1
NSG 320
GCU NSG 320/ NSG320 | Exam 1 | Adult Health
Nursing I | Questions & Answers| Grade A| 100%
Correct | (NEW 2025/ 2026)
Which assessment finding causes the nurse to suspect that a patient is experiencing
metabolic acidosis? - ANS ✓Kussmaul respirations
Explanation:
Dyspnea is an assessment finding that would cause the nurse to suspect respiratory, not
metabolic, acidosis. Kussmaul respirations are frequent, deep breaths that constitute a
compensatory mechanism in an effort to breathe out more carbon dioxide. This is an
assessment finding that would cause the nurse to suspect that the patient is
experiencing metabolic acidosis. Polyuria and muscle twitching are both is an
assessment findings that would cause the nurse to suspect metabolic alkalosis, not
acidosis.
Which interventions should the nurse perform for a patient with diabetes who appears
confused and responds to questions with irritation? (select all that apply) - ANS ✓Give
the patient a snack
Check the patient's blood glucose level
Explanation:
The patient is exhibiting signs of
hypoglycemia, and the nurse should check the patient's blood glucose level to confirm
this along with providing the patient with a snack.
A family member asks the nurse how a patient develops pneumonia. What is the best
response by the nurse? - ANS ✓Pneumonia develops when bacteria invades the lower
airways
NSG 320
, 2
NSG 320
A 22-year-old patient with cystic fibrosis is receiving a pneumonia vaccine. The patient
asks the nurse why it is necessary to have the vaccine at such a young age. What is the
best response by the nurse? - ANS ✓Because of your health history, you should receive
the vaccine even though you are not 65 years old.
Explanation:
Cystic fibrosis is a chronic illness affecting the lungs. Patients with chronic illnesses
should receive the vaccine, even if they are younger than 65 years.
A nurse is caring for a patient in the unit that is in a coma. Which nursing interventions
should be included to prevent this patient from getting pneumonia? (select all that
apply) - ANS ✓Perform hand hygiene before and after providing patient care.
Reposition patient every two hours while in bed.
Raise the patient's head of bed to 30 degrees.
Which nursing actions should the nurse perform when analyzing an ABG during the
assessment process for a patient who is suspected of having an acid-base imbalance?
(Select all that apply) - ANS ✓Examining oxygenation status
Evaluating the pH
Assessing PaCO2 and HCO3
Determining compensation
What patient is at the highest risk of developing COPD? - ANS ✓20+ year smoker who
works in a coal mine and whose family history includes a mother with COPD
Explanation:
Exposure to cigarette smoke and coal increases the risk of developing COPD
NSG 320
NSG 320
GCU NSG 320/ NSG320 | Exam 1 | Adult Health
Nursing I | Questions & Answers| Grade A| 100%
Correct | (NEW 2025/ 2026)
Which assessment finding causes the nurse to suspect that a patient is experiencing
metabolic acidosis? - ANS ✓Kussmaul respirations
Explanation:
Dyspnea is an assessment finding that would cause the nurse to suspect respiratory, not
metabolic, acidosis. Kussmaul respirations are frequent, deep breaths that constitute a
compensatory mechanism in an effort to breathe out more carbon dioxide. This is an
assessment finding that would cause the nurse to suspect that the patient is
experiencing metabolic acidosis. Polyuria and muscle twitching are both is an
assessment findings that would cause the nurse to suspect metabolic alkalosis, not
acidosis.
Which interventions should the nurse perform for a patient with diabetes who appears
confused and responds to questions with irritation? (select all that apply) - ANS ✓Give
the patient a snack
Check the patient's blood glucose level
Explanation:
The patient is exhibiting signs of
hypoglycemia, and the nurse should check the patient's blood glucose level to confirm
this along with providing the patient with a snack.
A family member asks the nurse how a patient develops pneumonia. What is the best
response by the nurse? - ANS ✓Pneumonia develops when bacteria invades the lower
airways
NSG 320
, 2
NSG 320
A 22-year-old patient with cystic fibrosis is receiving a pneumonia vaccine. The patient
asks the nurse why it is necessary to have the vaccine at such a young age. What is the
best response by the nurse? - ANS ✓Because of your health history, you should receive
the vaccine even though you are not 65 years old.
Explanation:
Cystic fibrosis is a chronic illness affecting the lungs. Patients with chronic illnesses
should receive the vaccine, even if they are younger than 65 years.
A nurse is caring for a patient in the unit that is in a coma. Which nursing interventions
should be included to prevent this patient from getting pneumonia? (select all that
apply) - ANS ✓Perform hand hygiene before and after providing patient care.
Reposition patient every two hours while in bed.
Raise the patient's head of bed to 30 degrees.
Which nursing actions should the nurse perform when analyzing an ABG during the
assessment process for a patient who is suspected of having an acid-base imbalance?
(Select all that apply) - ANS ✓Examining oxygenation status
Evaluating the pH
Assessing PaCO2 and HCO3
Determining compensation
What patient is at the highest risk of developing COPD? - ANS ✓20+ year smoker who
works in a coal mine and whose family history includes a mother with COPD
Explanation:
Exposure to cigarette smoke and coal increases the risk of developing COPD
NSG 320
