NRSG 3320 EXAM 1 V2 NEWEST 2026
ACTUAL EXAM| NRSG 3320 NURSING
CARE OF ADULTS 1 EXAM 1 REVIEW
WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
1. A nurse is assessing a client with left-sided heart failure. Which early clinical
manifestation should the nurse expect?
A. Jugular vein distention
B. Dyspnea on exertion
C. Peripheral edema
D. Hepatomegaly
Correct Answer: B
Rationale: Left-sided heart failure causes pulmonary congestion, leading to dyspnea on
exertion as an early sign. JVD, peripheral edema, and hepatomegaly are signs of right-
sided failure.
2.
A nurse is caring for a client with right-sided heart failure. Which assessment finding is
most characteristic?
A. Crackles
B. Pink, frothy sputum
C. Jugular vein distention
D. Orthopnea
,Correct Answer: C
Rationale: Right-sided failure causes systemic venous congestion, leading to JVD,
edema, and hepatomegaly. Crackles and pink frothy sputum indicate left-sided failure.
3.
A client with heart failure suddenly develops pink, frothy sputum. Which complication
should the nurse suspect?
A. Acute pulmonary edema
B. Pneumonia
C. Pulmonary embolism
D. Atelectasis
Correct Answer: A
Rationale: Pink, frothy sputum is a classic sign of acute pulmonary edema, a life-
threatening emergency requiring immediate intervention.
4.
A nurse is teaching a client with heart failure about daily monitoring. Which
measurement is the best indicator of fluid retention?
A. Intake and output
B. Daily weight
C. Blood pressure
D. Heart rate
Correct Answer: B
Rationale: Daily weight is the most accurate indicator of fluid balance. A 1-kg weight
gain equals about 1 liter of retained fluid.
5.
,A client taking digoxin reports nausea and anorexia. Which complication should the
nurse suspect?
A. Digoxin toxicity
B. Hyperkalemia
C. Hypoglycemia
D. Pulmonary edema
Correct Answer: A
Rationale: Anorexia, nausea, and vomiting are often the earliest signs of digoxin
toxicity. Hypokalemia increases the risk.
6.
A client taking digoxin has a serum potassium level of 3.0 mEq/L. Which complication is
the client at increased risk for?
A. Reduced digoxin effect
B. Digoxin toxicity
C. Hypercalcemia
D. Hypertension
Correct Answer: B
Rationale: Hypokalemia increases myocardial sensitivity to digoxin, leading to toxicity
even at therapeutic drug levels.
7.
A client is admitted with severe digoxin toxicity. Which medication should the nurse
anticipate administering?
A. Digoxin immune Fab
B. Naloxone
C. Protamine sulfate
D. Vitamin K
, Correct Answer: A
Rationale: Digoxin immune Fab (Digibind) is the specific antidote for digoxin toxicity. It
binds digoxin and neutralizes its effects.
8.
A client prescribed nitroglycerin reports taking sildenafil. Which action should the nurse
take?
A. Administer nitroglycerin as ordered
B. Withhold nitroglycerin and notify the provider
C. Give half the nitroglycerin dose
D. Encourage the client to take both
Correct Answer: B
Rationale: Combining nitroglycerin with sildenafil can cause severe, life-threatening
hypotension. Nitroglycerin should be withheld, and the provider notified.
9.
A client is diagnosed with an ST-elevation myocardial infarction (STEMI). Which
intervention is the priority?
A. Reperfusion therapy
B. Ambulation
C. Discharge teaching
D. Low-fat diet teaching
Correct Answer: A
Rationale: STEMI indicates complete coronary occlusion. Rapid reperfusion with PCI or
thrombolytics is essential to salvage myocardium.
10.
ACTUAL EXAM| NRSG 3320 NURSING
CARE OF ADULTS 1 EXAM 1 REVIEW
WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
1. A nurse is assessing a client with left-sided heart failure. Which early clinical
manifestation should the nurse expect?
A. Jugular vein distention
B. Dyspnea on exertion
C. Peripheral edema
D. Hepatomegaly
Correct Answer: B
Rationale: Left-sided heart failure causes pulmonary congestion, leading to dyspnea on
exertion as an early sign. JVD, peripheral edema, and hepatomegaly are signs of right-
sided failure.
2.
A nurse is caring for a client with right-sided heart failure. Which assessment finding is
most characteristic?
A. Crackles
B. Pink, frothy sputum
C. Jugular vein distention
D. Orthopnea
,Correct Answer: C
Rationale: Right-sided failure causes systemic venous congestion, leading to JVD,
edema, and hepatomegaly. Crackles and pink frothy sputum indicate left-sided failure.
3.
A client with heart failure suddenly develops pink, frothy sputum. Which complication
should the nurse suspect?
A. Acute pulmonary edema
B. Pneumonia
C. Pulmonary embolism
D. Atelectasis
Correct Answer: A
Rationale: Pink, frothy sputum is a classic sign of acute pulmonary edema, a life-
threatening emergency requiring immediate intervention.
4.
A nurse is teaching a client with heart failure about daily monitoring. Which
measurement is the best indicator of fluid retention?
A. Intake and output
B. Daily weight
C. Blood pressure
D. Heart rate
Correct Answer: B
Rationale: Daily weight is the most accurate indicator of fluid balance. A 1-kg weight
gain equals about 1 liter of retained fluid.
5.
,A client taking digoxin reports nausea and anorexia. Which complication should the
nurse suspect?
A. Digoxin toxicity
B. Hyperkalemia
C. Hypoglycemia
D. Pulmonary edema
Correct Answer: A
Rationale: Anorexia, nausea, and vomiting are often the earliest signs of digoxin
toxicity. Hypokalemia increases the risk.
6.
A client taking digoxin has a serum potassium level of 3.0 mEq/L. Which complication is
the client at increased risk for?
A. Reduced digoxin effect
B. Digoxin toxicity
C. Hypercalcemia
D. Hypertension
Correct Answer: B
Rationale: Hypokalemia increases myocardial sensitivity to digoxin, leading to toxicity
even at therapeutic drug levels.
7.
A client is admitted with severe digoxin toxicity. Which medication should the nurse
anticipate administering?
A. Digoxin immune Fab
B. Naloxone
C. Protamine sulfate
D. Vitamin K
, Correct Answer: A
Rationale: Digoxin immune Fab (Digibind) is the specific antidote for digoxin toxicity. It
binds digoxin and neutralizes its effects.
8.
A client prescribed nitroglycerin reports taking sildenafil. Which action should the nurse
take?
A. Administer nitroglycerin as ordered
B. Withhold nitroglycerin and notify the provider
C. Give half the nitroglycerin dose
D. Encourage the client to take both
Correct Answer: B
Rationale: Combining nitroglycerin with sildenafil can cause severe, life-threatening
hypotension. Nitroglycerin should be withheld, and the provider notified.
9.
A client is diagnosed with an ST-elevation myocardial infarction (STEMI). Which
intervention is the priority?
A. Reperfusion therapy
B. Ambulation
C. Discharge teaching
D. Low-fat diet teaching
Correct Answer: A
Rationale: STEMI indicates complete coronary occlusion. Rapid reperfusion with PCI or
thrombolytics is essential to salvage myocardium.
10.
