Maryville NR 324 Adult Health Nursing
Exam 1 With Actual 120 Questions &
Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A patient with pneumonia reports shortness of breath. The nurse should place the
patient in which position?
a. Supine
b. Prone
c. High Fowler’s
d. Trendelenburg
Rationale: High Fowler’s promotes maximal lung expansion and improves
oxygenation in patients with respiratory distress.
2. A nurse is assessing a patient with chronic obstructive pulmonary disease (COPD).
Which finding is expected?
a. Bradycardia
b. Barrel chest
c. Increased breath sounds
d. Clubbing absent
Rationale: Barrel chest is a classic sign of chronic air trapping in COPD.
3. A patient receiving furosemide develops muscle cramps and weakness. Which
electrolyte imbalance is suspected?
a. Hypercalcemia
b. Hypernatremia
c. Hypokalemia
d. Hypermagnesemia
, Rationale: Loop diuretics like furosemide cause potassium loss, leading to
hypokalemia.
4. The nurse teaches a patient with hypertension to limit sodium intake. Which food
should the patient avoid?
a. Banana
b. Canned soup
c. Apple
d. Rice
Rationale: Canned soups are high in sodium and should be avoided.
5. Which laboratory result is most concerning in a patient taking warfarin?
a. Platelets 200,000/mm³
b. Hemoglobin 14 g/dL
c. INR 5.0
d. Potassium 4.2 mEq/L
Rationale: INR 5.0 is critically high and places the patient at risk for bleeding.
6. A patient with heart failure has 2+ pitting edema in the legs. What is the priority
nursing action?
a. Encourage fluids
b. Assess daily weights
c. Increase sodium intake
d. Restrict activity
Rationale: Daily weights are the most accurate indicator of fluid retention in heart
failure.
7. The nurse auscultates crackles in the lungs of a patient with pulmonary edema. What
intervention is expected?
a. Administer furosemide IV
b. Encourage coughing
c. Restrict oxygen therapy
d. Place in supine position
Rationale: IV diuretics reduce pulmonary congestion and improve breathing.
8. Which patient is at greatest risk for aspiration?
a. A patient with pneumonia
b. A patient with a stroke and dysphagia
c. A patient receiving IV fluids
d. A patient with COPD
Rationale: Stroke patients with swallowing difficulties are highly prone to
aspiration.
, 9. A nurse is caring for a patient with type 2 diabetes. Which statement indicates
effective teaching?
a. “I will skip meals when I feel sick.”
b. “I will check my blood sugar regularly.”
c. “I don’t need to exercise.”
d. “I will take insulin only when I feel symptoms.”
Rationale: Regular blood glucose monitoring is essential for diabetes management.
10. Which sign indicates hypocalcemia?
a. Hypertension
b. Positive Chvostek’s sign
c. Bradycardia
d. Hypoactive reflexes
Rationale: Hypocalcemia causes neuromuscular irritability, including positive
Chvostek’s sign.
11. The nurse is caring for a patient with asthma. Which medication is used for acute
relief?
a. Montelukast
b. Salmeterol
c. Albuterol
d. Fluticasone
Rationale: Albuterol is a short-acting beta-agonist used for acute asthma attacks.
12. A patient with anemia reports fatigue. What is the most appropriate nursing
intervention?
a. Encourage high-fat diet
b. Plan rest periods
c. Restrict fluid intake
d. Ambulate every hour
Rationale: Rest periods help conserve energy in patients with anemia.
13. The nurse teaches a patient with GERD about dietary modifications. Which food
should be avoided?
a. Oatmeal
b. Applesauce
c. Chocolate
d. Rice
Rationale: Chocolate relaxes the lower esophageal sphincter, worsening reflux.
14. Which vital sign change is most concerning for a patient with sepsis?
a. BP 138/84
b. HR 88
Exam 1 With Actual 120 Questions &
Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A patient with pneumonia reports shortness of breath. The nurse should place the
patient in which position?
a. Supine
b. Prone
c. High Fowler’s
d. Trendelenburg
Rationale: High Fowler’s promotes maximal lung expansion and improves
oxygenation in patients with respiratory distress.
2. A nurse is assessing a patient with chronic obstructive pulmonary disease (COPD).
Which finding is expected?
a. Bradycardia
b. Barrel chest
c. Increased breath sounds
d. Clubbing absent
Rationale: Barrel chest is a classic sign of chronic air trapping in COPD.
3. A patient receiving furosemide develops muscle cramps and weakness. Which
electrolyte imbalance is suspected?
a. Hypercalcemia
b. Hypernatremia
c. Hypokalemia
d. Hypermagnesemia
, Rationale: Loop diuretics like furosemide cause potassium loss, leading to
hypokalemia.
4. The nurse teaches a patient with hypertension to limit sodium intake. Which food
should the patient avoid?
a. Banana
b. Canned soup
c. Apple
d. Rice
Rationale: Canned soups are high in sodium and should be avoided.
5. Which laboratory result is most concerning in a patient taking warfarin?
a. Platelets 200,000/mm³
b. Hemoglobin 14 g/dL
c. INR 5.0
d. Potassium 4.2 mEq/L
Rationale: INR 5.0 is critically high and places the patient at risk for bleeding.
6. A patient with heart failure has 2+ pitting edema in the legs. What is the priority
nursing action?
a. Encourage fluids
b. Assess daily weights
c. Increase sodium intake
d. Restrict activity
Rationale: Daily weights are the most accurate indicator of fluid retention in heart
failure.
7. The nurse auscultates crackles in the lungs of a patient with pulmonary edema. What
intervention is expected?
a. Administer furosemide IV
b. Encourage coughing
c. Restrict oxygen therapy
d. Place in supine position
Rationale: IV diuretics reduce pulmonary congestion and improve breathing.
8. Which patient is at greatest risk for aspiration?
a. A patient with pneumonia
b. A patient with a stroke and dysphagia
c. A patient receiving IV fluids
d. A patient with COPD
Rationale: Stroke patients with swallowing difficulties are highly prone to
aspiration.
, 9. A nurse is caring for a patient with type 2 diabetes. Which statement indicates
effective teaching?
a. “I will skip meals when I feel sick.”
b. “I will check my blood sugar regularly.”
c. “I don’t need to exercise.”
d. “I will take insulin only when I feel symptoms.”
Rationale: Regular blood glucose monitoring is essential for diabetes management.
10. Which sign indicates hypocalcemia?
a. Hypertension
b. Positive Chvostek’s sign
c. Bradycardia
d. Hypoactive reflexes
Rationale: Hypocalcemia causes neuromuscular irritability, including positive
Chvostek’s sign.
11. The nurse is caring for a patient with asthma. Which medication is used for acute
relief?
a. Montelukast
b. Salmeterol
c. Albuterol
d. Fluticasone
Rationale: Albuterol is a short-acting beta-agonist used for acute asthma attacks.
12. A patient with anemia reports fatigue. What is the most appropriate nursing
intervention?
a. Encourage high-fat diet
b. Plan rest periods
c. Restrict fluid intake
d. Ambulate every hour
Rationale: Rest periods help conserve energy in patients with anemia.
13. The nurse teaches a patient with GERD about dietary modifications. Which food
should be avoided?
a. Oatmeal
b. Applesauce
c. Chocolate
d. Rice
Rationale: Chocolate relaxes the lower esophageal sphincter, worsening reflux.
14. Which vital sign change is most concerning for a patient with sepsis?
a. BP 138/84
b. HR 88
