NRSG 3320 Modules 1-4 Exam 1 Nursing Care of
Adults 1- real 415 exam questions and correct detailed
answers / NRSG 3320 Exam 1 Review 2026-2027/
Adult Health Exam 1 / Northeastern University
(A thorough review of modules 1, 2, 3, and 4 -questions and correct answers)
Contents
NRSG 3320 Module 1 exam 1 (Perioperative care – 85 questions) ........................................................ 1
NRSG Module 2 Exam 1 (Fluid and Electrolytes – 100 Questions) ..................................................... 27
NRSG 3320 Module 3 Exam 1 (Musculoskeletal Conditions – 70 Questions) ..................................... 53
NRSG 3320 Module 4 Exam 1 (Cardiac Conditions – 70 Questions)................................................... 74
NRSG 3320: Immunology and Oncology Disorders – 90 questions ..................................................... 96
NRSG 3320 Module 1 exam 1 (Perioperative care – 85 questions)
A nurse is preparing an older adult patient for surgery. Which age-related change
requires priority monitoring postoperatively?
A. Thickened skin
B. Slowed reaction time
C. Reduced respiratory muscle strength
D. Decreased GI motility
Correct Answer: C
Rationale: Older adults have reduced respiratory capacity, placing them at higher
risk for complications like atelectasis. Monitoring and encouraging deep breathing
is critical.
A patient asks why they need to shower with antimicrobial soap before surgery.
What is the best response?
A. "It removes all body oils so the surgical dressing sticks."
B. "It helps prevent infections by reducing skin bacteria."
C. "It helps anesthetic absorption."
D. "It's a requirement for all patients regardless of surgery."
1
,Correct Answer: B
Rationale: Preoperative antimicrobial showers help reduce skin flora and the risk
of surgical site infection.
A patient expresses concern about being a Jehovah's Witness and not accepting
blood products. What is the nurse's best action preoperatively?
A. Inform the patient they may be forced to accept blood in an emergency
B. Alert the surgical team and document the patient's preference
C. Cancel the procedure until a family meeting can be arranged
D. Educate the patient about the risks of refusing transfusion
Correct Answer: B
Rationale: Patient autonomy and religious beliefs must be respected. The team
should be aware to plan alternatives like cell-saver technology.
A nurse is teaching a patient how to get out of bed postoperatively. Which
instruction is correct?
A. "Swing both legs over first, then push up with your arms."
B. "Turn on your side, use your arms to push up while swinging legs off."
C. "Roll directly onto your stomach and rise to your knees."
D. "Sit straight up from a lying position to prevent dizziness."
Correct Answer: B
Rationale: Turning onto the side and pushing up while swinging legs reduces strain
on the surgical site and minimizes dizziness or falls.
A preoperative patient suddenly states, "I'm not sure I want this surgery anymore."
What is the nurse's immediate response?
A. Reassure the patient the surgery is safe
B. Notify the provider and hold preoperative preparations
C. Continue with routine preparation and inform the surgeon later
D. Encourage the patient to sign the consent before anesthesia
Correct Answer: B
Rationale: Withdrawal of consent must be honored. The provider should be
notified immediately, and surgery preparation must be paused.
The nurse is reviewing a medication list with a surgical patient. Which medication
requires immediate follow-up?
2
,A. Levothyroxine
B. Metformin
C. Multivitamin
D. Albuterol
Correct Answer: B
Rationale: Metformin may cause lactic acidosis, especially with contrast or
anesthesia. It is typically held pre-op to reduce this risk.
A patient is receiving preanesthetic medication. What is the priority nursing
intervention after administration?
A. Ambulate the patient to the restroom
B. Reconfirm surgical consent
C. Ensure the side rails are up and call light is in reach
D. Start a second IV line for hydration
Correct Answer: C
Rationale: Preanesthetic medications may cause sedation. Safety measures such as
side rails and call light are essential to prevent falls or injury.
Which patient statement indicates a need for further teaching about preoperative
pain management?
A. "I can use the pain scale to tell the nurse how much I hurt."
B. "I should wait until the pain is really bad before asking for meds."
C. "I will use breathing techniques in addition to medication."
D. "My goal is to keep my pain at a manageable level."
Correct Answer: B
Rationale: Pain is easier to control when managed early. Waiting until it's severe
can make it harder to relieve.
A nurse is performing a STOP-Bang assessment. Which finding most increases the
risk of postoperative complications?
A. Female gender
B. BMI of 36
C. Age 42
D. No history of snoring
Correct Answer: B
3
, Rationale: A BMI over 35 is a significant risk factor in the STOP-Bang
assessment, increasing the likelihood of OSA and respiratory complications.
The nurse is assessing a pre-op patient who takes herbal supplements. Which
supplement is most concerning?
A. Echinacea
B. St. John's Wort
C. Valerian root
D. Ginkgo biloba
Correct Answer: D
Rationale: Ginkgo biloba can increase bleeding risk, which is especially
concerning during surgery.
A nurse prepares to teach postoperative leg exercises. What outcome does this
teaching primarily support?
A. Increased bowel motility
B. Enhanced wound healing
C. Prevention of deep vein thrombosis
D. Improvement of muscle tone
Correct Answer: C
Rationale: Leg exercises enhance venous return and prevent venous stasis,
reducing the risk of DVT.
Which statement by the nurse best explains the purpose of incentive spirometry
preoperatively?
A. "It helps clear mucus from your throat."
B. "It prevents air from escaping your lungs."
C. "It expands your lungs and helps prevent pneumonia."
D. "It helps your lungs absorb the anesthesia better."
Correct Answer: C
Rationale: Incentive spirometry encourages deep breathing to expand alveoli and
prevent complications like atelectasis and pneumonia.
A patient on chronic beta-blockers is scheduled for surgery. What is the nurse's
most appropriate action?
A. Hold the beta-blocker 24 hours before surgery
4
Adults 1- real 415 exam questions and correct detailed
answers / NRSG 3320 Exam 1 Review 2026-2027/
Adult Health Exam 1 / Northeastern University
(A thorough review of modules 1, 2, 3, and 4 -questions and correct answers)
Contents
NRSG 3320 Module 1 exam 1 (Perioperative care – 85 questions) ........................................................ 1
NRSG Module 2 Exam 1 (Fluid and Electrolytes – 100 Questions) ..................................................... 27
NRSG 3320 Module 3 Exam 1 (Musculoskeletal Conditions – 70 Questions) ..................................... 53
NRSG 3320 Module 4 Exam 1 (Cardiac Conditions – 70 Questions)................................................... 74
NRSG 3320: Immunology and Oncology Disorders – 90 questions ..................................................... 96
NRSG 3320 Module 1 exam 1 (Perioperative care – 85 questions)
A nurse is preparing an older adult patient for surgery. Which age-related change
requires priority monitoring postoperatively?
A. Thickened skin
B. Slowed reaction time
C. Reduced respiratory muscle strength
D. Decreased GI motility
Correct Answer: C
Rationale: Older adults have reduced respiratory capacity, placing them at higher
risk for complications like atelectasis. Monitoring and encouraging deep breathing
is critical.
A patient asks why they need to shower with antimicrobial soap before surgery.
What is the best response?
A. "It removes all body oils so the surgical dressing sticks."
B. "It helps prevent infections by reducing skin bacteria."
C. "It helps anesthetic absorption."
D. "It's a requirement for all patients regardless of surgery."
1
,Correct Answer: B
Rationale: Preoperative antimicrobial showers help reduce skin flora and the risk
of surgical site infection.
A patient expresses concern about being a Jehovah's Witness and not accepting
blood products. What is the nurse's best action preoperatively?
A. Inform the patient they may be forced to accept blood in an emergency
B. Alert the surgical team and document the patient's preference
C. Cancel the procedure until a family meeting can be arranged
D. Educate the patient about the risks of refusing transfusion
Correct Answer: B
Rationale: Patient autonomy and religious beliefs must be respected. The team
should be aware to plan alternatives like cell-saver technology.
A nurse is teaching a patient how to get out of bed postoperatively. Which
instruction is correct?
A. "Swing both legs over first, then push up with your arms."
B. "Turn on your side, use your arms to push up while swinging legs off."
C. "Roll directly onto your stomach and rise to your knees."
D. "Sit straight up from a lying position to prevent dizziness."
Correct Answer: B
Rationale: Turning onto the side and pushing up while swinging legs reduces strain
on the surgical site and minimizes dizziness or falls.
A preoperative patient suddenly states, "I'm not sure I want this surgery anymore."
What is the nurse's immediate response?
A. Reassure the patient the surgery is safe
B. Notify the provider and hold preoperative preparations
C. Continue with routine preparation and inform the surgeon later
D. Encourage the patient to sign the consent before anesthesia
Correct Answer: B
Rationale: Withdrawal of consent must be honored. The provider should be
notified immediately, and surgery preparation must be paused.
The nurse is reviewing a medication list with a surgical patient. Which medication
requires immediate follow-up?
2
,A. Levothyroxine
B. Metformin
C. Multivitamin
D. Albuterol
Correct Answer: B
Rationale: Metformin may cause lactic acidosis, especially with contrast or
anesthesia. It is typically held pre-op to reduce this risk.
A patient is receiving preanesthetic medication. What is the priority nursing
intervention after administration?
A. Ambulate the patient to the restroom
B. Reconfirm surgical consent
C. Ensure the side rails are up and call light is in reach
D. Start a second IV line for hydration
Correct Answer: C
Rationale: Preanesthetic medications may cause sedation. Safety measures such as
side rails and call light are essential to prevent falls or injury.
Which patient statement indicates a need for further teaching about preoperative
pain management?
A. "I can use the pain scale to tell the nurse how much I hurt."
B. "I should wait until the pain is really bad before asking for meds."
C. "I will use breathing techniques in addition to medication."
D. "My goal is to keep my pain at a manageable level."
Correct Answer: B
Rationale: Pain is easier to control when managed early. Waiting until it's severe
can make it harder to relieve.
A nurse is performing a STOP-Bang assessment. Which finding most increases the
risk of postoperative complications?
A. Female gender
B. BMI of 36
C. Age 42
D. No history of snoring
Correct Answer: B
3
, Rationale: A BMI over 35 is a significant risk factor in the STOP-Bang
assessment, increasing the likelihood of OSA and respiratory complications.
The nurse is assessing a pre-op patient who takes herbal supplements. Which
supplement is most concerning?
A. Echinacea
B. St. John's Wort
C. Valerian root
D. Ginkgo biloba
Correct Answer: D
Rationale: Ginkgo biloba can increase bleeding risk, which is especially
concerning during surgery.
A nurse prepares to teach postoperative leg exercises. What outcome does this
teaching primarily support?
A. Increased bowel motility
B. Enhanced wound healing
C. Prevention of deep vein thrombosis
D. Improvement of muscle tone
Correct Answer: C
Rationale: Leg exercises enhance venous return and prevent venous stasis,
reducing the risk of DVT.
Which statement by the nurse best explains the purpose of incentive spirometry
preoperatively?
A. "It helps clear mucus from your throat."
B. "It prevents air from escaping your lungs."
C. "It expands your lungs and helps prevent pneumonia."
D. "It helps your lungs absorb the anesthesia better."
Correct Answer: C
Rationale: Incentive spirometry encourages deep breathing to expand alveoli and
prevent complications like atelectasis and pneumonia.
A patient on chronic beta-blockers is scheduled for surgery. What is the nurse's
most appropriate action?
A. Hold the beta-blocker 24 hours before surgery
4
