-year-old patient with asthma, the nurse
notes wheezing and dyspnea. The nurse interprets that these symptoms
are related to what pathophysiologic change?
a. Laryngospasm
b. Pulmonary edema
c. Narrowing of the airway
d. Overdistention of the alveoli - Correct Answer - C. Narrowing of the
airway
Narrowing of the airway by persistent but variable inflammation leads to
reduced airflow, making it difficult for the patient to breathe and
producing the characteristic wheezing.
Laryngospasm, pulmonary edema, and overdistention of the alveoli do
not produce wheezing
The nurse is caring for a patient with an acute exacerbation of asthma.
Following initial treatment, what finding indicates to the nurse that the
patient's respiratory status is improving?
a. Wheezing becomes louder.
b. Cough remains nonproductive.
c. Vesicular breath sounds decrease.
d. Aerosol bronchodilators stimulate coughing. - Correct Answer -
Wheezing becomes louder.
The primary problem during an exacerbation of asthma is narrowing of
the airway and subsequent diminished air exchange. As the airways
begin to dilate, wheezing gets louder because of better air exchange.
Vesicular breath sounds will increase with improved respiratory status.
After a severe asthma exacerbation, the cough may be productive and
stringy. Coughing after aerosol bronchodilators may indicate a problem
with the inhaler or its use.
pg. 4
2027 ACTUAL EXAM TEST BANK| NR325 ADULT
HEALTH II FINAL EXAM REVIEW WITH COMPLETE
500 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GRADED A+ (MOST RECENT!!)
A nurse is assessing the neurovascular (NV) status of a patient who
returned to the floor 4 hours ago after undergoing an aortoiliac bypass
graft. The surgical leg is warm, red, and slightly edematous. The pedal
pulse is palpable and unchanged from admission. How does the nurse
interpret the NV status of this patient?
a. slightly deteriorating and should be monitored for another hour
b. these are normal and expected findings
c. moderately impaired and the surgeon should be notified
d. adequate from the arterial approach, but venous complications are
occurring - Correct Answer - b. these are normal and expected findings
Warmth, redness, and swelling in the surgical leg post aortoiliac bypass
graft surgery are normal and expected findings. The indicate that blood
is flowing to the area.
Following assessment of a patient with pneumonia, the nurse identifies a
nursing diagnosis of ineffective airway clearance. Which information
best supports this diagnosis?
a. Resting pulse oximetry (SpO2) of 85%
b. Respiratory rate of 28
c. Large amounts of greenish sputum
d. Weak, nonproductive cough effort - Correct Answer - D
pg. 1
,The weak, nonproductive cough indicates that the patient is unable to
clear the airway effectively. The other data would be used to support
diagnoses such as impaired gas exchange and ineffective breathing
pattern.
A 77-year-old patient with pneumonia has a fever of 101.2° F (38.5° C),
a nonproductive cough, and an oxygen saturation of 89%. The patient is
very weak and needs assistance to get out of bed. The priority nursing
diagnosis for the patient is
a. hyperthermia related to infectious illness.
b. ineffective airway clearance related to thick secretions.
c. impaired transfer ability related to weakness.
d. impaired gas exchange related to respiratory congestion. - Correct
Answer - D
All these nursing diagnoses are appropriate for the patient, but the
patient's oxygen saturation indicates that all body tissues are at risk for
hypoxia unless the gas exchange is improved.
A 68-year-old man has a long history of COPD and is admitted to the
hospital with cor pulmonale. Which clinical manifestation noted by the
nurse is consistent with the cor pulmonale diagnosis?
a. Audible crackles at both lung bases
b. 3+ edema in the lower extremities
c. Loud murmur at the mitral area
d. High systemic BP - Correct Answer - B
Cor pulmonale is right ventricular failure caused by pulmonary
hypertension, so clinical manifestations of right ventricular failure such
as peripheral edema, jugular vein distension, and right upper-quadrant
pg. 2
,abdominal tenderness would be expected. Lung crackles, a murmur, and
numbness and tingling are not caused by cor pulmonale.
A patient with primary pulmonary hypertension is receiving nifedipine
(Procardia). The nurse will evaluate that the treatment is effective if
a. the patient reports decreased exertional dyspnea.
b. the blood pressure is less than 140/90 mm Hg.
c. the heart rate is between 60 and 100 beats/minute.
d. the patient's chest x-ray indicates clear lung fields. - Correct Answer -
A
Since a major symptom of PPH is exertional dyspnea, an improvement
in this symptom would indicate that the medication was effective.
Nifedipine will affect BP and heart rate, but these parameters would not
be used to monitor effectiveness of therapy for a patient with PPH. The
chest x-ray will show clear lung fields even if the therapy is not
effective.
A patient with a deep vein thrombophlebitis complains of sudden chest
pain and difficulty breathing. The nurse finds a heart rate of 142, BP of
100/60, and respirations of 42. The nurse's first action should be to
a. elevate the head of the bed.
b. administer the ordered pain medication.
c. notify the patient's health care provider.
d. offer emotional support and reassurance. - Correct Answer - A
The patient has symptoms consistent with a pulmonary embolism;
elevating the head of the bed will improve ventilation and gas exchange.
The other actions can be accomplished after the head is elevated (and
oxygen is started).
pg. 3
, During an assessment of a 45-year-old patient with asthma, the nurse
notes wheezing and dyspnea. The nurse interprets that these symptoms
are related to what pathophysiologic change?
a. Laryngospasm
b. Pulmonary edema
c. Narrowing of the airway
d. Overdistention of the alveoli - Correct Answer - C. Narrowing of the
airway
Narrowing of the airway by persistent but variable inflammation leads to
reduced airflow, making it difficult for the patient to breathe and
producing the characteristic wheezing.
Laryngospasm, pulmonary edema, and overdistention of the alveoli do
not produce wheezing
The nurse is caring for a patient with an acute exacerbation of asthma.
Following initial treatment, what finding indicates to the nurse that the
patient's respiratory status is improving?
a. Wheezing becomes louder.
b. Cough remains nonproductive.
c. Vesicular breath sounds decrease.
d. Aerosol bronchodilators stimulate coughing. - Correct Answer -
Wheezing becomes louder.
The primary problem during an exacerbation of asthma is narrowing of
the airway and subsequent diminished air exchange. As the airways
begin to dilate, wheezing gets louder because of better air exchange.
Vesicular breath sounds will increase with improved respiratory status.
After a severe asthma exacerbation, the cough may be productive and
stringy. Coughing after aerosol bronchodilators may indicate a problem
with the inhaler or its use.
pg. 4
