NUR390 / NUR 390 EXAM 1
Nursing Care of Adult I
Concordia, St. Paul
Actual Questions and Answers
This Exam contains:
➢ 100% Guarantee Pass.
➢ Actual Questions and Answers
➢ Multiple choice (single best answer)
➢ Case Studies/Scenario-Based Questions
,A patient who has a small cell cancer of the lung develops syndrome
of inappropriate antidiuretic hormone (SIADH). The nurse would notify
the health care provider about which assessment finding?
a. serum hematocrit of 42%
b. serum sodium of 120 mg/dL
c. urinary output of 280 mL in 8 hours
d. reported weight gain of 2.2 pounds
Answer
b. serum sodium of 120 mg/dL
A patient with multiple draining wounds is admitted for hypovolemia.
Which information would provide the most accurate way for the nurse
to evaluate fluid balance?
a. skin turgor
b. daily weight
c. urine output
d. edema presence
Answer
b. daily weight
The home health nurse cares for an alert and oriented older adult
patient who has a history of dehydration. Which instruction would the
nurse give this patient?
,a. "drink more fluids in the late evening."
b. "more fluids are needed if you feel thirsty."
c. "increase the fluids if your mouth feels dry."
d. "if you feel confused, you need more fluids."
Answer
c. "increase the fluids if your mouth feels dry."
A patient who is taking a potassium-depleting diuretic for treatment of
hypertension reports generalized weakness. Which action would the
nurse to take?
a. Assess for facial muscle spasms.
b. Ask the patient about loose stools.
c Recommend the patient avoid drinking orange juice with meals.
d. Suggest that the health care provider order a basic metabolic
panel.
Answer
d. Suggest that the health care provider order a basic metabolic panel.
Spironolactone (Aldactone), an aldosterone antagonist, is prescribed
for a patient. Which statement by the patient indicates that the
teaching about this medication has been effective?
, a. "I will try to drink at least 8 glasses of water every day."
b "I will use a salt substitute to decrease my sodium intake."
c "I wil increase my intake of potassium-containing foods."
d. "I will drink apple juice instead of orange juice for breakfast."
Answer
d. "I will drink apple juice instead of orange juice for breakfast."
A patient with new-onset confusion and hyponatremia is being
admitted. Which action would the charge nurse take when making
room assignments?
a. Assign the patient to a semiprivate room.
b. Assign the patient to a room near the nurse's station.
c. Place the patient in a room nearest to the water fountain.
d. Place the patient on telemetry to monitor for peaked T waves.
Answer
b. Assign the patient to a room near the nurse's station.
The nurse is caring for a patient who has a massive burn injury and
possible hypovolemia. Which assessment data would be of most
concern to the nurse?
a. urine output is 30 mL/hour
b. blood pressure is 90/40 mm Hg
Nursing Care of Adult I
Concordia, St. Paul
Actual Questions and Answers
This Exam contains:
➢ 100% Guarantee Pass.
➢ Actual Questions and Answers
➢ Multiple choice (single best answer)
➢ Case Studies/Scenario-Based Questions
,A patient who has a small cell cancer of the lung develops syndrome
of inappropriate antidiuretic hormone (SIADH). The nurse would notify
the health care provider about which assessment finding?
a. serum hematocrit of 42%
b. serum sodium of 120 mg/dL
c. urinary output of 280 mL in 8 hours
d. reported weight gain of 2.2 pounds
Answer
b. serum sodium of 120 mg/dL
A patient with multiple draining wounds is admitted for hypovolemia.
Which information would provide the most accurate way for the nurse
to evaluate fluid balance?
a. skin turgor
b. daily weight
c. urine output
d. edema presence
Answer
b. daily weight
The home health nurse cares for an alert and oriented older adult
patient who has a history of dehydration. Which instruction would the
nurse give this patient?
,a. "drink more fluids in the late evening."
b. "more fluids are needed if you feel thirsty."
c. "increase the fluids if your mouth feels dry."
d. "if you feel confused, you need more fluids."
Answer
c. "increase the fluids if your mouth feels dry."
A patient who is taking a potassium-depleting diuretic for treatment of
hypertension reports generalized weakness. Which action would the
nurse to take?
a. Assess for facial muscle spasms.
b. Ask the patient about loose stools.
c Recommend the patient avoid drinking orange juice with meals.
d. Suggest that the health care provider order a basic metabolic
panel.
Answer
d. Suggest that the health care provider order a basic metabolic panel.
Spironolactone (Aldactone), an aldosterone antagonist, is prescribed
for a patient. Which statement by the patient indicates that the
teaching about this medication has been effective?
, a. "I will try to drink at least 8 glasses of water every day."
b "I will use a salt substitute to decrease my sodium intake."
c "I wil increase my intake of potassium-containing foods."
d. "I will drink apple juice instead of orange juice for breakfast."
Answer
d. "I will drink apple juice instead of orange juice for breakfast."
A patient with new-onset confusion and hyponatremia is being
admitted. Which action would the charge nurse take when making
room assignments?
a. Assign the patient to a semiprivate room.
b. Assign the patient to a room near the nurse's station.
c. Place the patient in a room nearest to the water fountain.
d. Place the patient on telemetry to monitor for peaked T waves.
Answer
b. Assign the patient to a room near the nurse's station.
The nurse is caring for a patient who has a massive burn injury and
possible hypovolemia. Which assessment data would be of most
concern to the nurse?
a. urine output is 30 mL/hour
b. blood pressure is 90/40 mm Hg
