NUR390 / NUR 390 EXAM 1 Nursing Care of Adult I | Actual Exam Questions and Answers | Latest Updated 2026/2027 | Graded A+ - Concordia, St. Paul.

NUR390 / NUR 390 EXAM 1 Nursing Care of Adult I | Actual Exam Questions and Answers | Latest Updated 2026/2027 | Graded A+ - Concordia, St. Paul. A patient who has a small cell cancer of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH). The nurse would notify the health care provider about which assessment finding? a. serum hematocrit of 42% b. serum sodium of 120 mg/dL c. urinary output of 280 mL in 8 hours d. reported weight gain of 2.2 pounds Answer b. serum sodium of 120 mg/dL A patient with multiple draining wounds is admitted for hypovolemia. Which information would provide the most accurate way for the nurse to evaluate fluid balance? a. skin turgor b. daily weight c. urine output d. edema presence Answer b. daily weight The home health nurse cares for an alert and oriented older adult patient who has a history of dehydration. Which instruction would the nurse give this patient? a. "drink more fluids in the late evening." b. "more fluids are needed if you feel thirsty." c. "increase the fluids if your mouth feels dry." d. "if you feel confused, you need more fluids." Answer c. "increase the fluids if your mouth feels dry." A patient with new-onset confusion and hyponatremia is being admitted. Which action would the charge nurse take when making room assignments? a. Assign the patient to a semiprivate room. b. Assign the patient to a room near the nurse's station. c. Place the patient in a room nearest to the water fountain. d. Place the patient on telemetry to monitor for peaked T waves. Answer b. Assign the patient to a room near the nurse's station. The nurse is caring for a patient who has a massive burn injury and possible hypovolemia. Which assessment data would be of most concern to the nurse? a. urine output is 30 mL/hour b. blood pressure is 90/40 mm Hg c. oral fluid intake is 100 mL for 8 hours d. skin tenting over the sternum is prolonged Answer b. blood pressure is 90/40 mm Hg A patient who is taking a potassium-depleting diuretic for treatment of hypertension reports generalized weakness. Which action would the nurse to take? a. Assess for facial muscle spasms. b. Ask the patient about loose stools. c Recommend the patient avoid drinking orange juice with meals. d. Suggest that the health care provider order a basic metabolic panel. Answer d. Suggest that the health care provider order a basic metabolic panel. Spironolactone (Aldactone), an aldosterone antagonist, is prescribed for a patient. Which statement by the patient indicates that the teaching about this medication has been effective? a. "I will try to drink at least 8 glasses of water every day." b "I will use a salt substitute to decrease my sodium intake." c "I wil increase my intake of potassium-containing foods." d. "I will drink apple juice instead of orange juice for breakfast." Answer d. "I will drink apple juice instead of orange juice for breakfast." IV potassium chloride (KC1) 60 mEq is prescribed for a patient with severe hypokalemia. Which action would the nurse take? a. administer the KCl as a rapid IV bolus b. infuse the KCl at a maximum rate of 10 mEq/hr c. discontinue cardiac monitoring during the infusion d. monitor deep tending reflexes during the infusion Answer b. infuse the KCl at a maximum rate of 10 mEq/hr A patient who had surgery for a perforated gastric ulcer has been receiving nasogastric suction for 3 days. The patient's serum sodium level is 127 mEq/L (127 mmol/L). Which prescribed therapy would the nurse question? a. Infuse 5% dextrose in water intravenously at 125 mL/hr. b. Administer VI morphine sulfate 4mg every 2 hours PRN. c. Give VI metoclopramide 10 mg every 6 hours PRN for nausea. d. Administer 3% saline intravenously at 50 mL/hr for a total of 200 mL. Answer a. Infuse 5% dextrose in water intravenously at 125 mL/hr. A patient who was admitted with diabetic ketoacidosis has rapid, deep respirations. Which action would the nurse take? a. Give the prescribed PRN lorazepam (Ativan). b. Encourage the patient to take deep slow breaths. c. Start the prescribed PRN oxygen at 2 to 4 L/min. d. Administer the prescribed fluid bolus and insulin. Answer d. Administer the prescribed fluid bolus and insulin. An older adult patient who is malnourished presents to the emergency department with a serum protein level of 5.2 g/dL. Which clinical manifestation would the nurse expect? a. Pallor b. Edema c. Confusion d. Restlessness Answer b. Edema A patient receives 3% NaCl solution for correction of hyponatremia. Which assessment is most important for the nurse to monitor while the patient is receiving this infusion? a. Lung sounds b. Urinary output c. Peripheral pulses d. Peripheral edema Answer a. Lung sounds