EXAM 10
Comprehensive Adult Health II Review
75 Multiple-Choice Questions • Correct Answers Highlighted • Brief Rationales
Instructions: Choose the single best answer for each question. The correct option is highlighted in yellow, followed by a brief
rationale.
Study resource: Original practice questions based on the working assumption that NR-252 covers Adult Health II /
medical-surgical nursing. This is not an official Chamberlain exam; verify topics against your current syllabus.
1. A surgical wound becomes red, warm, increasingly painful, and drains pus. Which action is the nurse's priority?
A. Stop all prescribed antibiotics independently
B. Ignore drainage if the wound is closed
C. Report suspected infection and follow wound-care orders
D. Cover signs and avoid documentation
Rationale: These are common signs of wound infection.
2. Clinical review: A surgical wound becomes red, warm, increasingly painful, and drains pus. Which finding or action best
fits this situation?
A. Report suspected infection and follow wound-care orders
B. Cover signs and avoid documentation
C. Ignore drainage if the wound is closed
D. Stop all prescribed antibiotics independently
Rationale: These are common signs of wound infection.
3. A client reports a new medication allergy with hives and throat tightness. Which action is the nurse's priority?
A. Document only and continue medication
B. Ask the client to drive home
C. Give the next dose more slowly
D. Treat as possible anaphylaxis and activate emergency response
Rationale: Throat tightness may signal airway compromise.
4. Clinical review: A nurse discovers a medication error. Which finding or action best fits this situation?
A. Hide the error if no symptoms occur
B. Alter the record to conceal it
C. Assess the client immediately, notify the appropriate clinician, and follow reporting policy
D. Wait until the end of the week
Rationale: Patient safety and transparent reporting guide response to medication errors.
5. A nurse discovers a medication error. Which action is the nurse's priority?
A. Assess the client immediately, notify the appropriate clinician, and follow reporting policy
B. Alter the record to conceal it
C. Hide the error if no symptoms occur
D. Wait until the end of the week
Rationale: Patient safety and transparent reporting guide response to medication errors.
, 6. Safety check: A client reports a new medication allergy with hives and throat tightness. Which action best promotes client
safety?
A. Document only and continue medication
B. Give the next dose more slowly
C. Treat as possible anaphylaxis and activate emergency response
D. Ask the client to drive home
Rationale: Throat tightness may signal airway compromise.
7. During care: A surgical wound becomes red, warm, increasingly painful, and drains pus. Which nursing response is most
appropriate?
A. Cover signs and avoid documentation
B. Ignore drainage if the wound is closed
C. Report suspected infection and follow wound-care orders
D. Stop all prescribed antibiotics independently
Rationale: These are common signs of wound infection.
8. Safety check: A client on oxygen has a new drop in saturation and increased work of breathing. Which action best
promotes client safety?
A. Remove oxygen and leave
B. Assess airway and breathing, verify equipment, and escalate promptly
C. Assume the monitor is wrong without checking
D. Wait until the next routine vital signs
Rationale: New hypoxemia requires immediate assessment and intervention.
9. At the bedside, a client has severe dehydration with hypotension. What should the nurse do next?
A. Delay because the client is alert
B. Give a diuretic first without assessment
C. Restrict all fluids
D. Escalate care and anticipate prescribed isotonic IV fluids
Rationale: Hypotension can indicate inadequate circulating volume.
10. Client scenario: A client has severe hyponatremia with seizures. Which instruction should the nurse reinforce?
A. Give free water rapidly
B. Ignore the sodium level
C. Activate emergency care and institute seizure precautions
D. Encourage unsupervised ambulation
Rationale: Severe hyponatremia can cause cerebral edema and seizures.
11. Clinical review: Four clients need care; one has new stridor. Which finding or action best fits this situation?
A. A stable client requesting discharge papers
B. A client asking for routine hygiene
C. Assess the client with stridor first
D. A client with chronic pain unchanged from baseline
Rationale: Stridor signals possible airway obstruction, which is an immediate threat.
Comprehensive Adult Health II Review
75 Multiple-Choice Questions • Correct Answers Highlighted • Brief Rationales
Instructions: Choose the single best answer for each question. The correct option is highlighted in yellow, followed by a brief
rationale.
Study resource: Original practice questions based on the working assumption that NR-252 covers Adult Health II /
medical-surgical nursing. This is not an official Chamberlain exam; verify topics against your current syllabus.
1. A surgical wound becomes red, warm, increasingly painful, and drains pus. Which action is the nurse's priority?
A. Stop all prescribed antibiotics independently
B. Ignore drainage if the wound is closed
C. Report suspected infection and follow wound-care orders
D. Cover signs and avoid documentation
Rationale: These are common signs of wound infection.
2. Clinical review: A surgical wound becomes red, warm, increasingly painful, and drains pus. Which finding or action best
fits this situation?
A. Report suspected infection and follow wound-care orders
B. Cover signs and avoid documentation
C. Ignore drainage if the wound is closed
D. Stop all prescribed antibiotics independently
Rationale: These are common signs of wound infection.
3. A client reports a new medication allergy with hives and throat tightness. Which action is the nurse's priority?
A. Document only and continue medication
B. Ask the client to drive home
C. Give the next dose more slowly
D. Treat as possible anaphylaxis and activate emergency response
Rationale: Throat tightness may signal airway compromise.
4. Clinical review: A nurse discovers a medication error. Which finding or action best fits this situation?
A. Hide the error if no symptoms occur
B. Alter the record to conceal it
C. Assess the client immediately, notify the appropriate clinician, and follow reporting policy
D. Wait until the end of the week
Rationale: Patient safety and transparent reporting guide response to medication errors.
5. A nurse discovers a medication error. Which action is the nurse's priority?
A. Assess the client immediately, notify the appropriate clinician, and follow reporting policy
B. Alter the record to conceal it
C. Hide the error if no symptoms occur
D. Wait until the end of the week
Rationale: Patient safety and transparent reporting guide response to medication errors.
, 6. Safety check: A client reports a new medication allergy with hives and throat tightness. Which action best promotes client
safety?
A. Document only and continue medication
B. Give the next dose more slowly
C. Treat as possible anaphylaxis and activate emergency response
D. Ask the client to drive home
Rationale: Throat tightness may signal airway compromise.
7. During care: A surgical wound becomes red, warm, increasingly painful, and drains pus. Which nursing response is most
appropriate?
A. Cover signs and avoid documentation
B. Ignore drainage if the wound is closed
C. Report suspected infection and follow wound-care orders
D. Stop all prescribed antibiotics independently
Rationale: These are common signs of wound infection.
8. Safety check: A client on oxygen has a new drop in saturation and increased work of breathing. Which action best
promotes client safety?
A. Remove oxygen and leave
B. Assess airway and breathing, verify equipment, and escalate promptly
C. Assume the monitor is wrong without checking
D. Wait until the next routine vital signs
Rationale: New hypoxemia requires immediate assessment and intervention.
9. At the bedside, a client has severe dehydration with hypotension. What should the nurse do next?
A. Delay because the client is alert
B. Give a diuretic first without assessment
C. Restrict all fluids
D. Escalate care and anticipate prescribed isotonic IV fluids
Rationale: Hypotension can indicate inadequate circulating volume.
10. Client scenario: A client has severe hyponatremia with seizures. Which instruction should the nurse reinforce?
A. Give free water rapidly
B. Ignore the sodium level
C. Activate emergency care and institute seizure precautions
D. Encourage unsupervised ambulation
Rationale: Severe hyponatremia can cause cerebral edema and seizures.
11. Clinical review: Four clients need care; one has new stridor. Which finding or action best fits this situation?
A. A stable client requesting discharge papers
B. A client asking for routine hygiene
C. Assess the client with stridor first
D. A client with chronic pain unchanged from baseline
Rationale: Stridor signals possible airway obstruction, which is an immediate threat.
