MARYVILLE UNIVERSITY NUR 320 – ADULT HEALTH I
FINAL EXAM 4|QUESTIONS AND VERIFIED
ANSWERS|GRADED A+|2026 UPDATE
1. Patient presents with sudden severe chest pain radiating to the left arm and jaw. Likely
cause:
A. Myocardial infarction
B. Angina only
C. Anxiety only
D. Pulmonary embolism only
Answer: A
Rationale: Classic MI symptoms include chest pain radiating to the jaw/arm, often with
diaphoresis.
2. Lab value most specific for myocardial injury:
A. Troponin
B. CK only
C. Sodium only
D. Potassium only
Answer: A
Rationale: Troponin rises within hours of myocardial cell damage and is highly specific.
3. Nursing intervention for acute MI:
A. Administer oxygen, pain relief, monitor cardiac rhythm
B. Restrict fluids only
C. Encourage ambulation only
D. Diet teaching only
Answer: A
Rationale: Immediate supportive care prevents complications and maintains perfusion.
4. Patient with left-sided heart failure may present with:
,A. Dyspnea, orthopnea, pulmonary edema
B. Peripheral edema only
C. JVD only
D. Hypotension only
Answer: A
Rationale: Left HF causes pulmonary congestion leading to respiratory symptoms.
5. Patient with right-sided heart failure may present with:
A. Peripheral edema, JVD, hepatomegaly
B. Pulmonary edema only
C. Dyspnea only
D. Orthopnea only
Answer: A
Rationale: Right HF leads to systemic venous congestion.
6. Nursing assessment for pulmonary edema includes:
A. Dyspnea, crackles, pink frothy sputum
B. Fever only
C. Hypotension only
D. Peripheral edema only
Answer: A
Rationale: Fluid accumulation in alveoli causes characteristic respiratory signs.
7. Patient with chronic kidney disease is at risk for:
A. Hyperkalemia
B. Hypokalemia only
C. Hypoglycemia only
D. Hyponatremia only
Answer: A
Rationale: Impaired renal excretion leads to elevated potassium.
8. Patient presents with fever, hypotension, and tachycardia. Likely cause:
, A. Septic shock
B. Hypovolemic shock only
C. Cardiogenic shock only
D. Anxiety only
Answer: A
Rationale: Systemic infection triggers distributive shock requiring prompt treatment.
9. Nursing intervention for hypovolemic shock:
A. Rapid IV fluid replacement
B. Restrict fluids
C. Monitor only
D. Diet teaching only
Answer: A
Rationale: Restores circulating volume and perfusion.
10. Patient presents with sudden dyspnea, pleuritic chest pain, and tachycardia. Likely cause:
A. Pulmonary embolism
B. Pneumonia only
C. Anxiety only
D. COPD only
Answer: A
Rationale: Acute PE obstructs pulmonary blood flow causing respiratory distress.
11. Nursing intervention for pulmonary embolism:
A. Oxygen therapy, anticoagulation, monitor hemodynamics
B. Bed rest only
C. High-sodium diet only
D. Cough suppressant only
Answer: A
Rationale: Oxygen and anticoagulation prevent hypoxia and clot propagation.
12. Patient with COPD presents with wheezing and tachypnea. Priority:
FINAL EXAM 4|QUESTIONS AND VERIFIED
ANSWERS|GRADED A+|2026 UPDATE
1. Patient presents with sudden severe chest pain radiating to the left arm and jaw. Likely
cause:
A. Myocardial infarction
B. Angina only
C. Anxiety only
D. Pulmonary embolism only
Answer: A
Rationale: Classic MI symptoms include chest pain radiating to the jaw/arm, often with
diaphoresis.
2. Lab value most specific for myocardial injury:
A. Troponin
B. CK only
C. Sodium only
D. Potassium only
Answer: A
Rationale: Troponin rises within hours of myocardial cell damage and is highly specific.
3. Nursing intervention for acute MI:
A. Administer oxygen, pain relief, monitor cardiac rhythm
B. Restrict fluids only
C. Encourage ambulation only
D. Diet teaching only
Answer: A
Rationale: Immediate supportive care prevents complications and maintains perfusion.
4. Patient with left-sided heart failure may present with:
,A. Dyspnea, orthopnea, pulmonary edema
B. Peripheral edema only
C. JVD only
D. Hypotension only
Answer: A
Rationale: Left HF causes pulmonary congestion leading to respiratory symptoms.
5. Patient with right-sided heart failure may present with:
A. Peripheral edema, JVD, hepatomegaly
B. Pulmonary edema only
C. Dyspnea only
D. Orthopnea only
Answer: A
Rationale: Right HF leads to systemic venous congestion.
6. Nursing assessment for pulmonary edema includes:
A. Dyspnea, crackles, pink frothy sputum
B. Fever only
C. Hypotension only
D. Peripheral edema only
Answer: A
Rationale: Fluid accumulation in alveoli causes characteristic respiratory signs.
7. Patient with chronic kidney disease is at risk for:
A. Hyperkalemia
B. Hypokalemia only
C. Hypoglycemia only
D. Hyponatremia only
Answer: A
Rationale: Impaired renal excretion leads to elevated potassium.
8. Patient presents with fever, hypotension, and tachycardia. Likely cause:
, A. Septic shock
B. Hypovolemic shock only
C. Cardiogenic shock only
D. Anxiety only
Answer: A
Rationale: Systemic infection triggers distributive shock requiring prompt treatment.
9. Nursing intervention for hypovolemic shock:
A. Rapid IV fluid replacement
B. Restrict fluids
C. Monitor only
D. Diet teaching only
Answer: A
Rationale: Restores circulating volume and perfusion.
10. Patient presents with sudden dyspnea, pleuritic chest pain, and tachycardia. Likely cause:
A. Pulmonary embolism
B. Pneumonia only
C. Anxiety only
D. COPD only
Answer: A
Rationale: Acute PE obstructs pulmonary blood flow causing respiratory distress.
11. Nursing intervention for pulmonary embolism:
A. Oxygen therapy, anticoagulation, monitor hemodynamics
B. Bed rest only
C. High-sodium diet only
D. Cough suppressant only
Answer: A
Rationale: Oxygen and anticoagulation prevent hypoxia and clot propagation.
12. Patient with COPD presents with wheezing and tachypnea. Priority:
