NR 325 Adult Health III - Week 9 Comprehensive Study Guide 2026
|Chamberlain College
1. In the emergency department triage system, a patient presenting with a
simple fracture and stable vital signs should be assigned which color tag?
A. Red
B. Green
C. Yellow
D. Black
Answer: B
Rationale: Green tags are used for the ‘walking wounded’ or minor injuries such as simple
fractures or abrasions where care can be delayed significantly.
2. A patient is admitted with severe burns. Using the Parkland Formula, how
much of the calculated 24-hour fluid requirement should be administered in the
first 8 hours post-injury?
A. 25%
B. 100%
C. 75%
D. 50%
Answer: D
Rationale: According to the Parkland Formula, half (50%) of the total calculated fluid
volume is given in the first 8 hours, and the remaining half over the next 16 hours.
,3. Which hemodynamic parameter is the best indicator of right-sided heart
preload?
A. Mean Arterial Pressure (MAP)
B. Systemic Vascular Resistance (SVR)
C. Central Venous Pressure (CVP)
D. Pulmonary Artery Wedge Pressure (PAWP)
Answer: C
Rationale: CVP measures the pressure in the right atrium and is the primary indicator of
right ventricular end-diastolic volume (preload).
4. A patient in septic shock is receiving large volumes of crystalloids. What is the
primary goal of this initial fluid resuscitation?
A. To increase Systemic Vascular Resistance (SVR)
B. To decrease Cardiac Output
C. To maintain a Central Venous Pressure (CVP) of 8-12 mmHg
D. To normalize the serum potassium level
Answer: C
Rationale: The surviving sepsis guidelines suggest targeting a CVP of 8-12 mmHg (or
higher if ventilated) to ensure adequate intravascular volume and tissue perfusion.
5. Which clinical finding is part of Cushing’s Triad, indicating increased
intracranial pressure?
A. Bradycardia
B. Narrowing pulse pressure
C. Tachycardia
D. Hypotension
Answer: A
Rationale: Cushing’s Triad consists of bradycardia, widening pulse pressure (increased
systolic BP), and irregular respirations.
, 6. A patient presents with muffled heart sounds, jugular venous distention, and
hypotension. The nurse suspects which condition?
A. Cardiac Tamponade
B. Pulmonary Embolism
C. Tension Pneumothorax
D. Myocardial Infarction
Answer: A
Rationale: These three signs are known as Beck’s Triad, which is classic for cardiac
tamponade.
7. During the Primary Survey of a trauma patient, which assessment comes
immediately after ‘Airway’?
A. Circulation
B. Disability
C. Breathing
D. Exposure
Answer: C
Rationale: The primary survey follows the ABCDE sequence: Airway, Breathing,
Circulation, Disability, and Exposure.
8. Which type of shock is characterized by a low heart rate and low blood
pressure due to loss of sympathetic tone?
A. Hypovolemic shock
B. Neurogenic shock
C. Anaphylactic shock
D. Septic shock
Answer: B
|Chamberlain College
1. In the emergency department triage system, a patient presenting with a
simple fracture and stable vital signs should be assigned which color tag?
A. Red
B. Green
C. Yellow
D. Black
Answer: B
Rationale: Green tags are used for the ‘walking wounded’ or minor injuries such as simple
fractures or abrasions where care can be delayed significantly.
2. A patient is admitted with severe burns. Using the Parkland Formula, how
much of the calculated 24-hour fluid requirement should be administered in the
first 8 hours post-injury?
A. 25%
B. 100%
C. 75%
D. 50%
Answer: D
Rationale: According to the Parkland Formula, half (50%) of the total calculated fluid
volume is given in the first 8 hours, and the remaining half over the next 16 hours.
,3. Which hemodynamic parameter is the best indicator of right-sided heart
preload?
A. Mean Arterial Pressure (MAP)
B. Systemic Vascular Resistance (SVR)
C. Central Venous Pressure (CVP)
D. Pulmonary Artery Wedge Pressure (PAWP)
Answer: C
Rationale: CVP measures the pressure in the right atrium and is the primary indicator of
right ventricular end-diastolic volume (preload).
4. A patient in septic shock is receiving large volumes of crystalloids. What is the
primary goal of this initial fluid resuscitation?
A. To increase Systemic Vascular Resistance (SVR)
B. To decrease Cardiac Output
C. To maintain a Central Venous Pressure (CVP) of 8-12 mmHg
D. To normalize the serum potassium level
Answer: C
Rationale: The surviving sepsis guidelines suggest targeting a CVP of 8-12 mmHg (or
higher if ventilated) to ensure adequate intravascular volume and tissue perfusion.
5. Which clinical finding is part of Cushing’s Triad, indicating increased
intracranial pressure?
A. Bradycardia
B. Narrowing pulse pressure
C. Tachycardia
D. Hypotension
Answer: A
Rationale: Cushing’s Triad consists of bradycardia, widening pulse pressure (increased
systolic BP), and irregular respirations.
, 6. A patient presents with muffled heart sounds, jugular venous distention, and
hypotension. The nurse suspects which condition?
A. Cardiac Tamponade
B. Pulmonary Embolism
C. Tension Pneumothorax
D. Myocardial Infarction
Answer: A
Rationale: These three signs are known as Beck’s Triad, which is classic for cardiac
tamponade.
7. During the Primary Survey of a trauma patient, which assessment comes
immediately after ‘Airway’?
A. Circulation
B. Disability
C. Breathing
D. Exposure
Answer: C
Rationale: The primary survey follows the ABCDE sequence: Airway, Breathing,
Circulation, Disability, and Exposure.
8. Which type of shock is characterized by a low heart rate and low blood
pressure due to loss of sympathetic tone?
A. Hypovolemic shock
B. Neurogenic shock
C. Anaphylactic shock
D. Septic shock
Answer: B
