NR 324 FINAL EXAM REVIEW PRACTICE QUESTIONS | ADULT HEALTH
NURSING STUDY GUIDE 2026/2027
A nurse is caring for a client who enters the emergency department complaining of severe chest pain.
Which of the following interventions should the nurse implement to determine if the client is
experiencing a myocardial infarction?
A. Check the client's blood pressure.
B. Auscultate heart tones.
C. Perform a 12-lead ECG.
D. Determine if pain radiates to the left arm. - correct answer ✔✔C. Perform a 12-lead ECG.
Beta adrenergic blockers cause?
A. Tachycardia
B. Bradycardia
C. Hypertension
D. Tachypnea - correct answer ✔✔B. Bradycardia
A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which
of the following interventions should the nurse include to prevent bone loss? - correct answer
✔✔Encourage weight-bearing exercises
A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a partial
gastrectomy for ulcers. Which of the following information should the nurse include in the teaching? -
correct answer ✔✔Avoid liquids at meal times
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the
following laboratory levels should review prior to the procedure? - correct answer ✔✔BUN
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions
should the nurse take? - correct answer ✔✔Position pillows between the bony prominences.
A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal
protective equipment should the nurse use? - correct answer ✔✔Mask
A nurse is caring for a client following cardiac catheterization. Which of the following is an appropriate
nursing action?
a. Monitor pedal pulses every 15 min.
b. Perform passive range of motion to the affected extremity.
c. Ambulate the client when he is awake and alert.
d. Keep the client in high-Fowler's position for 6 hr. - correct answer ✔✔a. Monitor pedal pulses every
15 min.
, a nurse is collect data from a client who has right sided heart failure. which of the following findings
should the nurse expect?
a. frothy sputum
b. dyspnea.
c. orthopnea
d. peripheral edema - correct answer ✔✔d. peripheral edema
A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the
following clinical manifestations should the nurse expect to find? (Select all that apply.)
a. Orthopnea
b. Headache
c. Nausea
d. Tachycardia
e. Diaphoresis - correct answer ✔✔Nausea
Tachycardia
Diaphoresis
A client asks a nurse, "Why am I taking nitroglycerin?" Which of the following is the best response by the
nurse?
a. "Nitroglycerin relieves nausea and prevents vomiting which could lead to aspiration."
b. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."
c. "Nitroglycerin acts as a bronchodilator to open small airways and decrease shortness of breath."
d. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart." - correct answer
✔✔"Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."
A client comes to the emergency department via ambulance to report severe radiating chest pain and
shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes
oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the
following actions should the nurse assisting with this client's care take first?
a. Attach the leads for a 12-lead ECG.
b. Obtain the blood sample.
c. Initiate oxygen therapy.
d. Insert the IV catheter. - correct answer ✔✔c. Initiate oxygen therapy.
A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The provider prescribes
polystyrene sulfonate (Kayexalate). If this medication is effective, the nurse should expect which of the
following corrections on the client's ECG?
a. Reduction of T-wave amplitude
b. Reduction of P-wave duration
c. Widening of the QRS complex
d. Restoration of QRS-complex amplitude - correct answer ✔✔a. Reduction of T-wave amplitude
NURSING STUDY GUIDE 2026/2027
A nurse is caring for a client who enters the emergency department complaining of severe chest pain.
Which of the following interventions should the nurse implement to determine if the client is
experiencing a myocardial infarction?
A. Check the client's blood pressure.
B. Auscultate heart tones.
C. Perform a 12-lead ECG.
D. Determine if pain radiates to the left arm. - correct answer ✔✔C. Perform a 12-lead ECG.
Beta adrenergic blockers cause?
A. Tachycardia
B. Bradycardia
C. Hypertension
D. Tachypnea - correct answer ✔✔B. Bradycardia
A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which
of the following interventions should the nurse include to prevent bone loss? - correct answer
✔✔Encourage weight-bearing exercises
A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a partial
gastrectomy for ulcers. Which of the following information should the nurse include in the teaching? -
correct answer ✔✔Avoid liquids at meal times
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the
following laboratory levels should review prior to the procedure? - correct answer ✔✔BUN
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions
should the nurse take? - correct answer ✔✔Position pillows between the bony prominences.
A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal
protective equipment should the nurse use? - correct answer ✔✔Mask
A nurse is caring for a client following cardiac catheterization. Which of the following is an appropriate
nursing action?
a. Monitor pedal pulses every 15 min.
b. Perform passive range of motion to the affected extremity.
c. Ambulate the client when he is awake and alert.
d. Keep the client in high-Fowler's position for 6 hr. - correct answer ✔✔a. Monitor pedal pulses every
15 min.
, a nurse is collect data from a client who has right sided heart failure. which of the following findings
should the nurse expect?
a. frothy sputum
b. dyspnea.
c. orthopnea
d. peripheral edema - correct answer ✔✔d. peripheral edema
A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the
following clinical manifestations should the nurse expect to find? (Select all that apply.)
a. Orthopnea
b. Headache
c. Nausea
d. Tachycardia
e. Diaphoresis - correct answer ✔✔Nausea
Tachycardia
Diaphoresis
A client asks a nurse, "Why am I taking nitroglycerin?" Which of the following is the best response by the
nurse?
a. "Nitroglycerin relieves nausea and prevents vomiting which could lead to aspiration."
b. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."
c. "Nitroglycerin acts as a bronchodilator to open small airways and decrease shortness of breath."
d. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart." - correct answer
✔✔"Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."
A client comes to the emergency department via ambulance to report severe radiating chest pain and
shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes
oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the
following actions should the nurse assisting with this client's care take first?
a. Attach the leads for a 12-lead ECG.
b. Obtain the blood sample.
c. Initiate oxygen therapy.
d. Insert the IV catheter. - correct answer ✔✔c. Initiate oxygen therapy.
A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The provider prescribes
polystyrene sulfonate (Kayexalate). If this medication is effective, the nurse should expect which of the
following corrections on the client's ECG?
a. Reduction of T-wave amplitude
b. Reduction of P-wave duration
c. Widening of the QRS complex
d. Restoration of QRS-complex amplitude - correct answer ✔✔a. Reduction of T-wave amplitude
