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NR-325: ADULT HEALTH II EXAM LATEST 2026/ 2027
TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ GRADED A+
Question 1
A patient with acute myocardial infarction reports crushing chest pain.
The nurse understands the priority intervention is:
A. Obtain a dietary history
B. Assess pain after 8 hours
C. Ensure immediate cardiac assessment and oxygenation
D. Encourage ambulation
Answer: C. Ensure immediate cardiac assessment and oxygenation
Rationale: Acute myocardial infarction is a medical emergency
requiring rapid assessment, oxygenation, ECG monitoring, and
interventions to restore myocardial perfusion.
Question 2
The most common cause of myocardial infarction is:
A. Viral infection
B. Coronary artery occlusion from atherosclerotic plaque rupture
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C. Renal failure
D. Pulmonary embolism
Answer: B
Rationale: Plaque rupture with thrombus formation blocks coronary
blood flow, causing myocardial ischemia and necrosis.
Question 3
Which laboratory value is most specific for myocardial injury?
A. Hemoglobin
B. Troponin
C. Sodium
D. Platelet count
Answer: B
Rationale: Troponin is highly sensitive and specific for cardiac muscle
injury.
Question 4
A patient with left-sided heart failure is most likely to exhibit:
A. Ascites
B. Jugular venous distention
C. Pulmonary crackles
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D. Peripheral edema only
Answer: C
Rationale: Left ventricular failure causes pulmonary congestion and
crackles.
Question 5
Which finding is characteristic of right-sided heart failure?
A. Pulmonary edema
B. Peripheral edema
C. Orthopnea only
D. Hemoptysis
Answer: B
Rationale: Right-sided failure causes systemic venous congestion
resulting in edema and JVD.
Question 6
A patient with atrial fibrillation is at greatest risk for:
A. Fractures
B. Stroke
C. Pneumonia
D. Hyperthyroidism
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Answer: B
Rationale: Blood pooling in the atria increases thrombus formation
and embolic stroke risk.
Question 7
The nurse identifies which rhythm as life-threatening?
A. Normal sinus rhythm
B. Sinus bradycardia
C. Ventricular fibrillation
D. Sinus tachycardia
Answer: C
Rationale: Ventricular fibrillation results in no effective cardiac output.
Question 8
Cardiogenic shock results from:
A. Severe pump failure of the heart
B. Allergic reaction
C. Blood loss
D. Spinal cord injury
pg. 4
NR-325: ADULT HEALTH II EXAM LATEST 2026/ 2027
TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ GRADED A+
Question 1
A patient with acute myocardial infarction reports crushing chest pain.
The nurse understands the priority intervention is:
A. Obtain a dietary history
B. Assess pain after 8 hours
C. Ensure immediate cardiac assessment and oxygenation
D. Encourage ambulation
Answer: C. Ensure immediate cardiac assessment and oxygenation
Rationale: Acute myocardial infarction is a medical emergency
requiring rapid assessment, oxygenation, ECG monitoring, and
interventions to restore myocardial perfusion.
Question 2
The most common cause of myocardial infarction is:
A. Viral infection
B. Coronary artery occlusion from atherosclerotic plaque rupture
pg. 1
,2|Page
C. Renal failure
D. Pulmonary embolism
Answer: B
Rationale: Plaque rupture with thrombus formation blocks coronary
blood flow, causing myocardial ischemia and necrosis.
Question 3
Which laboratory value is most specific for myocardial injury?
A. Hemoglobin
B. Troponin
C. Sodium
D. Platelet count
Answer: B
Rationale: Troponin is highly sensitive and specific for cardiac muscle
injury.
Question 4
A patient with left-sided heart failure is most likely to exhibit:
A. Ascites
B. Jugular venous distention
C. Pulmonary crackles
pg. 2
,3|Page
D. Peripheral edema only
Answer: C
Rationale: Left ventricular failure causes pulmonary congestion and
crackles.
Question 5
Which finding is characteristic of right-sided heart failure?
A. Pulmonary edema
B. Peripheral edema
C. Orthopnea only
D. Hemoptysis
Answer: B
Rationale: Right-sided failure causes systemic venous congestion
resulting in edema and JVD.
Question 6
A patient with atrial fibrillation is at greatest risk for:
A. Fractures
B. Stroke
C. Pneumonia
D. Hyperthyroidism
pg. 3
, 4|Page
Answer: B
Rationale: Blood pooling in the atria increases thrombus formation
and embolic stroke risk.
Question 7
The nurse identifies which rhythm as life-threatening?
A. Normal sinus rhythm
B. Sinus bradycardia
C. Ventricular fibrillation
D. Sinus tachycardia
Answer: C
Rationale: Ventricular fibrillation results in no effective cardiac output.
Question 8
Cardiogenic shock results from:
A. Severe pump failure of the heart
B. Allergic reaction
C. Blood loss
D. Spinal cord injury
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