,NSG 320 Final Exam Adult Health Nursing I Questions And Answers
2026/2027 Grand canyon university
Q1. Which finding is most consistent with hypoglycemia?
A. Polyuria and polydipsia
B. Diaphoresis, tremor, and confusion
C. Fruity breath and Kussmaul respirations
D. Warm, dry skin and severe thirst
Correct Answer: B
Rationale: Hypoglycemia activates the sympathetic nervous system and
can cause sweating, tremor, tachycardia, hunger, and neurologic changes
such as confusion.
Q2. [MEDICATION CALCULATION] A client weighs 70 kg and is
prescribed insulin at 0.1 units/kg. How many units should the nurse
administer?
A. 0.7 units
B. 7 units
C. 70 units
D. 700 units
Correct Answer: B
Rationale: 0.1 units/kg × 70 kg = 7 units.
Q3. Which finding is characteristic of diabetic neuropathy?
A. Increased sensation in the feet
B. Burning, tingling, or numbness of the feet
C. Increased peripheral pulses
D. Improved temperature discrimination
Correct Answer: B
Rationale: Peripheral diabetic neuropathy commonly causes numbness,
tingling, burning, and loss of protective sensation.
**Q4. Which intervention is most appropriate for preventing diabetic foot
complications?
A. Walk barefoot indoors
B. Inspect the feet daily
, C. Apply heating pads to numb feet
D. Cut toenails deeply at the corners
Correct Answer: B
Rationale: Daily inspection helps identify wounds, blisters, redness, and
infection before serious complications develop.
**Q5. Which finding is most consistent with hypothyroidism?
A. Weight loss and heat intolerance
B. Tachycardia and tremor
C. Weight gain and cold intolerance
D. Exophthalmos and diarrhea
Correct Answer: C
Rationale: Reduced thyroid hormone slows metabolism and commonly
causes weight gain, fatigue, cold intolerance, constipation, and bradycardia.
**Q6. Which finding is most consistent with hyperthyroidism?
A. Bradycardia
B. Weight gain
C. Heat intolerance and tachycardia
D. Constipation
Correct Answer: C
Rationale: Excess thyroid hormone increases metabolic activity and
commonly causes heat intolerance, weight loss, tachycardia, tremor, and
anxiety.
**Q7. Which medication is used as thyroid hormone replacement?
A. Methimazole
B. Levothyroxine
C. Potassium iodide
D. Propylthiouracil
Correct Answer: B
Rationale: Levothyroxine replaces deficient thyroid hormone and is
commonly used to treat hypothyroidism.
**Q8. A client taking methimazole reports fever and sore throat. What should
the nurse do?
2026/2027 Grand canyon university
Q1. Which finding is most consistent with hypoglycemia?
A. Polyuria and polydipsia
B. Diaphoresis, tremor, and confusion
C. Fruity breath and Kussmaul respirations
D. Warm, dry skin and severe thirst
Correct Answer: B
Rationale: Hypoglycemia activates the sympathetic nervous system and
can cause sweating, tremor, tachycardia, hunger, and neurologic changes
such as confusion.
Q2. [MEDICATION CALCULATION] A client weighs 70 kg and is
prescribed insulin at 0.1 units/kg. How many units should the nurse
administer?
A. 0.7 units
B. 7 units
C. 70 units
D. 700 units
Correct Answer: B
Rationale: 0.1 units/kg × 70 kg = 7 units.
Q3. Which finding is characteristic of diabetic neuropathy?
A. Increased sensation in the feet
B. Burning, tingling, or numbness of the feet
C. Increased peripheral pulses
D. Improved temperature discrimination
Correct Answer: B
Rationale: Peripheral diabetic neuropathy commonly causes numbness,
tingling, burning, and loss of protective sensation.
**Q4. Which intervention is most appropriate for preventing diabetic foot
complications?
A. Walk barefoot indoors
B. Inspect the feet daily
, C. Apply heating pads to numb feet
D. Cut toenails deeply at the corners
Correct Answer: B
Rationale: Daily inspection helps identify wounds, blisters, redness, and
infection before serious complications develop.
**Q5. Which finding is most consistent with hypothyroidism?
A. Weight loss and heat intolerance
B. Tachycardia and tremor
C. Weight gain and cold intolerance
D. Exophthalmos and diarrhea
Correct Answer: C
Rationale: Reduced thyroid hormone slows metabolism and commonly
causes weight gain, fatigue, cold intolerance, constipation, and bradycardia.
**Q6. Which finding is most consistent with hyperthyroidism?
A. Bradycardia
B. Weight gain
C. Heat intolerance and tachycardia
D. Constipation
Correct Answer: C
Rationale: Excess thyroid hormone increases metabolic activity and
commonly causes heat intolerance, weight loss, tachycardia, tremor, and
anxiety.
**Q7. Which medication is used as thyroid hormone replacement?
A. Methimazole
B. Levothyroxine
C. Potassium iodide
D. Propylthiouracil
Correct Answer: B
Rationale: Levothyroxine replaces deficient thyroid hormone and is
commonly used to treat hypothyroidism.
**Q8. A client taking methimazole reports fever and sore throat. What should
the nurse do?
