NR 324 ADULT HEALTH I MIDTERM EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-4 | 120 QUESTIONS |
VERIFIED CORRECT ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
COURSE: NR 324: Adult Health I (Medical-Surgical Nursing)
INSTITUTION: Chamberlain University College of Nursing
ACADEMIC YEAR: 2026/2027 | Latest Update
EXAM TYPE: Midterm Examination | Comprehensive Weeks 1-4
TOTAL QUESTIONS: 120 | Format: Multiple Choice, Select All That Apply, Clinical Scenarios
GRADE: A+ | 100% Verified Correct Answers with Detailed Rationales
TABLE OF CONTENTS
Section Topic Area Questions
Section 1 Fluid & Electrolyte Balance Q1-15
Section 2 Acid-Base Balance Q16-25
Section 3 Perioperative Nursing Q26-35
Section 4 Pain Management Q36-45
Section 5 Wound Care & Healing Q46-55
Section 6 Infection Control & Immunity Q56-65
Section 7 Respiratory Disorders Q66-80
Section 8 Cardiovascular Disorders Q81-100
Section 9 Integrated Clinical Scenarios Q101-120
, NR 324 ADULT HEALTH I MIDTERM EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-4 | 120 QUESTIONS |
VERIFIED CORRECT ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
SECTION 1: FLUID & ELECTROLYTE BALANCE
Q1: A patient is admitted with dehydration. Which assessment finding would the nurse expect?
A. Bounding pulse
B. Jugular vein distention
C. Increased skin turgor
D. Orthostatic hypotension. [100% CORRECT]
Correct Answer: D
Rationale: Correct: Dehydration causes hypovolemia, leading to orthostatic hypotension . Incorrect A, B:
Indicate fluid overload. Incorrect C: Decreased skin turgor occurs in dehydration.
Q2: A patient with heart failure is at risk for which fluid imbalance?
A. Dehydration
B. Hypervolemia. [100% CORRECT]
C. Hypovolemia
D. Third-spacing
Correct Answer: B
Rationale: Correct: Heart failure impairs cardiac output, leading to fluid retention . Incorrect A, C, D: Not
typical.
Q3: A patient has a serum sodium level of 125 mEq/L. Which assessment finding is most concerning?
A. Dry mucous membranes
, NR 324 ADULT HEALTH I MIDTERM EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-4 | 120 QUESTIONS |
VERIFIED CORRECT ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
B. Altered mental status. [100% CORRECT]
C. Thirst
D. Fever
Correct Answer: B
Rationale: Correct: Severe hyponatremia causes cerebral edema, leading to confusion and seizures . Incorrect
A, C, D: Signs of hypernatremia.
Q4: The nurse is caring for a patient with hyponatremia. Which intervention is most appropriate?
A. Restrict fluid intake. [100% CORRECT]
B. Administer hypotonic IV fluids
C. Encourage high-sodium foods
D. Restrict sodium intake
Correct Answer: A
Rationale: Correct: Fluid restriction is first-line for hyponatremia . Incorrect B: Would worsen hyponatremia.
Incorrect C, D: Not primary.
Q5: A patient has a serum potassium level of 6.8 mEq/L. Which ECG change would the nurse expect?
A. Peaked T waves. [100% CORRECT]
B. Flattened T waves
C. U waves
D. Prolonged QT interval
, NR 324 ADULT HEALTH I MIDTERM EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-4 | 120 QUESTIONS |
VERIFIED CORRECT ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
Correct Answer: A
Rationale: Correct: Hyperkalemia causes peaked (tented) T waves . Incorrect B, C: Hypokalemia. Incorrect D:
Hypocalcemia.
Q6: A patient with hyperkalemia is prescribed IV calcium gluconate. The nurse understands that this
medication works by:
A. Lowering serum potassium levels
B. Antagonizing the cardiac effects of hyperkalemia. [100% CORRECT]
C. Increasing potassium excretion
D. Shifting potassium into cells
Correct Answer: B
Rationale: Correct: Calcium stabilizes cardiac membranes . Incorrect A, C, D: Insulin/glucose lower
potassium.
Q7: A patient has a serum calcium level of 7.0 mg/dL. Which assessment finding would the nurse expect?
A. Positive Trousseau's sign. [100% CORRECT]
B. Bone pain
C. Constipation
D. Lethargy
Correct Answer: A
Rationale: Correct: Hypocalcemia causes neuromuscular irritability . Incorrect B, C, D: Hypercalcemia.
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-4 | 120 QUESTIONS |
VERIFIED CORRECT ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
COURSE: NR 324: Adult Health I (Medical-Surgical Nursing)
INSTITUTION: Chamberlain University College of Nursing
ACADEMIC YEAR: 2026/2027 | Latest Update
EXAM TYPE: Midterm Examination | Comprehensive Weeks 1-4
TOTAL QUESTIONS: 120 | Format: Multiple Choice, Select All That Apply, Clinical Scenarios
GRADE: A+ | 100% Verified Correct Answers with Detailed Rationales
TABLE OF CONTENTS
Section Topic Area Questions
Section 1 Fluid & Electrolyte Balance Q1-15
Section 2 Acid-Base Balance Q16-25
Section 3 Perioperative Nursing Q26-35
Section 4 Pain Management Q36-45
Section 5 Wound Care & Healing Q46-55
Section 6 Infection Control & Immunity Q56-65
Section 7 Respiratory Disorders Q66-80
Section 8 Cardiovascular Disorders Q81-100
Section 9 Integrated Clinical Scenarios Q101-120
, NR 324 ADULT HEALTH I MIDTERM EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-4 | 120 QUESTIONS |
VERIFIED CORRECT ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
SECTION 1: FLUID & ELECTROLYTE BALANCE
Q1: A patient is admitted with dehydration. Which assessment finding would the nurse expect?
A. Bounding pulse
B. Jugular vein distention
C. Increased skin turgor
D. Orthostatic hypotension. [100% CORRECT]
Correct Answer: D
Rationale: Correct: Dehydration causes hypovolemia, leading to orthostatic hypotension . Incorrect A, B:
Indicate fluid overload. Incorrect C: Decreased skin turgor occurs in dehydration.
Q2: A patient with heart failure is at risk for which fluid imbalance?
A. Dehydration
B. Hypervolemia. [100% CORRECT]
C. Hypovolemia
D. Third-spacing
Correct Answer: B
Rationale: Correct: Heart failure impairs cardiac output, leading to fluid retention . Incorrect A, C, D: Not
typical.
Q3: A patient has a serum sodium level of 125 mEq/L. Which assessment finding is most concerning?
A. Dry mucous membranes
, NR 324 ADULT HEALTH I MIDTERM EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-4 | 120 QUESTIONS |
VERIFIED CORRECT ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
B. Altered mental status. [100% CORRECT]
C. Thirst
D. Fever
Correct Answer: B
Rationale: Correct: Severe hyponatremia causes cerebral edema, leading to confusion and seizures . Incorrect
A, C, D: Signs of hypernatremia.
Q4: The nurse is caring for a patient with hyponatremia. Which intervention is most appropriate?
A. Restrict fluid intake. [100% CORRECT]
B. Administer hypotonic IV fluids
C. Encourage high-sodium foods
D. Restrict sodium intake
Correct Answer: A
Rationale: Correct: Fluid restriction is first-line for hyponatremia . Incorrect B: Would worsen hyponatremia.
Incorrect C, D: Not primary.
Q5: A patient has a serum potassium level of 6.8 mEq/L. Which ECG change would the nurse expect?
A. Peaked T waves. [100% CORRECT]
B. Flattened T waves
C. U waves
D. Prolonged QT interval
, NR 324 ADULT HEALTH I MIDTERM EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-4 | 120 QUESTIONS |
VERIFIED CORRECT ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
Correct Answer: A
Rationale: Correct: Hyperkalemia causes peaked (tented) T waves . Incorrect B, C: Hypokalemia. Incorrect D:
Hypocalcemia.
Q6: A patient with hyperkalemia is prescribed IV calcium gluconate. The nurse understands that this
medication works by:
A. Lowering serum potassium levels
B. Antagonizing the cardiac effects of hyperkalemia. [100% CORRECT]
C. Increasing potassium excretion
D. Shifting potassium into cells
Correct Answer: B
Rationale: Correct: Calcium stabilizes cardiac membranes . Incorrect A, C, D: Insulin/glucose lower
potassium.
Q7: A patient has a serum calcium level of 7.0 mg/dL. Which assessment finding would the nurse expect?
A. Positive Trousseau's sign. [100% CORRECT]
B. Bone pain
C. Constipation
D. Lethargy
Correct Answer: A
Rationale: Correct: Hypocalcemia causes neuromuscular irritability . Incorrect B, C, D: Hypercalcemia.
