NR 324 ADULT HEALTH I FINAL EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-8 | 150 QUESTIONS |
100% VERIFIED CORRECT ANSWERS | PASS GUARANTEED | 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: Comprehensive Final Examination
TOTAL QUESTIONS: 150 | 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 & Acid-Base Balance Q1-15
Section 2 Perioperative Nursing & Pain Management Q16-25
Section 3 Wound Care & Infection Control Q26-35
Section 4 Respiratory Disorders Q36-50
Section 5 Cardiovascular Disorders Q51-70
Section 6 Hematologic Disorders Q71-85
Section 7 Immunologic Disorders & HIV/AIDS Q86-95
Section 8 Autoimmune Disorders Q96-105
Section 9 Endocrine Disorders Q106-115
Section 10 Gastrointestinal Disorders Q116-125
Section 11 Renal & Genitourinary Disorders Q126-135
Section 12 Musculoskeletal Disorders Q136-145
Section 13 Integrated Clinical Scenarios Q146-150
SECTION 1: FLUID, ELECTROLYTE & ACID-BASE BALANCE
Q1: A patient is admitted with severe dehydration. Which assessment finding would the nurse expect?
, NR 324 ADULT HEALTH I FINAL EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-8 | 150 QUESTIONS |
100% VERIFIED CORRECT ANSWERS | PASS GUARANTEED | GRADED A+
A. Bounding pulse
B. Jugular vein distention
C. Orthostatic hypotension. [100% CORRECT]
D. Crackles in lung bases
Correct Answer: C
Rationale: Correct: Dehydration causes hypovolemia, leading to orthostatic hypotension . Incorrect A, B, D:
Indicate fluid overload.
Q2: A patient has a serum sodium level of 125 mEq/L. Which assessment finding is most concerning?
A. Dry mucous membranes
B. Thirst
C. Altered mental status. [100% CORRECT]
D. Fever
Correct Answer: C
Rationale: Correct: Severe hyponatremia causes cerebral edema, leading to confusion and seizures . Incorrect
A, B, D: Signs of hypernatremia.
Q3: A patient has a serum potassium level of 6.8 mEq/L. Which ECG change would the nurse expect?
A. Flattened T waves
B. U waves
C. Peaked T waves. [100% CORRECT]
D. Prolonged QT interval
, NR 324 ADULT HEALTH I FINAL EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-8 | 150 QUESTIONS |
100% VERIFIED CORRECT ANSWERS | PASS GUARANTEED | GRADED A+
Correct Answer: C
Rationale: Correct: Hyperkalemia causes peaked (tented) T waves . Incorrect A, B: Hypokalemia. Incorrect D:
Hypocalcemia.
Q4: 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 but does not lower potassium . Incorrect A, C, D:
Insulin/glucose lower potassium.
Q5: 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
, NR 324 ADULT HEALTH I FINAL EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-8 | 150 QUESTIONS |
100% VERIFIED CORRECT ANSWERS | PASS GUARANTEED | GRADED A+
Rationale: Correct: Hypocalcemia causes neuromuscular irritability . Incorrect B, C, D: Hypercalcemia.
Q6: A patient has an ABG result: pH 7.32, PaCO2 48, HCO3 24. The nurse interprets this as:
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis. [100% CORRECT]
D. Respiratory alkalosis
Correct Answer: C
Rationale: Correct: Low pH, high PaCO2 indicates respiratory acidosis . Incorrect A, B, D: Not consistent.
Q7: A patient has an ABG result: pH 7.48, PaCO2 32, HCO3 24. The nurse interprets this as:
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis. [100% CORRECT]
Correct Answer: D
Rationale: Correct: High pH, low PaCO2 indicates respiratory alkalosis . Incorrect A, B, C: Not consistent.
Q8: A patient has an ABG result: pH 7.30, PaCO2 38, HCO3 18. The nurse interprets this as:
A. Metabolic acidosis. [100% CORRECT]
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-8 | 150 QUESTIONS |
100% VERIFIED CORRECT ANSWERS | PASS GUARANTEED | 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: Comprehensive Final Examination
TOTAL QUESTIONS: 150 | 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 & Acid-Base Balance Q1-15
Section 2 Perioperative Nursing & Pain Management Q16-25
Section 3 Wound Care & Infection Control Q26-35
Section 4 Respiratory Disorders Q36-50
Section 5 Cardiovascular Disorders Q51-70
Section 6 Hematologic Disorders Q71-85
Section 7 Immunologic Disorders & HIV/AIDS Q86-95
Section 8 Autoimmune Disorders Q96-105
Section 9 Endocrine Disorders Q106-115
Section 10 Gastrointestinal Disorders Q116-125
Section 11 Renal & Genitourinary Disorders Q126-135
Section 12 Musculoskeletal Disorders Q136-145
Section 13 Integrated Clinical Scenarios Q146-150
SECTION 1: FLUID, ELECTROLYTE & ACID-BASE BALANCE
Q1: A patient is admitted with severe dehydration. Which assessment finding would the nurse expect?
, NR 324 ADULT HEALTH I FINAL EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-8 | 150 QUESTIONS |
100% VERIFIED CORRECT ANSWERS | PASS GUARANTEED | GRADED A+
A. Bounding pulse
B. Jugular vein distention
C. Orthostatic hypotension. [100% CORRECT]
D. Crackles in lung bases
Correct Answer: C
Rationale: Correct: Dehydration causes hypovolemia, leading to orthostatic hypotension . Incorrect A, B, D:
Indicate fluid overload.
Q2: A patient has a serum sodium level of 125 mEq/L. Which assessment finding is most concerning?
A. Dry mucous membranes
B. Thirst
C. Altered mental status. [100% CORRECT]
D. Fever
Correct Answer: C
Rationale: Correct: Severe hyponatremia causes cerebral edema, leading to confusion and seizures . Incorrect
A, B, D: Signs of hypernatremia.
Q3: A patient has a serum potassium level of 6.8 mEq/L. Which ECG change would the nurse expect?
A. Flattened T waves
B. U waves
C. Peaked T waves. [100% CORRECT]
D. Prolonged QT interval
, NR 324 ADULT HEALTH I FINAL EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-8 | 150 QUESTIONS |
100% VERIFIED CORRECT ANSWERS | PASS GUARANTEED | GRADED A+
Correct Answer: C
Rationale: Correct: Hyperkalemia causes peaked (tented) T waves . Incorrect A, B: Hypokalemia. Incorrect D:
Hypocalcemia.
Q4: 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 but does not lower potassium . Incorrect A, C, D:
Insulin/glucose lower potassium.
Q5: 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
, NR 324 ADULT HEALTH I FINAL EXAM ACTUAL EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE WEEKS 1-8 | 150 QUESTIONS |
100% VERIFIED CORRECT ANSWERS | PASS GUARANTEED | GRADED A+
Rationale: Correct: Hypocalcemia causes neuromuscular irritability . Incorrect B, C, D: Hypercalcemia.
Q6: A patient has an ABG result: pH 7.32, PaCO2 48, HCO3 24. The nurse interprets this as:
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis. [100% CORRECT]
D. Respiratory alkalosis
Correct Answer: C
Rationale: Correct: Low pH, high PaCO2 indicates respiratory acidosis . Incorrect A, B, D: Not consistent.
Q7: A patient has an ABG result: pH 7.48, PaCO2 32, HCO3 24. The nurse interprets this as:
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis. [100% CORRECT]
Correct Answer: D
Rationale: Correct: High pH, low PaCO2 indicates respiratory alkalosis . Incorrect A, B, C: Not consistent.
Q8: A patient has an ABG result: pH 7.30, PaCO2 38, HCO3 18. The nurse interprets this as:
A. Metabolic acidosis. [100% CORRECT]
