NRS 3015 - Nursing Care of Adults I
Oakland University NRS 3015 Exam 3 Latest 2026/2027
Practice Questions and Answer (Complied From Real
Exam 2025/2026)
A nurse is preparing to administer an initial dose of prednisone to a client who has COPD.
The nurse should monitor for which of the following adverse effects of this medication?
(Select all that apply.)
a. Hypokalemia
b. Tachycardia
c. Fluid retention
d. Nausea
e. Black, tarry stools
a, c, e
A nurse is discharging a client who has COPD. The client is concerned about not being
able to leave the house due to the need for staying on continuous oxygen. Which of the
following responses should the nurse make?
a. "There are portable oxygen delivery systems that you can take with you."
b. "When you go out, you can remove the oxygen and then reapply it when you get
home."
c. "You probably will not be able to go out as much as you used to."
d. "Home health services will come to you so you will not need to get out."
a
A nurse is instructing a client on the use of an incentive spirometer. Which of the
following statements by the client indicates an understanding of the teaching?
a. "I will place the adapter on my finger to read my blood oxygen saturation level."
b. "I will lie on my back with my knees bent."
c. "I will rest my hand over my abdomen to create resistance."
d. "I will take in a deep breath and hold it before exhaling."
d
,NRS 3015 - Nursing Care of Adults I
A nurse is planning to instruct a client on how to perform pursed-lip breathing. Which of
the following statement should the nurse include?
a. "Take quick breaths upon inhalation."
b. "Place your hand over your stomach."
c. "Take a deep breath through your nose."
d. "Puff your cheeks upon exhalation."
c
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is
experiencing shortness of breath. Which of the following actions should the nurse
perform first?
a. Monitor the client's arterial blood gas results
b. Instruct the client to perform controlled coughing
c. Teach the client how to use pursed-lip breathing
d. Place the client in an upright position
d
A nurse is assessing the respiratory status of a client who has COPD. Which of the
following manifestations should the nurse identify as an indication of impending
respiratory failure?
a. Wheezing
b. Bradypnea
c. Tachycardia
d. Diaphoresis
c
A nurse is providing instructions about pursed-lip breathing for a client who has chronic
obstructive pulmonary disease (COPD) with emphysema. This breathing technique
accomplishes which of the following?
a. Increases oxygen intake
b. Promotes carbon dioxide elimination
c. Uses the intercostal muscles
d. Strengthens the diaphragm
b
,NRS 3015 - Nursing Care of Adults I
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who has
been taking tiotropium. Which of the following client statements should indicate to the
nurse that the client is experiencing an adverse effect of this medication?
a. "My body aches all over."
b. "I am urinating more during the day."
c. "My mouth feels dry all the time."
d. "I have trouble sleeping at night."
c
A nurse is assessing a client who has late-stage heart failure and is experiencing fluid
volume overload. Which of the following findings should the nurse expect?
a. Weight gain of 1 kg (2.2 lb) in 1 day
b. Pitting edema +1
c. Client report of a nocturnal cough
d. B-type natriuretic peptide (BNP) level of 100 pg/mL
a
A nurse is evaluating a client who is receiving IV fluids. to treat isotonic dehydration.
Which of the following laboratory findings indicates that the fluid therapy has been
effective?
a. BUN 26 mg/dL
b. Serum sodium 138 mEq/L
c. Hct 56%
d. Urine specific gravity 1.035
b
A nurse is reviewing the laboratory report of a client who has fluid volume excess. Which
of the following laboratory values should the nurse expect?
a. Hemoglobin 20 g/dL
b. Hematocrit 34%
c. BUN 25 mg/dL
d. Urine specific gravity 1.050
b
, NRS 3015 - Nursing Care of Adults I
A nurse is planning care for a client who has experienced excessive fluid loss. Which of the
following interventions should the nurse include in the plan of care? (Select all that
apply.)
a. Administer IV fluids to the client evenly over 24 hr
b. Provide the client with a salt substitute
c. Assess the client for pitting edema
d. Encourage the client to rise slowly when standing up
e. Weigh the client every 8 hr
a, d, e
A nurse is assessing a client who has hyperkalemia. Which of the following findings
should the nurse expect?
a. Decreased muscle strength
b. Decreased gastric motility
c. Increased heart rate
d. Increased blood pressure
a
A nurse is planning care for a client who has a potassium level of 3.0 mEq/L. The nurse
should plan to monitor the client for which of the following findings?
a. Hyperactive deep-tendon reflexes
b. Orthostatic hypotension
c. Rapid, deep respirations
d. Strong, bounding pulse
b
A nurse is caring for a client who requires continuous cardiac monitoring. The nurse
identifies a prolonged PR interval and a widened QRS complex. Which of the following
laboratory values supports this finding?
a. Sodium 152 mEq/L
b. Chloride 102 mEq/L
c. Magnesium 1.8 mEq/L
d. Potassium 6.1 mEq/L
d
Oakland University NRS 3015 Exam 3 Latest 2026/2027
Practice Questions and Answer (Complied From Real
Exam 2025/2026)
A nurse is preparing to administer an initial dose of prednisone to a client who has COPD.
The nurse should monitor for which of the following adverse effects of this medication?
(Select all that apply.)
a. Hypokalemia
b. Tachycardia
c. Fluid retention
d. Nausea
e. Black, tarry stools
a, c, e
A nurse is discharging a client who has COPD. The client is concerned about not being
able to leave the house due to the need for staying on continuous oxygen. Which of the
following responses should the nurse make?
a. "There are portable oxygen delivery systems that you can take with you."
b. "When you go out, you can remove the oxygen and then reapply it when you get
home."
c. "You probably will not be able to go out as much as you used to."
d. "Home health services will come to you so you will not need to get out."
a
A nurse is instructing a client on the use of an incentive spirometer. Which of the
following statements by the client indicates an understanding of the teaching?
a. "I will place the adapter on my finger to read my blood oxygen saturation level."
b. "I will lie on my back with my knees bent."
c. "I will rest my hand over my abdomen to create resistance."
d. "I will take in a deep breath and hold it before exhaling."
d
,NRS 3015 - Nursing Care of Adults I
A nurse is planning to instruct a client on how to perform pursed-lip breathing. Which of
the following statement should the nurse include?
a. "Take quick breaths upon inhalation."
b. "Place your hand over your stomach."
c. "Take a deep breath through your nose."
d. "Puff your cheeks upon exhalation."
c
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is
experiencing shortness of breath. Which of the following actions should the nurse
perform first?
a. Monitor the client's arterial blood gas results
b. Instruct the client to perform controlled coughing
c. Teach the client how to use pursed-lip breathing
d. Place the client in an upright position
d
A nurse is assessing the respiratory status of a client who has COPD. Which of the
following manifestations should the nurse identify as an indication of impending
respiratory failure?
a. Wheezing
b. Bradypnea
c. Tachycardia
d. Diaphoresis
c
A nurse is providing instructions about pursed-lip breathing for a client who has chronic
obstructive pulmonary disease (COPD) with emphysema. This breathing technique
accomplishes which of the following?
a. Increases oxygen intake
b. Promotes carbon dioxide elimination
c. Uses the intercostal muscles
d. Strengthens the diaphragm
b
,NRS 3015 - Nursing Care of Adults I
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who has
been taking tiotropium. Which of the following client statements should indicate to the
nurse that the client is experiencing an adverse effect of this medication?
a. "My body aches all over."
b. "I am urinating more during the day."
c. "My mouth feels dry all the time."
d. "I have trouble sleeping at night."
c
A nurse is assessing a client who has late-stage heart failure and is experiencing fluid
volume overload. Which of the following findings should the nurse expect?
a. Weight gain of 1 kg (2.2 lb) in 1 day
b. Pitting edema +1
c. Client report of a nocturnal cough
d. B-type natriuretic peptide (BNP) level of 100 pg/mL
a
A nurse is evaluating a client who is receiving IV fluids. to treat isotonic dehydration.
Which of the following laboratory findings indicates that the fluid therapy has been
effective?
a. BUN 26 mg/dL
b. Serum sodium 138 mEq/L
c. Hct 56%
d. Urine specific gravity 1.035
b
A nurse is reviewing the laboratory report of a client who has fluid volume excess. Which
of the following laboratory values should the nurse expect?
a. Hemoglobin 20 g/dL
b. Hematocrit 34%
c. BUN 25 mg/dL
d. Urine specific gravity 1.050
b
, NRS 3015 - Nursing Care of Adults I
A nurse is planning care for a client who has experienced excessive fluid loss. Which of the
following interventions should the nurse include in the plan of care? (Select all that
apply.)
a. Administer IV fluids to the client evenly over 24 hr
b. Provide the client with a salt substitute
c. Assess the client for pitting edema
d. Encourage the client to rise slowly when standing up
e. Weigh the client every 8 hr
a, d, e
A nurse is assessing a client who has hyperkalemia. Which of the following findings
should the nurse expect?
a. Decreased muscle strength
b. Decreased gastric motility
c. Increased heart rate
d. Increased blood pressure
a
A nurse is planning care for a client who has a potassium level of 3.0 mEq/L. The nurse
should plan to monitor the client for which of the following findings?
a. Hyperactive deep-tendon reflexes
b. Orthostatic hypotension
c. Rapid, deep respirations
d. Strong, bounding pulse
b
A nurse is caring for a client who requires continuous cardiac monitoring. The nurse
identifies a prolonged PR interval and a widened QRS complex. Which of the following
laboratory values supports this finding?
a. Sodium 152 mEq/L
b. Chloride 102 mEq/L
c. Magnesium 1.8 mEq/L
d. Potassium 6.1 mEq/L
d
