NR-341 NR 341 NR341 Complex Adult
Health – Final Exam Questions and
Correct Answers (Verified Answers) with
Rationales 2025 Chamberlain College Of
Nursing
1. A client with a spinal cord injury at T4 reports a pounding headache,
flushed skin, and nasal congestion. What should the nurse do first?
A. Notify the provider
B. Check the client for bladder distention
C. Administer pain medication
D. Place the client in a supine position
Autonomic dysreflexia is a medical emergency caused by noxious
stimuli, commonly bladder distention. The priority is to identify
and remove the cause.
2. A client in the ICU is intubated and on mechanical ventilation. The high-
pressure alarm sounds. What is the nurse’s initial action?
A. Reconnect the ventilator tubing
B. Suction the client’s airway
, C. Check the ventilator settings
D. Administer sedation
A high-pressure alarm can indicate a mucus plug or airway
obstruction. Suctioning helps relieve this.
3. Which finding is most important for the nurse to report immediately in a
patient with a chest tube?
A. Tracheal deviation
B. Serosanguinous drainage
C. Intermittent bubbling in the water seal
D. Chest pain rating of 4/10
Tracheal deviation suggests tension pneumothorax, which is life-
threatening and requires immediate intervention.
4. The nurse is caring for a patient with severe burns. Which fluid should the
nurse anticipate administering during the first 24 hours?
A. D5W
B. Lactated Ringer’s
C. Normal saline with dextrose
D. Albumin
Lactated Ringer’s is preferred in the first 24 hours post-burn to
restore fluid volume and electrolyte balance.
5. A patient with a diagnosis of sepsis is hypotensive despite fluid
resuscitation. What medication should the nurse anticipate administering?
A. Norepinephrine
B. Atropine
, C. Morphine
D. Dobutamine
Norepinephrine is a vasopressor used to restore perfusion in
patients with septic shock who are unresponsive to fluids.
6. A nurse assesses a patient with acute pancreatitis. Which lab value is most
concerning?
A. Elevated WBC
B. Serum calcium 7.4 mg/dL
C. Blood glucose 140 mg/dL
D. Amylase 150 U/L
Hypocalcemia is a serious complication of pancreatitis and can
lead to tetany and seizures.
7. A nurse is providing discharge teaching to a client with a new ileostomy.
Which instruction is most important?
A. Increase fluid intake to prevent dehydration
B. Avoid high-fiber foods
C. Use scented deodorants in the bag
D. Change the pouch once a week
Ileostomies can cause fluid and electrolyte loss; maintaining
hydration is critical.
8. The nurse notes the following ABG: pH 7.30, PaCO2 55 mmHg, HCO3 22
mEq/L. What is the interpretation?
A. Respiratory acidosis
B. Metabolic alkalosis
Health – Final Exam Questions and
Correct Answers (Verified Answers) with
Rationales 2025 Chamberlain College Of
Nursing
1. A client with a spinal cord injury at T4 reports a pounding headache,
flushed skin, and nasal congestion. What should the nurse do first?
A. Notify the provider
B. Check the client for bladder distention
C. Administer pain medication
D. Place the client in a supine position
Autonomic dysreflexia is a medical emergency caused by noxious
stimuli, commonly bladder distention. The priority is to identify
and remove the cause.
2. A client in the ICU is intubated and on mechanical ventilation. The high-
pressure alarm sounds. What is the nurse’s initial action?
A. Reconnect the ventilator tubing
B. Suction the client’s airway
, C. Check the ventilator settings
D. Administer sedation
A high-pressure alarm can indicate a mucus plug or airway
obstruction. Suctioning helps relieve this.
3. Which finding is most important for the nurse to report immediately in a
patient with a chest tube?
A. Tracheal deviation
B. Serosanguinous drainage
C. Intermittent bubbling in the water seal
D. Chest pain rating of 4/10
Tracheal deviation suggests tension pneumothorax, which is life-
threatening and requires immediate intervention.
4. The nurse is caring for a patient with severe burns. Which fluid should the
nurse anticipate administering during the first 24 hours?
A. D5W
B. Lactated Ringer’s
C. Normal saline with dextrose
D. Albumin
Lactated Ringer’s is preferred in the first 24 hours post-burn to
restore fluid volume and electrolyte balance.
5. A patient with a diagnosis of sepsis is hypotensive despite fluid
resuscitation. What medication should the nurse anticipate administering?
A. Norepinephrine
B. Atropine
, C. Morphine
D. Dobutamine
Norepinephrine is a vasopressor used to restore perfusion in
patients with septic shock who are unresponsive to fluids.
6. A nurse assesses a patient with acute pancreatitis. Which lab value is most
concerning?
A. Elevated WBC
B. Serum calcium 7.4 mg/dL
C. Blood glucose 140 mg/dL
D. Amylase 150 U/L
Hypocalcemia is a serious complication of pancreatitis and can
lead to tetany and seizures.
7. A nurse is providing discharge teaching to a client with a new ileostomy.
Which instruction is most important?
A. Increase fluid intake to prevent dehydration
B. Avoid high-fiber foods
C. Use scented deodorants in the bag
D. Change the pouch once a week
Ileostomies can cause fluid and electrolyte loss; maintaining
hydration is critical.
8. The nurse notes the following ABG: pH 7.30, PaCO2 55 mmHg, HCO3 22
mEq/L. What is the interpretation?
A. Respiratory acidosis
B. Metabolic alkalosis
