NR325 Adult Health I (Med-Surg) FINAL EXAM 2026/2027
COMPLETE ACCURATE TEST EXAM ACTUAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED SOLUTIONS) |ALREADY GRADED A+||NEWEST
VERSION |BEST DOCUMENT FOR EXAM
2026/2027 Frequently Most Tested Questions and
100% Accurate From Past papers | Graded A+ ,
Reviewed and Updated | 100% Guarantee Pass |
Latest Exam and Newest Version!!!
A nurse is assessing a client with left-sided heart failure. Which findings should the nurse
expect? (Select all that apply.)
a. Pulmonary crackles
b. Jugular vein distention
c. Peripheral edema
d. Dyspnea on exertion
e. Pink, frothy sputum
✔️ Correct Answer: a, d, e
Rationale:
Left-sided heart failure leads to pulmonary congestion due to backward flow into the
lungs. This results in crackles (A), dyspnea on exertion (D), and pink, frothy sputum (E)
,indicating pulmonary edema. Jugular vein distention and peripheral edema are more
associated with right-sided heart failure. NCLEX focus: Cardiovascular System / Heart
Failure.
A nurse is caring for a client receiving furosemide. Which assessment finding requires
immediate intervention?
a. Serum potassium 2.9 mEq/L
b. Urine output 40 mL/hr
c. Blood pressure 110/70 mmHg
d. Weight loss of 0.5 kg/day
✔️ Correct Answer: a. Serum potassium 2.9 mEq/L
Rationale:
Furosemide is a loop diuretic that causes potassium loss. Hypokalemia (2.9 mEq/L) can
lead to life-threatening dysrhythmias and requires immediate intervention. The other
findings are expected or within acceptable limits. NCLEX focus: Pharmacology / Diuretics.
A nurse is teaching a client with COPD about oxygen therapy safety. Which statement
indicates correct understanding?
a. "I will increase oxygen flow to 6 L/min if I feel short of breath."
b. "I should remove oxygen when cooking with gas."
c. "I will use petroleum jelly to prevent dry nostrils."
d. "I will store oxygen tanks upright in a cool area."
✔️ Correct Answer: d. "I will store oxygen tanks upright in a cool area."
Rationale:
Oxygen tanks must be stored upright in a cool, ventilated area. Increasing oxygen
independently (A) is unsafe in COPD. Petroleum jelly is flammable (C), and oxygen should
not be removed arbitrarily (B unless instructed for safety hazards like open flames nearby,
but not general practice). NCLEX focus: Respiratory System / Oxygen Therapy.
,A nurse is assessing a client with diabetic ketoacidosis (DKA). Which finding is expected?
a. Hypoglycemia
b. Kussmaul respirations
c. Slow, shallow breathing
d. Bradycardia
✔️ Correct Answer: b. Kussmaul respirations
Rationale:
DKA causes metabolic acidosis, leading to deep, rapid (Kussmaul) respirations as
compensation. Hyperglycemia, not hypoglycemia, is present. Tachycardia is more
common than bradycardia. NCLEX focus: Endocrine System / DKA.
A nurse is caring for a client with acute kidney injury (AKI). Which laboratory value is most
concerning?
a. BUN 18 mg/dL
b. Creatinine 1.0 mg/dL
c. Potassium 6.2 mEq/L
d. Sodium 138 mEq/L
✔️ Correct Answer: c. Potassium 6.2 mEq/L
Rationale:
Hyperkalemia is life-threatening in AKI due to impaired renal excretion and can cause
fatal dysrhythmias. Other values are within normal range. NCLEX focus: Renal System /
AKI.
A nurse is preparing a client for surgery. Which action is the priority?
a. Confirm informed consent is signed
b. Administer preoperative sedative
c. Remove all jewelry and dentures
d. Teach postoperative deep breathing
✔️ Correct Answer: a. Confirm informed consent is signed
Rationale:
, Informed consent must be legally obtained before any preoperative interventions.
Without consent, surgery cannot proceed. NCLEX focus: Perioperative Care.
A nurse is caring for a client with stroke (left hemisphere). Which deficit is expected?
a. Impulsive behavior
b. Aphasia
c. Left-sided neglect
d. Emotional flatness only
✔️ Correct Answer: b. Aphasia
Rationale:
Left hemisphere stroke commonly causes language deficits such as aphasia. Right
hemisphere strokes cause spatial neglect and impulsivity. NCLEX focus: Neurological
System / Stroke.
A nurse is monitoring a client receiving heparin therapy. Which lab result indicates
therapeutic effect?
a. INR 2–3
b. aPTT 60–80 seconds
c. Platelets 450,000/mm³
d. PT 10 seconds
✔️ Correct Answer: b. aPTT 60–80 seconds
Rationale:
Heparin therapy is monitored using aPTT, and therapeutic range is typically 1.5–2.5 times
normal (~60–80 seconds). INR is for warfarin. NCLEX focus: Anticoagulant Therapy.
A nurse is caring for a client with pneumonia. Which intervention is priority?
COMPLETE ACCURATE TEST EXAM ACTUAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED SOLUTIONS) |ALREADY GRADED A+||NEWEST
VERSION |BEST DOCUMENT FOR EXAM
2026/2027 Frequently Most Tested Questions and
100% Accurate From Past papers | Graded A+ ,
Reviewed and Updated | 100% Guarantee Pass |
Latest Exam and Newest Version!!!
A nurse is assessing a client with left-sided heart failure. Which findings should the nurse
expect? (Select all that apply.)
a. Pulmonary crackles
b. Jugular vein distention
c. Peripheral edema
d. Dyspnea on exertion
e. Pink, frothy sputum
✔️ Correct Answer: a, d, e
Rationale:
Left-sided heart failure leads to pulmonary congestion due to backward flow into the
lungs. This results in crackles (A), dyspnea on exertion (D), and pink, frothy sputum (E)
,indicating pulmonary edema. Jugular vein distention and peripheral edema are more
associated with right-sided heart failure. NCLEX focus: Cardiovascular System / Heart
Failure.
A nurse is caring for a client receiving furosemide. Which assessment finding requires
immediate intervention?
a. Serum potassium 2.9 mEq/L
b. Urine output 40 mL/hr
c. Blood pressure 110/70 mmHg
d. Weight loss of 0.5 kg/day
✔️ Correct Answer: a. Serum potassium 2.9 mEq/L
Rationale:
Furosemide is a loop diuretic that causes potassium loss. Hypokalemia (2.9 mEq/L) can
lead to life-threatening dysrhythmias and requires immediate intervention. The other
findings are expected or within acceptable limits. NCLEX focus: Pharmacology / Diuretics.
A nurse is teaching a client with COPD about oxygen therapy safety. Which statement
indicates correct understanding?
a. "I will increase oxygen flow to 6 L/min if I feel short of breath."
b. "I should remove oxygen when cooking with gas."
c. "I will use petroleum jelly to prevent dry nostrils."
d. "I will store oxygen tanks upright in a cool area."
✔️ Correct Answer: d. "I will store oxygen tanks upright in a cool area."
Rationale:
Oxygen tanks must be stored upright in a cool, ventilated area. Increasing oxygen
independently (A) is unsafe in COPD. Petroleum jelly is flammable (C), and oxygen should
not be removed arbitrarily (B unless instructed for safety hazards like open flames nearby,
but not general practice). NCLEX focus: Respiratory System / Oxygen Therapy.
,A nurse is assessing a client with diabetic ketoacidosis (DKA). Which finding is expected?
a. Hypoglycemia
b. Kussmaul respirations
c. Slow, shallow breathing
d. Bradycardia
✔️ Correct Answer: b. Kussmaul respirations
Rationale:
DKA causes metabolic acidosis, leading to deep, rapid (Kussmaul) respirations as
compensation. Hyperglycemia, not hypoglycemia, is present. Tachycardia is more
common than bradycardia. NCLEX focus: Endocrine System / DKA.
A nurse is caring for a client with acute kidney injury (AKI). Which laboratory value is most
concerning?
a. BUN 18 mg/dL
b. Creatinine 1.0 mg/dL
c. Potassium 6.2 mEq/L
d. Sodium 138 mEq/L
✔️ Correct Answer: c. Potassium 6.2 mEq/L
Rationale:
Hyperkalemia is life-threatening in AKI due to impaired renal excretion and can cause
fatal dysrhythmias. Other values are within normal range. NCLEX focus: Renal System /
AKI.
A nurse is preparing a client for surgery. Which action is the priority?
a. Confirm informed consent is signed
b. Administer preoperative sedative
c. Remove all jewelry and dentures
d. Teach postoperative deep breathing
✔️ Correct Answer: a. Confirm informed consent is signed
Rationale:
, Informed consent must be legally obtained before any preoperative interventions.
Without consent, surgery cannot proceed. NCLEX focus: Perioperative Care.
A nurse is caring for a client with stroke (left hemisphere). Which deficit is expected?
a. Impulsive behavior
b. Aphasia
c. Left-sided neglect
d. Emotional flatness only
✔️ Correct Answer: b. Aphasia
Rationale:
Left hemisphere stroke commonly causes language deficits such as aphasia. Right
hemisphere strokes cause spatial neglect and impulsivity. NCLEX focus: Neurological
System / Stroke.
A nurse is monitoring a client receiving heparin therapy. Which lab result indicates
therapeutic effect?
a. INR 2–3
b. aPTT 60–80 seconds
c. Platelets 450,000/mm³
d. PT 10 seconds
✔️ Correct Answer: b. aPTT 60–80 seconds
Rationale:
Heparin therapy is monitored using aPTT, and therapeutic range is typically 1.5–2.5 times
normal (~60–80 seconds). INR is for warfarin. NCLEX focus: Anticoagulant Therapy.
A nurse is caring for a client with pneumonia. Which intervention is priority?
