3275 Adult Nursing 1
Final Exam Review
(Questions & Solutions)
2025
1
, 1. Multiple Choice
Question:
An 82-year-old male with a history of congestive heart failure, chronic
kidney disease, and diabetes presents to the emergency department with
acute shortness of breath and confusion. Which initial assessment
parameter is most critical to determine the immediacy of his
decompensation?
- A. Temperature
- B. Oxygen saturation
- C. Blood glucose
- D. Jugular venous distension
Correct ANS:
B. Oxygen saturation
Rationale:
Oxygen saturation provides immediate information about tissue
oxygenation and respiratory function. In an acutely decompensating
older adult, hypoxemia is a life-threatening sign that necessitates prompt
intervention.
---
2. Fill-in-the-Blank
Question:
The systematic framework comprising assessment, diagnosis, planning,
implementation, and evaluation that guides individualized care is known
as the __________.
Correct ANS:
nursing process
2
, Rationale:
The nursing process is the backbone of clinical decision-making, ensuring
that care is holistic, patient-centered, and adaptable to both acute crises
and chronic management.
---
3. True/False
Question:
True or False: Older adults may present with atypical symptoms—such as
confusion, falls, or general weakness—when experiencing conditions like
myocardial infarction or sepsis.
Correct ANS:
True
Rationale:
Physiologic changes and comorbid conditions in older adults often lead to
atypical presentations. Recognizing subtle signs is crucial for early
diagnosis and intervention.
---
4. Multiple Response
Question:
When conducting a comprehensive assessment of an acutely ill adult
with chronic alterations, which of the following components are
essential? (Select all that apply)
- A. Vital signs and hemodynamic status
- B. Mental status and cognitive function
- C. Nutritional status and weight history
- D. Social, cultural, and psychosocial background
- E. Patient’s astrological sign
Correct ANSs:
3
Final Exam Review
(Questions & Solutions)
2025
1
, 1. Multiple Choice
Question:
An 82-year-old male with a history of congestive heart failure, chronic
kidney disease, and diabetes presents to the emergency department with
acute shortness of breath and confusion. Which initial assessment
parameter is most critical to determine the immediacy of his
decompensation?
- A. Temperature
- B. Oxygen saturation
- C. Blood glucose
- D. Jugular venous distension
Correct ANS:
B. Oxygen saturation
Rationale:
Oxygen saturation provides immediate information about tissue
oxygenation and respiratory function. In an acutely decompensating
older adult, hypoxemia is a life-threatening sign that necessitates prompt
intervention.
---
2. Fill-in-the-Blank
Question:
The systematic framework comprising assessment, diagnosis, planning,
implementation, and evaluation that guides individualized care is known
as the __________.
Correct ANS:
nursing process
2
, Rationale:
The nursing process is the backbone of clinical decision-making, ensuring
that care is holistic, patient-centered, and adaptable to both acute crises
and chronic management.
---
3. True/False
Question:
True or False: Older adults may present with atypical symptoms—such as
confusion, falls, or general weakness—when experiencing conditions like
myocardial infarction or sepsis.
Correct ANS:
True
Rationale:
Physiologic changes and comorbid conditions in older adults often lead to
atypical presentations. Recognizing subtle signs is crucial for early
diagnosis and intervention.
---
4. Multiple Response
Question:
When conducting a comprehensive assessment of an acutely ill adult
with chronic alterations, which of the following components are
essential? (Select all that apply)
- A. Vital signs and hemodynamic status
- B. Mental status and cognitive function
- C. Nutritional status and weight history
- D. Social, cultural, and psychosocial background
- E. Patient’s astrological sign
Correct ANSs:
3
