NSG 3250 Exam 3 - Adult Health I Comprehensive Quiz 202… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3250 Exam 3 - Adult Health I Comprehensive
Quiz 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 3250 Exam 3 - Adult Health I Comprehensive Quiz 202… 2026 Update • Verified Answers
Questions & Verified Answers
1. A patient with Type 2 diabetes is scheduled for a CT scan with intravenous contrast. Which
medication should be held for 48 hours after the procedure?
A. Glipizide
B. Sitagliptin
C. Pioglitazone
D. Metformin
Answer: D
Rationale: Metformin must be held before and for 48 hours after contrast media administration to prevent lactic
acidosis and acute renal failure. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes. This is an important clinical concept because selecting the correct
answer (D) requires understanding both the pathophysiology and the practical nursing implications.
2. Which clinical manifestation is a hallmark sign of Diabetic Ketoacidosis (DKA) but not
Hyperosmolar Hyperglycemic Syndrome (HHS)?
A. but not Hyperosmolar Hyperglycemic Syndrome (HHS)?
B. Kussmaul respirations
C. Profound dehydration
D. Altered mental status
Answer: B
Rationale: Kussmaul respirations are deep, rapid breaths occurring in DKA as the body attempts to
compensate for metabolic acidosis; HHS typically does not involve ketoacidosis. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
3. A nurse is caring for a patient who underwent a total thyroidectomy. The patient reports
tingling in their fingers and around the mouth. Which action should the nurse take first?
A. Assess for Chvostek’s sign
B. Check the patient’s blood pressure
C. Administer a sedative as ordered
D. Monitor for laryngeal nerve damage
Answer: A
Rationale: Tingling indicates hypocalcemia, often caused by accidental parathyroid damage during
thyroidectomy. Assessing for Chvostek’s sign is the priority to evaluate neuromuscular irritability. Recognizing
this principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient
education.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 3250 Exam 3 - Adult Health I Comprehensive Quiz 202… 2026 Update • Verified Answers
4. Which instruction should be included for a patient newly prescribed Levothyroxine for
hypothyroidism?
A. Take the medication in the morning on an empty stomach
B. Take the medication at bedtime with a snack
C. Take the medication with a full meal to avoid GI upset
D. Monitor for weight gain as a common side effect
Answer: A
Rationale: Levothyroxine is best absorbed when taken on an empty stomach, usually 30- 60 minutes before
breakfast. This is an important clinical concept because selecting the correct answer (A) requires
understanding both the pathophysiology and the practical nursing implications. Recognizing this principle
allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
5. A patient with Addison’s disease is being discharged. Which statement by the patient
indicates a need for further teaching?
A. ‘I should wear a medical alert bracelet at all times.’
B. ‘I will need to take steroid replacements for the rest of my life.’
C. ‘I can skip my medication if I have the stomach flu and cannot eat.’
D. ‘I should increase my salt intake during hot weather.’
Answer: C
Rationale: Patients with Addison’s must never skip doses, especially during illness, as it can trigger an
Addisonian crisis. They may need higher doses during stress. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery. Applying
this knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
6. Which assessment finding is most characteristic of Cushing’s Syndrome?
A. Hyperpigmentation of the skin
B. Exophthalmos
C. Weight loss and hypotension
D. Trunkal obesity and moon face
Answer: D
Rationale: Cushing’s Syndrome, caused by excess cortisol, leads to fat redistribution resulting in a moon face,
buffalo hump, and trunkal obesity. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes. This is an important clinical concept because selecting the correct
answer (D) requires understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3250 Exam 3 - Adult Health I Comprehensive
Quiz 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 3250 Exam 3 - Adult Health I Comprehensive Quiz 202… 2026 Update • Verified Answers
Questions & Verified Answers
1. A patient with Type 2 diabetes is scheduled for a CT scan with intravenous contrast. Which
medication should be held for 48 hours after the procedure?
A. Glipizide
B. Sitagliptin
C. Pioglitazone
D. Metformin
Answer: D
Rationale: Metformin must be held before and for 48 hours after contrast media administration to prevent lactic
acidosis and acute renal failure. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes. This is an important clinical concept because selecting the correct
answer (D) requires understanding both the pathophysiology and the practical nursing implications.
2. Which clinical manifestation is a hallmark sign of Diabetic Ketoacidosis (DKA) but not
Hyperosmolar Hyperglycemic Syndrome (HHS)?
A. but not Hyperosmolar Hyperglycemic Syndrome (HHS)?
B. Kussmaul respirations
C. Profound dehydration
D. Altered mental status
Answer: B
Rationale: Kussmaul respirations are deep, rapid breaths occurring in DKA as the body attempts to
compensate for metabolic acidosis; HHS typically does not involve ketoacidosis. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
3. A nurse is caring for a patient who underwent a total thyroidectomy. The patient reports
tingling in their fingers and around the mouth. Which action should the nurse take first?
A. Assess for Chvostek’s sign
B. Check the patient’s blood pressure
C. Administer a sedative as ordered
D. Monitor for laryngeal nerve damage
Answer: A
Rationale: Tingling indicates hypocalcemia, often caused by accidental parathyroid damage during
thyroidectomy. Assessing for Chvostek’s sign is the priority to evaluate neuromuscular irritability. Recognizing
this principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient
education.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 3250 Exam 3 - Adult Health I Comprehensive Quiz 202… 2026 Update • Verified Answers
4. Which instruction should be included for a patient newly prescribed Levothyroxine for
hypothyroidism?
A. Take the medication in the morning on an empty stomach
B. Take the medication at bedtime with a snack
C. Take the medication with a full meal to avoid GI upset
D. Monitor for weight gain as a common side effect
Answer: A
Rationale: Levothyroxine is best absorbed when taken on an empty stomach, usually 30- 60 minutes before
breakfast. This is an important clinical concept because selecting the correct answer (A) requires
understanding both the pathophysiology and the practical nursing implications. Recognizing this principle
allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
5. A patient with Addison’s disease is being discharged. Which statement by the patient
indicates a need for further teaching?
A. ‘I should wear a medical alert bracelet at all times.’
B. ‘I will need to take steroid replacements for the rest of my life.’
C. ‘I can skip my medication if I have the stomach flu and cannot eat.’
D. ‘I should increase my salt intake during hot weather.’
Answer: C
Rationale: Patients with Addison’s must never skip doses, especially during illness, as it can trigger an
Addisonian crisis. They may need higher doses during stress. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery. Applying
this knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
6. Which assessment finding is most characteristic of Cushing’s Syndrome?
A. Hyperpigmentation of the skin
B. Exophthalmos
C. Weight loss and hypotension
D. Trunkal obesity and moon face
Answer: D
Rationale: Cushing’s Syndrome, caused by excess cortisol, leads to fat redistribution resulting in a moon face,
buffalo hump, and trunkal obesity. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes. This is an important clinical concept because selecting the correct
answer (D) requires understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
