Adult Health I (NR 324) Exam 1 Ultimate Study
Bundle: 2 Versions NCLEX-Style Real
Questions with Verified Answers & Detailed
Rationales 2026/2027 Edition | INSTANT PDF
DOWNLOAD
INTRODUCTION
Prepare for success with this comprehensive Adult Health I (NR 324) Exam 1 study bundle,
designed to help nursing students master essential medical-surgical concepts and confidently
pass their exams.
This bundle includes 150 high-quality NCLEX-style questions that reflect real exam difficulty,
covering key topics such as cardiovascular disorders, respiratory conditions, fluid and
electrolyte imbalances, renal function, endocrine disorders, infection control, and
postoperative care.
Each question is followed by a correct answer and a detailed rationale, helping you not only
identify the right answer but also understand the clinical reasoning behind it. The questions are
structured to strengthen critical thinking, prioritization (ABCs), and clinical judgment skills,
which are essential for both exam success and real-world nursing practice.
Q1.
A nurse is caring for a client with heart failure who reports increasing shortness of breath.
Which assessment finding requires immediate intervention?
A. Weight gain of 1 lb in 24 hours
B. Crackles in bilateral lower lung fields
C. Oxygen saturation of 88% on room air
D. Mild ankle edema
, Answer: C. Oxygen saturation of 88% on room air
Rationale: An oxygen saturation of 88% indicates significant hypoxemia and requires
immediate intervention. Airway and breathing take priority over other findings such as
edema or crackles, which are expected in heart failure.
Q2.
A client with chronic kidney disease is prescribed a low-potassium diet. Which food should
the nurse instruct the client to avoid?
A. Apples
B. White rice
C. Bananas
D. Bread
Answer: C. Bananas
Rationale: Bananas are high in potassium and should be avoided in clients with CKD to
prevent hyperkalemia. Apples, white rice, and bread are lower in potassium.
Q3.
A nurse is assessing a client with diabetes mellitus. Which finding is most indicative of
hypoglycemia?
A. Fruity breath odor
B. Blood glucose 250 mg/dL
C. Diaphoresis and confusion
D. Polyuria
Answer: C. Diaphoresis and confusion
Rationale: Hypoglycemia presents with adrenergic symptoms such as sweating,
confusion, shakiness, and irritability. Fruity breath odor is associated with diabetic
ketoacidosis.
Q4.
A postoperative client develops sudden chest pain and dyspnea. What is the nurse’s priority
action?
A. Administer pain medication
B. Notify the provider
Bundle: 2 Versions NCLEX-Style Real
Questions with Verified Answers & Detailed
Rationales 2026/2027 Edition | INSTANT PDF
DOWNLOAD
INTRODUCTION
Prepare for success with this comprehensive Adult Health I (NR 324) Exam 1 study bundle,
designed to help nursing students master essential medical-surgical concepts and confidently
pass their exams.
This bundle includes 150 high-quality NCLEX-style questions that reflect real exam difficulty,
covering key topics such as cardiovascular disorders, respiratory conditions, fluid and
electrolyte imbalances, renal function, endocrine disorders, infection control, and
postoperative care.
Each question is followed by a correct answer and a detailed rationale, helping you not only
identify the right answer but also understand the clinical reasoning behind it. The questions are
structured to strengthen critical thinking, prioritization (ABCs), and clinical judgment skills,
which are essential for both exam success and real-world nursing practice.
Q1.
A nurse is caring for a client with heart failure who reports increasing shortness of breath.
Which assessment finding requires immediate intervention?
A. Weight gain of 1 lb in 24 hours
B. Crackles in bilateral lower lung fields
C. Oxygen saturation of 88% on room air
D. Mild ankle edema
, Answer: C. Oxygen saturation of 88% on room air
Rationale: An oxygen saturation of 88% indicates significant hypoxemia and requires
immediate intervention. Airway and breathing take priority over other findings such as
edema or crackles, which are expected in heart failure.
Q2.
A client with chronic kidney disease is prescribed a low-potassium diet. Which food should
the nurse instruct the client to avoid?
A. Apples
B. White rice
C. Bananas
D. Bread
Answer: C. Bananas
Rationale: Bananas are high in potassium and should be avoided in clients with CKD to
prevent hyperkalemia. Apples, white rice, and bread are lower in potassium.
Q3.
A nurse is assessing a client with diabetes mellitus. Which finding is most indicative of
hypoglycemia?
A. Fruity breath odor
B. Blood glucose 250 mg/dL
C. Diaphoresis and confusion
D. Polyuria
Answer: C. Diaphoresis and confusion
Rationale: Hypoglycemia presents with adrenergic symptoms such as sweating,
confusion, shakiness, and irritability. Fruity breath odor is associated with diabetic
ketoacidosis.
Q4.
A postoperative client develops sudden chest pain and dyspnea. What is the nurse’s priority
action?
A. Administer pain medication
B. Notify the provider
