NSG 3250 ADULT HEALTH I EXAM 2 REVIEW QUESTIONS,
AND CORRECT ANSWERS, PLUS RATIONALES LATEST
UPDATE 2026-2027 GALEN COLLEGE OF NURSING
47 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Analyze complex adult health data to prioritize nursing interventions and predict complications
2 Apply current evidence-based guidelines to medication, fluid, and electrolyte management in acutely ill
adults
3 Synthesize pathophysiologic mechanisms with clinical manifestations to select safe, individualized
nursing actions
4 NSG 3250 Adult Health I Exam 2 Review Questions
5 and Correct Answers
6 plus Rationales Latest Update 2026
7 2027 Galen College Of Nursing
8 Foundations of Adult Health Nursing I (Medical-Surgical Nursing)
9 Applied Adult Health Nursing I (Medical-Surgical Nursing)
10 Advanced Adult Health Nursing I (Medical-Surgical Nursing)
11 Adult Health Nursing I (Medical-Surgical Nursing) Review
ABSTRACT
This study document brings together 47 carefully worded exam questions drawn from NSG 3250
Adult Health I Exam 2 Review Questions, and Correct Answers, plus Rationales Latest Update
2026-2027 Galen College Of Nursing, with the strongest emphasis placed on Analyze complex
adult health data to prioritize nursing interventions and predict complications, Apply current
evidence-based guidelines to medication, fluid, and electrolyte management in acutely ill adults,
Synthesize pathophysiologic mechanisms with clinical manifestations to select safe and
individualized nursing actions. Every item follows the wording style and level of reasoning you
meet in the real paper, and each one is paired with a clear rationale so the correct choice is never
a guess. Work through the set at your own pace, mark the questions that slow you down, then
come back to them until the reasoning feels automatic. Learners who revise this way walk into the
exam room recognising the pattern behind the questions instead of meeting them for the first time.
Keep going - steady, honest practice is what turns a difficult paper into a comfortable pass.
Page 1
,Q1 ANALYZE COMPLEX ADULT HEALTH DATA TO PRIORITIZE NURSING INTERVENTIONS
AND PREDICT COMPLICATIONS
A client with type 1 diabetes is admitted with diabetic ketoacidosis. The initial
blood glucose is 612 mg/dL, pH 7.14, and serum potassium is 5.4 mEq/L. After
initiating an insulin infusion, which parameter requires the most immediate
reassessment to prevent a life-threatening complication?
A. Serum potassium level CORRECT
B. Serum sodium level
C. Serum creatinine level
D. Hemoglobin A1c level
RATIONALE: Insulin drives potassium intracellularly, causing a rapid drop from the initially
elevated serum K+; hypokalemia can precipitate fatal dysrhythmias, so K+ must be monitored
closely and replaced when < 5.2 mEq/L. Sodium, creatinine, and A1c are relevant but do not
pose the same immediate mortality risk.
Q2 ANALYZE COMPLEX ADULT HEALTH DATA TO PRIORITIZE NURSING INTERVENTIONS
AND PREDICT COMPLICATIONS
A client with chronic kidney disease (stage 4) has the following laboratory results:
K+ 5.9 mEq/L, BUN 58 mg/dL, creatinine 4.2 mg/dL, and ECG shows peaked T
waves. Which prescription should the nurse question first?
A. Administer sodium polystyrene sulfonate 15 g PO
B. Administer calcium gluconate 10% IV
C. Administer regular insulin 10 units IV with 25 g dextrose
D. Administer 0.9% NaCl 500 mL IV bolus CORRECT
RATIONALE: A 500 mL NS bolus in stage 4 CKD with hyperkalemia and likely fluid overload can
precipitate pulmonary edema and worsen hyperkalemia by diluting? No-NS contains no
potassium, but volume expansion in CKD is dangerous. The other options are standard
emergency treatments for hyperkalemia; the nurse should question the fluid bolus because it
may cause volume overload without addressing the potassium.
Page 2
, Q3 ANALYZE COMPLEX ADULT HEALTH DATA TO PRIORITIZE NURSING INTERVENTIONS
AND PREDICT COMPLICATIONS
A client is receiving a blood transfusion and develops fever, chills, and flank pain
15 minutes into the infusion. Which action should the nurse take first?
A. Stop the transfusion and maintain IV access with new tubing and normal saline CORRECT
B. Administer acetaminophen and continue the transfusion
C. Slow the transfusion rate and reassess in 15 minutes
D. Obtain a urine specimen and continue the transfusion
RATIONALE: Fever, chills, and flank pain suggest an acute hemolytic transfusion reaction; the
priority is to stop the transfusion immediately, maintain IV access with new tubing and normal
saline, and notify the provider. Continuing or slowing the transfusion would worsen the reaction;
acetaminophen does not address the underlying hemolysis.
Q4 ANALYZE COMPLEX ADULT HEALTH DATA TO PRIORITIZE NURSING INTERVENTIONS
AND PREDICT COMPLICATIONS
A client with a new colostomy is being taught about dietary management. Which
statement by the client indicates a need for further teaching?
A. I should eat foods like broccoli and beans to help thicken my stool. CORRECT
B. I should avoid carbonated beverages to prevent gas.
C. I should drink at least 2 liters of fluid daily.
D. I should chew my food thoroughly and eat slowly.
RATIONALE: Broccoli and beans are gas-forming and can increase stool output; they are not
recommended for thickening stool. Foods like bananas, rice, and applesauce help thicken stool.
The other statements reflect correct colostomy management.
Page 3
AND CORRECT ANSWERS, PLUS RATIONALES LATEST
UPDATE 2026-2027 GALEN COLLEGE OF NURSING
47 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Analyze complex adult health data to prioritize nursing interventions and predict complications
2 Apply current evidence-based guidelines to medication, fluid, and electrolyte management in acutely ill
adults
3 Synthesize pathophysiologic mechanisms with clinical manifestations to select safe, individualized
nursing actions
4 NSG 3250 Adult Health I Exam 2 Review Questions
5 and Correct Answers
6 plus Rationales Latest Update 2026
7 2027 Galen College Of Nursing
8 Foundations of Adult Health Nursing I (Medical-Surgical Nursing)
9 Applied Adult Health Nursing I (Medical-Surgical Nursing)
10 Advanced Adult Health Nursing I (Medical-Surgical Nursing)
11 Adult Health Nursing I (Medical-Surgical Nursing) Review
ABSTRACT
This study document brings together 47 carefully worded exam questions drawn from NSG 3250
Adult Health I Exam 2 Review Questions, and Correct Answers, plus Rationales Latest Update
2026-2027 Galen College Of Nursing, with the strongest emphasis placed on Analyze complex
adult health data to prioritize nursing interventions and predict complications, Apply current
evidence-based guidelines to medication, fluid, and electrolyte management in acutely ill adults,
Synthesize pathophysiologic mechanisms with clinical manifestations to select safe and
individualized nursing actions. Every item follows the wording style and level of reasoning you
meet in the real paper, and each one is paired with a clear rationale so the correct choice is never
a guess. Work through the set at your own pace, mark the questions that slow you down, then
come back to them until the reasoning feels automatic. Learners who revise this way walk into the
exam room recognising the pattern behind the questions instead of meeting them for the first time.
Keep going - steady, honest practice is what turns a difficult paper into a comfortable pass.
Page 1
,Q1 ANALYZE COMPLEX ADULT HEALTH DATA TO PRIORITIZE NURSING INTERVENTIONS
AND PREDICT COMPLICATIONS
A client with type 1 diabetes is admitted with diabetic ketoacidosis. The initial
blood glucose is 612 mg/dL, pH 7.14, and serum potassium is 5.4 mEq/L. After
initiating an insulin infusion, which parameter requires the most immediate
reassessment to prevent a life-threatening complication?
A. Serum potassium level CORRECT
B. Serum sodium level
C. Serum creatinine level
D. Hemoglobin A1c level
RATIONALE: Insulin drives potassium intracellularly, causing a rapid drop from the initially
elevated serum K+; hypokalemia can precipitate fatal dysrhythmias, so K+ must be monitored
closely and replaced when < 5.2 mEq/L. Sodium, creatinine, and A1c are relevant but do not
pose the same immediate mortality risk.
Q2 ANALYZE COMPLEX ADULT HEALTH DATA TO PRIORITIZE NURSING INTERVENTIONS
AND PREDICT COMPLICATIONS
A client with chronic kidney disease (stage 4) has the following laboratory results:
K+ 5.9 mEq/L, BUN 58 mg/dL, creatinine 4.2 mg/dL, and ECG shows peaked T
waves. Which prescription should the nurse question first?
A. Administer sodium polystyrene sulfonate 15 g PO
B. Administer calcium gluconate 10% IV
C. Administer regular insulin 10 units IV with 25 g dextrose
D. Administer 0.9% NaCl 500 mL IV bolus CORRECT
RATIONALE: A 500 mL NS bolus in stage 4 CKD with hyperkalemia and likely fluid overload can
precipitate pulmonary edema and worsen hyperkalemia by diluting? No-NS contains no
potassium, but volume expansion in CKD is dangerous. The other options are standard
emergency treatments for hyperkalemia; the nurse should question the fluid bolus because it
may cause volume overload without addressing the potassium.
Page 2
, Q3 ANALYZE COMPLEX ADULT HEALTH DATA TO PRIORITIZE NURSING INTERVENTIONS
AND PREDICT COMPLICATIONS
A client is receiving a blood transfusion and develops fever, chills, and flank pain
15 minutes into the infusion. Which action should the nurse take first?
A. Stop the transfusion and maintain IV access with new tubing and normal saline CORRECT
B. Administer acetaminophen and continue the transfusion
C. Slow the transfusion rate and reassess in 15 minutes
D. Obtain a urine specimen and continue the transfusion
RATIONALE: Fever, chills, and flank pain suggest an acute hemolytic transfusion reaction; the
priority is to stop the transfusion immediately, maintain IV access with new tubing and normal
saline, and notify the provider. Continuing or slowing the transfusion would worsen the reaction;
acetaminophen does not address the underlying hemolysis.
Q4 ANALYZE COMPLEX ADULT HEALTH DATA TO PRIORITIZE NURSING INTERVENTIONS
AND PREDICT COMPLICATIONS
A client with a new colostomy is being taught about dietary management. Which
statement by the client indicates a need for further teaching?
A. I should eat foods like broccoli and beans to help thicken my stool. CORRECT
B. I should avoid carbonated beverages to prevent gas.
C. I should drink at least 2 liters of fluid daily.
D. I should chew my food thoroughly and eat slowly.
RATIONALE: Broccoli and beans are gas-forming and can increase stool output; they are not
recommended for thickening stool. Foods like bananas, rice, and applesauce help thicken stool.
The other statements reflect correct colostomy management.
Page 3
