NR 324 \ NR324 ADULT HEALTH I FINAL EXAM 2
2025 QUESTIONS AND ANSWERS PLUS
RATIONALES| GUARANTEED PASS | LATEST
UPDATE | CHAMBERLAIN UNIVERSITY
1. A patient with heart failure is prescribed furosemide. Which lab value is most
important to monitor?
A. Hemoglobin
B. Potassium
C. White blood cell count
D. Blood glucose
Rationale: Furosemide is a loop diuretic that causes potassium loss. Hypokalemia
can cause cardiac arrhythmias and muscle weakness.
2. A patient with COPD is receiving oxygen therapy. What is the priority
assessment?
A. Temperature
B. Blood pressure
,C. Respiratory rate and mental status
D. Pulse oximetry
Rationale: Too much oxygen can depress respiratory drive in COPD patients, so
close monitoring of respiratory rate and LOC is critical.
3. Which dietary choice is best for a patient with chronic kidney disease (CKD)?
A. Grilled chicken with baked potato and broccoli
B. Ham sandwich with pickles and chips
C. Cheese pizza and soda
D. Egg whites with rice and steamed green beans
Rationale: Patients with CKD need low-sodium, low-potassium, low-phosphorus,
and moderate protein. Egg whites and steamed vegetables are appropriate.
4. A nurse is caring for a postoperative patient. Which finding should be
reported immediately?
A. Pain score of 7/10
B. Absent bowel sounds for 4 hours
C. Urine output of 50 mL/hour
D. Temperature of 99.2°F (37.3°C)
Rationale: Absent bowel sounds may indicate paralytic ileus or bowel obstruction
and require immediate evaluation.
5. What assessment finding indicates fluid volume overload?
,A. Hypotension
B. Crackles in the lungs
C. Flat neck veins
D. Decreased urine output
Rationale: Fluid overload causes pulmonary congestion, often heard as crackles. It
also leads to edema and jugular vein distension.
6. Which medication should be held before a CT scan with IV contrast?
A. Metformin
B. Lisinopril
C. Furosemide
D. Digoxin
Rationale: Metformin can increase the risk of lactic acidosis if kidney function is
impaired by contrast dye.
7. What is the best indicator of improved perfusion in a patient with shock?
A. Increased blood pressure
B. Increased urine output
C. Decreased heart rate
D. Improved skin color
Rationale: Adequate renal perfusion results in improved urine output, which is a
sensitive measure of organ perfusion.
, 8. What complication is associated with immobility after surgery?
A. Tachycardia
B. Hyperkalemia
C. Deep vein thrombosis (DVT)
D. Urinary frequency
Rationale: Immobility increases risk for venous stasis, which can cause DVT. Early
ambulation is key for prevention.
9. Which is a sign of hypoglycemia?
A. Flushed skin
B. Diaphoresis and shakiness
C. Slow pulse
D. Polyuria
Rationale: Hypoglycemia triggers sympathetic nervous system response, causing
sweating, tremors, and irritability.
10. A patient with hyperthyroidism presents with exophthalmos. What is the
most appropriate intervention?
A. Apply warm compresses to the eyes
B. Use artificial tears and protect the eyes
C. Restrict fluid intake
D. Encourage frequent blinking
2025 QUESTIONS AND ANSWERS PLUS
RATIONALES| GUARANTEED PASS | LATEST
UPDATE | CHAMBERLAIN UNIVERSITY
1. A patient with heart failure is prescribed furosemide. Which lab value is most
important to monitor?
A. Hemoglobin
B. Potassium
C. White blood cell count
D. Blood glucose
Rationale: Furosemide is a loop diuretic that causes potassium loss. Hypokalemia
can cause cardiac arrhythmias and muscle weakness.
2. A patient with COPD is receiving oxygen therapy. What is the priority
assessment?
A. Temperature
B. Blood pressure
,C. Respiratory rate and mental status
D. Pulse oximetry
Rationale: Too much oxygen can depress respiratory drive in COPD patients, so
close monitoring of respiratory rate and LOC is critical.
3. Which dietary choice is best for a patient with chronic kidney disease (CKD)?
A. Grilled chicken with baked potato and broccoli
B. Ham sandwich with pickles and chips
C. Cheese pizza and soda
D. Egg whites with rice and steamed green beans
Rationale: Patients with CKD need low-sodium, low-potassium, low-phosphorus,
and moderate protein. Egg whites and steamed vegetables are appropriate.
4. A nurse is caring for a postoperative patient. Which finding should be
reported immediately?
A. Pain score of 7/10
B. Absent bowel sounds for 4 hours
C. Urine output of 50 mL/hour
D. Temperature of 99.2°F (37.3°C)
Rationale: Absent bowel sounds may indicate paralytic ileus or bowel obstruction
and require immediate evaluation.
5. What assessment finding indicates fluid volume overload?
,A. Hypotension
B. Crackles in the lungs
C. Flat neck veins
D. Decreased urine output
Rationale: Fluid overload causes pulmonary congestion, often heard as crackles. It
also leads to edema and jugular vein distension.
6. Which medication should be held before a CT scan with IV contrast?
A. Metformin
B. Lisinopril
C. Furosemide
D. Digoxin
Rationale: Metformin can increase the risk of lactic acidosis if kidney function is
impaired by contrast dye.
7. What is the best indicator of improved perfusion in a patient with shock?
A. Increased blood pressure
B. Increased urine output
C. Decreased heart rate
D. Improved skin color
Rationale: Adequate renal perfusion results in improved urine output, which is a
sensitive measure of organ perfusion.
, 8. What complication is associated with immobility after surgery?
A. Tachycardia
B. Hyperkalemia
C. Deep vein thrombosis (DVT)
D. Urinary frequency
Rationale: Immobility increases risk for venous stasis, which can cause DVT. Early
ambulation is key for prevention.
9. Which is a sign of hypoglycemia?
A. Flushed skin
B. Diaphoresis and shakiness
C. Slow pulse
D. Polyuria
Rationale: Hypoglycemia triggers sympathetic nervous system response, causing
sweating, tremors, and irritability.
10. A patient with hyperthyroidism presents with exophthalmos. What is the
most appropriate intervention?
A. Apply warm compresses to the eyes
B. Use artificial tears and protect the eyes
C. Restrict fluid intake
D. Encourage frequent blinking
