NR341 CJE MED SURG: ADULT HEALTH AND STUDY GUIDE COMPLETE QUESTIONS AND ANSWERS ALREADY
GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains:
Perioperative Nursing and Surgical Care
Cardiovascular Disorders and Hemodynamics
Respiratory Disorders and Oxygenation
Neurological Disorders and Intracranial Regulation
Gastrointestinal and Nutritional Disorders
Renal and Genitourinary Disorders
Endocrine and Metabolic Disorders
Hematological and Oncological Disorders
Shock, Sepsis, and Multisystem Organ Failure
Pain Management, Palliative Care, and End-of-Life
Introduction:
This comprehensive study guide and practice examination is designed to prepare students for the NR341 CJE
Medical-Surgical Nursing: Adult Health exam. It assesses foundational and applied knowledge across complex
medical-surgical nursing concepts, including perioperative care, cardiovascular and respiratory disorders,
neurological and endocrine conditions, and multisystem organ failure. The exam employs multiple-choice and
scenario-based questions that challenge students to apply critical thinking, prioritize patient care, interpret clinical
data, and make sound nursing judgments. Emphasis is placed on real-world clinical application, patient safety, and
,the integration of core nursing principles necessary for successful exam performance and competent practice in
adult health settings.
Section One: Questions 1–100
1. A patient is 4 hours post-operative from an abdominal hysterectomy. The nurse notes the patient's blood
pressure has dropped from 120/80 mmHg to 100/60 mmHg, and the heart rate has increased from 80 to 110
bpm. The surgical site dressing is dry and intact. What is the nurse's priority action?
A. Administer the prescribed PRN antiemetic for nausea.
B. Increase the IV fluid rate.
C. Assess for signs of internal bleeding and notify the healthcare provider.
D. Reassess vital signs in 15 minutes.
🟢 C. Assess for signs of internal bleeding and notify the healthcare provider.
🔴 RATIONALE: Post-operative hypotension with tachycardia in the presence of a dry dressing may indicate
internal bleeding. The nurse should assess for other signs of hypovolemia (e.g., pallor, decreased urine output,
abdominal distention) and notify the provider immediately.
2. A patient with heart failure is receiving IV furosemide (Lasix). Which assessment finding indicates the
medication is having the desired therapeutic effect?
,A. Decreased heart rate.
B. Increased urine output.
C. Decreased blood pressure.
D. Increased respiratory rate.
🟢 B. Increased urine output.
🔴 RATIONALE: Furosemide is a loop diuretic used to reduce fluid volume overload in heart failure. The desired
therapeutic effect is increased urine output, which reduces preload, decreases pulmonary congestion, and
alleviates symptoms such as dyspnea.
3. A patient with chronic obstructive pulmonary disease (COPD) has a prescription for oxygen at 2 L/min via
nasal cannula. The nurse notes the patient's respiratory rate has decreased to 8 breaths/min. What is the
priority nursing action?
A. Increase the oxygen to 4 L/min.
B. Assess the patient's level of consciousness.
C. Place the patient in high-Fowler's position.
D. Notify the healthcare provider immediately.
🟢 B. Assess the patient's level of consciousness.
🔴 RATIONALE: A decreased respiratory rate in a patient with COPD may indicate loss of the hypoxic drive,
leading to carbon dioxide retention and respiratory depression. The priority is to assess the patient's level of
consciousness and arterial blood gases to evaluate for hypercapnia.
, 4. A patient is admitted with acute pancreatitis. Which laboratory finding is most consistent with this
diagnosis?
A. Elevated serum amylase and lipase.
B. Decreased serum glucose.
C. Elevated serum potassium.
D. Decreased serum calcium.
🟢 A. Elevated serum amylase and lipase.
🔴 RATIONALE: Acute pancreatitis is characterized by elevated serum amylase and lipase, which are enzymes
released from inflamed pancreatic cells. These levels are typically 3-5 times above normal.
5. The nurse is caring for a patient with a newly placed chest tube for a pneumothorax. The nurse notes
continuous bubbling in the water-seal chamber. What is the most appropriate nursing action?
A. Clamp the chest tube immediately.
B. Reposition the patient to facilitate drainage.
C. Assess the system for an air leak.
D. Increase the suction pressure.
🟢 C. Assess the system for an air leak.
GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains:
Perioperative Nursing and Surgical Care
Cardiovascular Disorders and Hemodynamics
Respiratory Disorders and Oxygenation
Neurological Disorders and Intracranial Regulation
Gastrointestinal and Nutritional Disorders
Renal and Genitourinary Disorders
Endocrine and Metabolic Disorders
Hematological and Oncological Disorders
Shock, Sepsis, and Multisystem Organ Failure
Pain Management, Palliative Care, and End-of-Life
Introduction:
This comprehensive study guide and practice examination is designed to prepare students for the NR341 CJE
Medical-Surgical Nursing: Adult Health exam. It assesses foundational and applied knowledge across complex
medical-surgical nursing concepts, including perioperative care, cardiovascular and respiratory disorders,
neurological and endocrine conditions, and multisystem organ failure. The exam employs multiple-choice and
scenario-based questions that challenge students to apply critical thinking, prioritize patient care, interpret clinical
data, and make sound nursing judgments. Emphasis is placed on real-world clinical application, patient safety, and
,the integration of core nursing principles necessary for successful exam performance and competent practice in
adult health settings.
Section One: Questions 1–100
1. A patient is 4 hours post-operative from an abdominal hysterectomy. The nurse notes the patient's blood
pressure has dropped from 120/80 mmHg to 100/60 mmHg, and the heart rate has increased from 80 to 110
bpm. The surgical site dressing is dry and intact. What is the nurse's priority action?
A. Administer the prescribed PRN antiemetic for nausea.
B. Increase the IV fluid rate.
C. Assess for signs of internal bleeding and notify the healthcare provider.
D. Reassess vital signs in 15 minutes.
🟢 C. Assess for signs of internal bleeding and notify the healthcare provider.
🔴 RATIONALE: Post-operative hypotension with tachycardia in the presence of a dry dressing may indicate
internal bleeding. The nurse should assess for other signs of hypovolemia (e.g., pallor, decreased urine output,
abdominal distention) and notify the provider immediately.
2. A patient with heart failure is receiving IV furosemide (Lasix). Which assessment finding indicates the
medication is having the desired therapeutic effect?
,A. Decreased heart rate.
B. Increased urine output.
C. Decreased blood pressure.
D. Increased respiratory rate.
🟢 B. Increased urine output.
🔴 RATIONALE: Furosemide is a loop diuretic used to reduce fluid volume overload in heart failure. The desired
therapeutic effect is increased urine output, which reduces preload, decreases pulmonary congestion, and
alleviates symptoms such as dyspnea.
3. A patient with chronic obstructive pulmonary disease (COPD) has a prescription for oxygen at 2 L/min via
nasal cannula. The nurse notes the patient's respiratory rate has decreased to 8 breaths/min. What is the
priority nursing action?
A. Increase the oxygen to 4 L/min.
B. Assess the patient's level of consciousness.
C. Place the patient in high-Fowler's position.
D. Notify the healthcare provider immediately.
🟢 B. Assess the patient's level of consciousness.
🔴 RATIONALE: A decreased respiratory rate in a patient with COPD may indicate loss of the hypoxic drive,
leading to carbon dioxide retention and respiratory depression. The priority is to assess the patient's level of
consciousness and arterial blood gases to evaluate for hypercapnia.
, 4. A patient is admitted with acute pancreatitis. Which laboratory finding is most consistent with this
diagnosis?
A. Elevated serum amylase and lipase.
B. Decreased serum glucose.
C. Elevated serum potassium.
D. Decreased serum calcium.
🟢 A. Elevated serum amylase and lipase.
🔴 RATIONALE: Acute pancreatitis is characterized by elevated serum amylase and lipase, which are enzymes
released from inflamed pancreatic cells. These levels are typically 3-5 times above normal.
5. The nurse is caring for a patient with a newly placed chest tube for a pneumothorax. The nurse notes
continuous bubbling in the water-seal chamber. What is the most appropriate nursing action?
A. Clamp the chest tube immediately.
B. Reposition the patient to facilitate drainage.
C. Assess the system for an air leak.
D. Increase the suction pressure.
🟢 C. Assess the system for an air leak.
