NSG3037
Caring for Adults I
LATEST FINAL EXAM REVIEW
Q&S
©2024/2025
,1. A 68-year-old male with COPD presents with increased
shortness of breath. Which of the following assessments is the
priority?
- A) Lung sounds
- B) Blood pressure
- C) Temperature
- D) Peripheral edema
Answer: A) Lung sounds
Rationale: Assessment of lung sounds can provide immediate
information regarding airway patency and the presence of
additional respiratory distress or obstruction.
2. A patient with diabetes is admitted with hyperglycemia. What is
the most appropriate initial nursing intervention?
- A) Administer scheduled insulin
- B) Educate the patient on diet
- C) Encourage fluid intake
- D) Obtain a urine sample for ketones
Answer: C) Encourage fluid intake
Rationale: Encouraging fluid intake can help with dilution of
the serum glucose and prevention of dehydration, which is crucial
in initial management.
©2024/2025
, 3. When administering digoxin, which lab level must be checked
prior to giving the medication?
- A) Sodium
- B) Potassium
- C) Calcium
- D) Magnesium
Answer: B) Potassium
Rationale: Hypokalemia increases the risk of digoxin toxicity;
thus, potassium levels must be monitored.
4. Which of the following is the most characteristic symptom of a
myocardial infarction?
- A) Sharp, localized chest pain
- B) Crushing chest pain radiating to the left arm
- C) Intermittent abdominal pain
- D) Generalized fatigue
Answer: B) Crushing chest pain radiating to the left arm
Rationale: This is a classic presentation of a myocardial
infarction (MI), indicating ischemic chest pain.
©2024/2025
Caring for Adults I
LATEST FINAL EXAM REVIEW
Q&S
©2024/2025
,1. A 68-year-old male with COPD presents with increased
shortness of breath. Which of the following assessments is the
priority?
- A) Lung sounds
- B) Blood pressure
- C) Temperature
- D) Peripheral edema
Answer: A) Lung sounds
Rationale: Assessment of lung sounds can provide immediate
information regarding airway patency and the presence of
additional respiratory distress or obstruction.
2. A patient with diabetes is admitted with hyperglycemia. What is
the most appropriate initial nursing intervention?
- A) Administer scheduled insulin
- B) Educate the patient on diet
- C) Encourage fluid intake
- D) Obtain a urine sample for ketones
Answer: C) Encourage fluid intake
Rationale: Encouraging fluid intake can help with dilution of
the serum glucose and prevention of dehydration, which is crucial
in initial management.
©2024/2025
, 3. When administering digoxin, which lab level must be checked
prior to giving the medication?
- A) Sodium
- B) Potassium
- C) Calcium
- D) Magnesium
Answer: B) Potassium
Rationale: Hypokalemia increases the risk of digoxin toxicity;
thus, potassium levels must be monitored.
4. Which of the following is the most characteristic symptom of a
myocardial infarction?
- A) Sharp, localized chest pain
- B) Crushing chest pain radiating to the left arm
- C) Intermittent abdominal pain
- D) Generalized fatigue
Answer: B) Crushing chest pain radiating to the left arm
Rationale: This is a classic presentation of a myocardial
infarction (MI), indicating ischemic chest pain.
©2024/2025
