NR 341 Complex Adult Health Midterm
Exam Practice Examination 2026–2027 |
Comprehensive Question Practice Test
with Answers & Rationales| Free Pdf
Access
1. Which patient should the nurse assess first?
A. A patient reporting sudden chest pain and shortness of breath
B. A patient requesting pain medication for chronic back pain
C. A patient asking about discharge instructions
D. A patient requesting assistance to the restroom
Correct Answer: A
Rationale: Sudden chest pain and dyspnea may indicate a life-threatening cardiovascular
or respiratory emergency requiring immediate assessment.
2. Which assessment finding is most consistent with left-sided heart failure?
A. Pulmonary crackles
B. Peripheral edema
C. Ascites
D. Jugular vein distention only
Correct Answer: A
Rationale: Left-sided heart failure commonly causes pulmonary congestion, resulting in
crackles and dyspnea.
3. Which symptom is commonly associated with right-sided heart failure?
A. Peripheral edema
B. Pulmonary crackles
C. Hemoptysis
D. Productive cough only
,Correct Answer: A
Rationale: Right-sided heart failure leads to systemic venous congestion, causing
peripheral edema and fluid retention.
4. Which laboratory value is commonly elevated in heart failure?
A. B-type natriuretic peptide (BNP)
B. Hemoglobin A1c
C. Calcium
D. Bilirubin
Correct Answer: A
Rationale: BNP is released in response to ventricular stretching and is commonly elevated
in heart failure.
5. Which intervention is appropriate for a patient experiencing acute pulmonary
edema?
A. Administer oxygen as prescribed
B. Place the patient in high Fowler's position
C. Monitor respiratory status closely
D. All of the above
Correct Answer: D
Rationale: These interventions help improve oxygenation and reduce respiratory distress.
6. Which ECG finding is characteristic of atrial fibrillation?
A. Irregularly irregular rhythm
B. Regular rhythm with P waves
C. Sinus bradycardia
D. Ventricular standstill
Correct Answer: A
Rationale: Atrial fibrillation produces an irregularly irregular rhythm without organized
atrial activity.
7. Which complication is associated with atrial fibrillation?
, A. Stroke
B. Pneumothorax
C. Peptic ulcer disease
D. Hyperthyroidism
Correct Answer: A
Rationale: Blood stasis in the atria increases thrombus formation and stroke risk.
8. Which symptom is most commonly associated with myocardial infarction?
A. Chest pain or pressure
B. Sudden hearing loss
C. Hematuria
D. Polyuria
Correct Answer: A
Rationale: Chest pain is the classic symptom of myocardial infarction.
9. Which laboratory value is most specific for myocardial injury?
A. Troponin
B. Sodium
C. Calcium
D. Albumin
Correct Answer: A
Rationale: Troponin is highly sensitive and specific for myocardial cell injury.
10. Which intervention should occur first for a patient experiencing chest pain
suggestive of myocardial infarction?
A. Assess airway, breathing, and circulation
B. Obtain dietary history
C. Schedule physical therapy
D. Assess bowel sounds
Correct Answer: A
Rationale: Immediate assessment of ABCs is the priority in potentially life-threatening
situations.
Exam Practice Examination 2026–2027 |
Comprehensive Question Practice Test
with Answers & Rationales| Free Pdf
Access
1. Which patient should the nurse assess first?
A. A patient reporting sudden chest pain and shortness of breath
B. A patient requesting pain medication for chronic back pain
C. A patient asking about discharge instructions
D. A patient requesting assistance to the restroom
Correct Answer: A
Rationale: Sudden chest pain and dyspnea may indicate a life-threatening cardiovascular
or respiratory emergency requiring immediate assessment.
2. Which assessment finding is most consistent with left-sided heart failure?
A. Pulmonary crackles
B. Peripheral edema
C. Ascites
D. Jugular vein distention only
Correct Answer: A
Rationale: Left-sided heart failure commonly causes pulmonary congestion, resulting in
crackles and dyspnea.
3. Which symptom is commonly associated with right-sided heart failure?
A. Peripheral edema
B. Pulmonary crackles
C. Hemoptysis
D. Productive cough only
,Correct Answer: A
Rationale: Right-sided heart failure leads to systemic venous congestion, causing
peripheral edema and fluid retention.
4. Which laboratory value is commonly elevated in heart failure?
A. B-type natriuretic peptide (BNP)
B. Hemoglobin A1c
C. Calcium
D. Bilirubin
Correct Answer: A
Rationale: BNP is released in response to ventricular stretching and is commonly elevated
in heart failure.
5. Which intervention is appropriate for a patient experiencing acute pulmonary
edema?
A. Administer oxygen as prescribed
B. Place the patient in high Fowler's position
C. Monitor respiratory status closely
D. All of the above
Correct Answer: D
Rationale: These interventions help improve oxygenation and reduce respiratory distress.
6. Which ECG finding is characteristic of atrial fibrillation?
A. Irregularly irregular rhythm
B. Regular rhythm with P waves
C. Sinus bradycardia
D. Ventricular standstill
Correct Answer: A
Rationale: Atrial fibrillation produces an irregularly irregular rhythm without organized
atrial activity.
7. Which complication is associated with atrial fibrillation?
, A. Stroke
B. Pneumothorax
C. Peptic ulcer disease
D. Hyperthyroidism
Correct Answer: A
Rationale: Blood stasis in the atria increases thrombus formation and stroke risk.
8. Which symptom is most commonly associated with myocardial infarction?
A. Chest pain or pressure
B. Sudden hearing loss
C. Hematuria
D. Polyuria
Correct Answer: A
Rationale: Chest pain is the classic symptom of myocardial infarction.
9. Which laboratory value is most specific for myocardial injury?
A. Troponin
B. Sodium
C. Calcium
D. Albumin
Correct Answer: A
Rationale: Troponin is highly sensitive and specific for myocardial cell injury.
10. Which intervention should occur first for a patient experiencing chest pain
suggestive of myocardial infarction?
A. Assess airway, breathing, and circulation
B. Obtain dietary history
C. Schedule physical therapy
D. Assess bowel sounds
Correct Answer: A
Rationale: Immediate assessment of ABCs is the priority in potentially life-threatening
situations.
