Adult Health Nursing Practice Exam | 100
Most Tested Questions Collection &
Verified Detailed Answers | Tutor Verified
Success Exam) Graded A+
1. A client with heart failure reports increasing shortness of breath
while lying flat. Which finding should the nurse recognize?
A. Orthostatic hypotension
B. Orthopnea
C. Bradycardia
D. Syncope
Rationale: Orthopnea is difficulty breathing when lying flat and is a
classic symptom of worsening left-sided heart failure.
2. A client admitted with chest pain should receive which priority
intervention first?
A. Obtain a diet history
B. Assess airway, breathing, and circulation (ABCs)
C. Measure weight
D. Complete admission paperwork
Rationale: ABCs are always the priority during initial assessment of
any potentially unstable client.
3. Which laboratory value is most specific for myocardial injury?
A. CK
B. Myoglobin
,C. BNP
D. Troponin I
Rationale: Troponin I is highly sensitive and specific for myocardial
infarction.
4. Which electrolyte imbalance places a client at greatest risk for
ventricular dysrhythmias?
A. Hypernatremia
B. Hypercalcemia
C. Hypokalemia
D. Hypermagnesemia
Rationale: Low potassium increases myocardial irritability and
predisposes clients to dangerous dysrhythmias.
5. A nurse is caring for a client with atrial fibrillation. What is the
primary complication?
A. Pulmonary edema
B. Pneumothorax
C. Stroke
D. Hypertension
Rationale: Blood stasis in the atria can form clots that embolize to
the brain.
6. Which assessment finding is expected in right-sided heart
failure?
A. Crackles
B. Pink frothy sputum
, C. Peripheral edema
D. Orthopnea
Rationale: Right-sided heart failure causes systemic venous
congestion leading to edema.
7. A client with COPD should receive oxygen therapy at what goal
saturation?
A. 100%
B. 98–100%
C. 88–92%
D. Above 95%
Rationale: 88–92% helps maintain adequate oxygenation while
minimizing suppression of respiratory drive in susceptible patients.
8. Which breath sound is commonly heard in pulmonary edema?
A. Wheezes
B. Crackles
C. Pleural friction rub
D. Stridor
Rationale: Crackles occur when fluid accumulates in the alveoli.
9. Which intervention is highest priority during an asthma attack?
A. Encourage fluids
B. Administer a short-acting bronchodilator
C. Restrict activity for one week
D. Begin antibiotics
Rationale: Rapid bronchodilation is essential to reverse airway
obstruction.
Most Tested Questions Collection &
Verified Detailed Answers | Tutor Verified
Success Exam) Graded A+
1. A client with heart failure reports increasing shortness of breath
while lying flat. Which finding should the nurse recognize?
A. Orthostatic hypotension
B. Orthopnea
C. Bradycardia
D. Syncope
Rationale: Orthopnea is difficulty breathing when lying flat and is a
classic symptom of worsening left-sided heart failure.
2. A client admitted with chest pain should receive which priority
intervention first?
A. Obtain a diet history
B. Assess airway, breathing, and circulation (ABCs)
C. Measure weight
D. Complete admission paperwork
Rationale: ABCs are always the priority during initial assessment of
any potentially unstable client.
3. Which laboratory value is most specific for myocardial injury?
A. CK
B. Myoglobin
,C. BNP
D. Troponin I
Rationale: Troponin I is highly sensitive and specific for myocardial
infarction.
4. Which electrolyte imbalance places a client at greatest risk for
ventricular dysrhythmias?
A. Hypernatremia
B. Hypercalcemia
C. Hypokalemia
D. Hypermagnesemia
Rationale: Low potassium increases myocardial irritability and
predisposes clients to dangerous dysrhythmias.
5. A nurse is caring for a client with atrial fibrillation. What is the
primary complication?
A. Pulmonary edema
B. Pneumothorax
C. Stroke
D. Hypertension
Rationale: Blood stasis in the atria can form clots that embolize to
the brain.
6. Which assessment finding is expected in right-sided heart
failure?
A. Crackles
B. Pink frothy sputum
, C. Peripheral edema
D. Orthopnea
Rationale: Right-sided heart failure causes systemic venous
congestion leading to edema.
7. A client with COPD should receive oxygen therapy at what goal
saturation?
A. 100%
B. 98–100%
C. 88–92%
D. Above 95%
Rationale: 88–92% helps maintain adequate oxygenation while
minimizing suppression of respiratory drive in susceptible patients.
8. Which breath sound is commonly heard in pulmonary edema?
A. Wheezes
B. Crackles
C. Pleural friction rub
D. Stridor
Rationale: Crackles occur when fluid accumulates in the alveoli.
9. Which intervention is highest priority during an asthma attack?
A. Encourage fluids
B. Administer a short-acting bronchodilator
C. Restrict activity for one week
D. Begin antibiotics
Rationale: Rapid bronchodilation is essential to reverse airway
obstruction.
