Maryville NURS 620 Adult 1 EXAM 1 LATEST 2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
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Maryville NURS 620 Adult 1
Which of the following are critical components of a comprehensive
adult patient assessment? (Select all that apply)
A) Health history
B) Physical examination
C) Medication reconciliation
D) Genetic testing
E) Social and environmental factors
Correct Answers: A, B, C, E
Rationale: A comprehensive assessment includes health history,
physical exam, medication review, and social/environmental factors
affecting health. Genetic testing may be relevant but is not always a
routine part of adult assessment.
Question 2:
Which signs and symptoms are typical indicators of heart failure in
adults? (Select all that apply)
A) Dyspnea on exertion
B) Peripheral edema
C) Bradycardia
D) Jugular vein distension
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E) Hyperactive bowel sounds
Correct Answers: A, B, D
Rationale: Heart failure commonly presents with dyspnea, peripheral
edema, and jugular vein distension. Bradycardia and hyperactive bowel
sounds are not typical signs
.Question 3:
Which nursing interventions are appropriate for managing a patient
with chronic obstructive pulmonary disease (COPD)? (Select all that
apply)
A) Administer bronchodilators as prescribed
B) Encourage deep breathing and coughing exercises
C) Limit oxygen therapy to avoid hypercapnia
D) Promote high sodium diet
E) Monitor for signs of respiratory distress
Correct Answers: A, B, C, E
Rationale: Bronchodilators, breathing exercises, cautious oxygen use,
and monitoring respiratory status are key interventions. A high sodium
diet is typically avoided to prevent fluid retention
Question 4:
Which laboratory values require immediate nursing intervention in an
adult patient? (Select all that apply)
A) Potassium level of 6.2 mEq/L
B) White blood cell count of 4,000 cells/mm³
C) Blood glucose of 250 mg/dL in a diabetic patient
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D) Hemoglobin of 9 g/dL
E) Sodium level of 130 mEq/L
Correct Answers: A, C
Rationale: Hyperkalemia (potassium >5.0 mEq/L) and hyperglycemia
>200 mg/dL often require immediate action. WBC count, hemoglobin,
and sodium values may be abnormal but less urgent.
Question 5:
Which symptoms indicate acute myocardial infarction (AMI) in adults?
(Select all that apply)
A) Chest pain radiating to the left arm
B) Nausea and vomiting
C) Sudden severe headache
D) Diaphoresis
E) Sudden onset of vision loss
Correct Answers: A, B, D
Rationale: AMI often presents with chest pain radiating to the arm,
nausea, and diaphoresis. Headache and vision loss are unrelated.
Question 6:
Which assessments are critical when caring for an adult patient with
diabetes mellitus? (Select all that apply)
A) Blood glucose monitoring
B) Foot and skin examination
C) Hearing evaluation
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