NUR 201 ADULT HEALTH
NURSING I – EXAM (2026
EDITION) QUESTIONS AND
ANSWERS WITH
RATIONALES/GRADED A+/2026
UPDATE/100% CORRECT
/INSTANT DOWNLOAD
Section 1: Cardiovascular Nursing (Questions 1–12)
1. A nurse assesses a client with heart failure who has crackles in both lung bases,
jugular vein distention, and 3+ pitting edema in the lower extremities. Which nursing
diagnosis has the highest priority?
A. Activity Intolerance
B. Excess Fluid Volume
C. Impaired Gas Exchange
D. Risk for Skin Breakdown
Rationale: Impaired Gas Exchange is priority because crackles indicate pulmonary
congestion, threatening oxygenation (Maslow’s hierarchy).
2. A client is prescribed digoxin (Lanoxin) for heart failure. Which finding requires
immediate nursing action?
A. Heart rate of 62 bpm
B. Serum potassium 3.2 mEq/L
, C. Nausea and yellow vision
D. Urine output 40 mL/hr
Rationale: Nausea and yellow vision are classic signs of digoxin toxicity.
Hypokalemia (3.2) increases toxicity risk, but symptoms demand immediate action.
3. A client with unstable angina is receiving heparin IV. Which lab value indicates
therapeutic anticoagulation?
A. INR 2.5
B. aPTT 65 seconds (control 30 seconds)
C. Platelets 150,000/mm³
D. PT 12 seconds
Rationale: For heparin, therapeutic aPTT is 1.5–2.5 × control (45–75 sec). INR is for
warfarin.
4. Post–cardiac catheterization via femoral artery, the nurse finds the groin site soft
with no hematoma but the client reports severe back pain. What should the nurse do
first?
A. Assess distal pulses and check for retroperitoneal bleeding
B. Apply firm pressure to the groin
C. Administer morphine as ordered
D. Elevate the head of bed
Rationale: Back pain after femoral cath suggests retroperitoneal bleeding; assess
hemodynamics and pulses immediately.
5–12 (Abbreviated for space – similar style)
Topics: MI complications, hypertension teaching, pacemaker care, EKG rhythms, etc.
Section 2: Respiratory Nursing (Questions 13–25)
NURSING I – EXAM (2026
EDITION) QUESTIONS AND
ANSWERS WITH
RATIONALES/GRADED A+/2026
UPDATE/100% CORRECT
/INSTANT DOWNLOAD
Section 1: Cardiovascular Nursing (Questions 1–12)
1. A nurse assesses a client with heart failure who has crackles in both lung bases,
jugular vein distention, and 3+ pitting edema in the lower extremities. Which nursing
diagnosis has the highest priority?
A. Activity Intolerance
B. Excess Fluid Volume
C. Impaired Gas Exchange
D. Risk for Skin Breakdown
Rationale: Impaired Gas Exchange is priority because crackles indicate pulmonary
congestion, threatening oxygenation (Maslow’s hierarchy).
2. A client is prescribed digoxin (Lanoxin) for heart failure. Which finding requires
immediate nursing action?
A. Heart rate of 62 bpm
B. Serum potassium 3.2 mEq/L
, C. Nausea and yellow vision
D. Urine output 40 mL/hr
Rationale: Nausea and yellow vision are classic signs of digoxin toxicity.
Hypokalemia (3.2) increases toxicity risk, but symptoms demand immediate action.
3. A client with unstable angina is receiving heparin IV. Which lab value indicates
therapeutic anticoagulation?
A. INR 2.5
B. aPTT 65 seconds (control 30 seconds)
C. Platelets 150,000/mm³
D. PT 12 seconds
Rationale: For heparin, therapeutic aPTT is 1.5–2.5 × control (45–75 sec). INR is for
warfarin.
4. Post–cardiac catheterization via femoral artery, the nurse finds the groin site soft
with no hematoma but the client reports severe back pain. What should the nurse do
first?
A. Assess distal pulses and check for retroperitoneal bleeding
B. Apply firm pressure to the groin
C. Administer morphine as ordered
D. Elevate the head of bed
Rationale: Back pain after femoral cath suggests retroperitoneal bleeding; assess
hemodynamics and pulses immediately.
5–12 (Abbreviated for space – similar style)
Topics: MI complications, hypertension teaching, pacemaker care, EKG rhythms, etc.
Section 2: Respiratory Nursing (Questions 13–25)
