NR 324 ADULT HEALTH I PRACTICE EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE REVIEW | 100
QUESTIONS | FULL-LENGTH PRACTICE TEST | 100% 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: Practice Examination A
TOTAL QUESTIONS: 100 | 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 Q1-12
Section 2 Acid-Base Balance Q13-18
Section 3 Perioperative Nursing & Pain Management Q19-24
Section 4 Wound Care & Infection ControlQ25-30
Section 5 Respiratory Disorders Q31-45
Section 6 Cardiovascular Disorders Q46-65
Section 7 Hematologic & Immunologic Disorders Q66-75
Section 8 Endocrine & Gastrointestinal Disorders Q76-85
Section 9 Renal & Musculoskeletal Disorders Q86-95
Section 10 Integrated Clinical Scenarios Q96-100
, NR 324 ADULT HEALTH I PRACTICE EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE REVIEW | 100
QUESTIONS | FULL-LENGTH PRACTICE TEST | 100% CORRECT
ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
SECTION 1: FLUID & ELECTROLYTE BALANCE
Q1: A patient is admitted with severe dehydration. Which assessment finding would the nurse
expect?
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
, NR 324 ADULT HEALTH I PRACTICE EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE REVIEW | 100
QUESTIONS | FULL-LENGTH PRACTICE TEST | 100% CORRECT
ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
C. Peaked T waves. [100% CORRECT]
D. Prolonged QT interval
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 . 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 PRACTICE EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE REVIEW | 100
QUESTIONS | FULL-LENGTH PRACTICE TEST | 100% CORRECT
ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
Rationale: Correct: Hypocalcemia causes neuromuscular irritability . Incorrect B, C, D:
Hypercalcemia.
Q6: A patient with hypercalcemia is being treated. Which intervention should the nurse include?
A. Encourage weight-bearing activity
B. Administer IV fluids. [100% CORRECT]
C. Restrict dietary calcium
D. Administer calcium supplements
Correct Answer: B
Rationale: Correct: IV fluids promote calcium excretion . Incorrect A, C, D: Not primary.
Q7: A patient has a serum magnesium level of 1.0 mEq/L. Which assessment finding would the nurse
expect?
A. Hyperreflexia. [100% CORRECT]
B. Hyporeflexia
C. Bradycardia
D. Constipation
Correct Answer: A
Rationale: Correct: Hypomagnesemia causes neuromuscular irritability . Incorrect B, C, D:
Hypermagnesemia.
Q8: A patient is receiving IV fluids at 150 mL/hr. Which assessment finding indicates fluid overload?
A. BUN 10 mg/dL
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE REVIEW | 100
QUESTIONS | FULL-LENGTH PRACTICE TEST | 100% 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: Practice Examination A
TOTAL QUESTIONS: 100 | 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 Q1-12
Section 2 Acid-Base Balance Q13-18
Section 3 Perioperative Nursing & Pain Management Q19-24
Section 4 Wound Care & Infection ControlQ25-30
Section 5 Respiratory Disorders Q31-45
Section 6 Cardiovascular Disorders Q46-65
Section 7 Hematologic & Immunologic Disorders Q66-75
Section 8 Endocrine & Gastrointestinal Disorders Q76-85
Section 9 Renal & Musculoskeletal Disorders Q86-95
Section 10 Integrated Clinical Scenarios Q96-100
, NR 324 ADULT HEALTH I PRACTICE EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE REVIEW | 100
QUESTIONS | FULL-LENGTH PRACTICE TEST | 100% CORRECT
ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
SECTION 1: FLUID & ELECTROLYTE BALANCE
Q1: A patient is admitted with severe dehydration. Which assessment finding would the nurse
expect?
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
, NR 324 ADULT HEALTH I PRACTICE EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE REVIEW | 100
QUESTIONS | FULL-LENGTH PRACTICE TEST | 100% CORRECT
ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
C. Peaked T waves. [100% CORRECT]
D. Prolonged QT interval
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 . 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 PRACTICE EXAM 2026/2027 |
CHAMBERLAIN UNIVERSITY | COMPREHENSIVE REVIEW | 100
QUESTIONS | FULL-LENGTH PRACTICE TEST | 100% CORRECT
ANSWERS | PASS GUARANTEED | ALREADY GRADED A+
Rationale: Correct: Hypocalcemia causes neuromuscular irritability . Incorrect B, C, D:
Hypercalcemia.
Q6: A patient with hypercalcemia is being treated. Which intervention should the nurse include?
A. Encourage weight-bearing activity
B. Administer IV fluids. [100% CORRECT]
C. Restrict dietary calcium
D. Administer calcium supplements
Correct Answer: B
Rationale: Correct: IV fluids promote calcium excretion . Incorrect A, C, D: Not primary.
Q7: A patient has a serum magnesium level of 1.0 mEq/L. Which assessment finding would the nurse
expect?
A. Hyperreflexia. [100% CORRECT]
B. Hyporeflexia
C. Bradycardia
D. Constipation
Correct Answer: A
Rationale: Correct: Hypomagnesemia causes neuromuscular irritability . Incorrect B, C, D:
Hypermagnesemia.
Q8: A patient is receiving IV fluids at 150 mL/hr. Which assessment finding indicates fluid overload?
A. BUN 10 mg/dL
