Exam 1,Exam 2 & Final Exams: NR324/ NR 324 (Latest 2024/ 2025 Updates STUDY BUNDLE) Adult Health I | Questions and Verified Answers | 100% Correct | Grade A – Chamberlain
Final Exam: NR324/ NR 324 (Latest 2024/
2025 Update) Adult Health I | Complete with
Questions and Verified Answers | 100%
Correct | Grade A – Chamberlain
Q: Tums/Antacids
Answer:
Neutralize pH
Q: H2 receptor blockers
Answer:
Pepcid
Decreases acid production
Q: PPIs
Answer:
Blocks proton pumps to block acid
Stronger than H2 receptor blocker
Q: GERD education
Answer:
Avoid triggers
Eat small frequent meals and not before bed
Untreated can lead to permanent damage
Q: Expected finding for a patient with GERD
Answer:
Loss of tooth enamel
Q: Risk factors for PUD
Answer:
Stress
H. Pylori
Alcohol
Smoking
Q: Duodenal ulcers
Answer:
Most common
Well nourished
Pain 2-3 hours after eating
Food main decrease pain
Q: Stress ulcers
Answer:
Physiological stress shock
Cushing’s ulcer – brain injury
Cushing’s ulcer – extensive burns
Q: Gastric ulcers
Answer:
Weight loss
HCL normal or hyposecretion
Pain 1/2-1 hr after meals
Vomiting
Eating main increase pain
Q: Upper GI bleed causes
Answer:
Esophagus
-Esophageal varices
-Mallory-weiss tear
Stomach
-Ulcers
-Acute gastritis
Duodenum
-Ulcers
Q: Lower GI bleed causes
Answer:
Ileum, jejunun, colon
-polyps
-Cancer
-IBS
-diverticulitis (colon)
Q: Dark tarry stools
Answer:
Upper GI bleed
Q: Bright red stools
Answer:
Lower GI bleed
Q: Chrons disease
Answer:
Has a discontinuous pattern throughout the GI
Can affect the entire GI tract
Q: Ulcerative colitis
Answer:
Starts at the rectum and progresses continuously through the colon
Affects only the colon
Q: Ulcerative colitis ssx
Answer:
Abdominal pain
Rectal bleeding
Bloody diarrhea
Q: Chrons disease ssx
Answer:
Abdominal pain
Diarrhea
Nausea
Vomiting
Weight loss
Bloody stools
get pdf at https://learnexams.com/search/study?query=
Exam 1: NR324/ NR 324 (Latest 2024/ 2025
Update) Adult Health I Review| Questions
and Verified Answers | 100% Correct | Grade
A – Chamberlain
Q: CVADs (central venous access devices)
Answer:
-Flushed every 8-12 hours per hos- pital protocol
Complications:
-Pneumothorax: ‘SOB, ‘RR, “O2
-Infection: must be sterile
-Clots
Q: Respiratory Auscultations
Answer:
-Crackles: thin “wet” (aka Rales)
-Rhonchi: thick “gunk”
-Wheezes: musical
-Stridor: constriction “high pitched”-medical emergency
Q: Respiratory Nursing Interventions
Answer:
Dependent:
-Oxygen
-Bronchodilators
-Steroids
-IVF/blood products
-Diuretics
-Incentive spirometer
-Antibiotics
Independent:
-Vital Signs
-Repositioning
-‘ HOB
-Suctioning
-Deep breathing
Q: COPD s/s
Answer:
-Tripop/accessory muscle use
-‘ Anterior-posterior diameter (barrel chest)
-Nail clubbing
-“ cap refill
-Cyanosis(late)
Q: Chest tube
Answer:
Good Indications:
-Tidaling/Fluctuations move ‘ with inspiration and “ with expiration
Complications:
-Air leak: bubbles
-Dislodged from body: cover hole
-Disconnected: put tubbing end in water
Q: What s/s are classic with a pneumonia infection? How do we treat it?
Answer:
What s/s are classic with a pneumonia infection?
-Fever, shaking chills, Green, yellow sputum
How do we treat it?
-Antibiotics
-65+ gets vaccine
Q: What are the manifestations of TB? What does a positive TB skin test mean?
Answer:
What are the manifestations of TB?
-Wt. loss
-night sweats
-Hemoptysis
-Chronic Productive Cough (over 3 weeks) What does a positive TB skin test mean?
-Induration: read in 48-72 hours
5 mm (immunocompromised)
10 mm (drug user, kids/infants, or travel outside US)
15 mm if no risk factors
Q: What is a PE(Pulmonary Embolism)? Risk Factors? What drug would you use? What are the
acute interventions?
Answer:
What is a PE(Pulmonary Embolism)?
-Blockage of pulmonary arteries
Risk Factors?
-Immobility/DVT, pregnancy, obesity
What drug would you use?
-fibrinolytic/thrombolytic(clot buster): dissolve clots(RF: bleeding) What are the acute
interventions?
-Anticoagulants(prevent new clots): Heparin(IV), Warfarin(PO)
Q: How do you use a peak flow meter and what does it tell you?
Answer:
How do you use a peak flow meter and what does it tell you?
For asthma
-Green=good
-Yellow=take another hit
-Red=call 911
get pdf at https://learnexams.com/search/study?query=
Exam 1: NR324/ NR 324 (Latest 2024/ 2025
Update) Adult Health I | Complete Guide
with Questions and Verified Answers | Weeks
1-3 Covered| 100% Correct | Grade A –
Chamberlain
Q: Vital signs regarding fluid volume deficit
Answer:
hyperthermia
tachycardia
weak, thready pulses
hypotension
tachypnea
Q: Neurological symptoms regarding FVD
Answer:
Dizziness
syncope
confusion
weakness
fatigue
seizures
Q: GI symptoms regarding FVD
Answer:
thirst
dry mucous membranes
nausea
acute weight loss
Q: Renal symptoms regarding FVD
Answer:
oliguria
Q: Respiratory symptoms regarding FVD
Answer:
hypoxia
Q: other symptoms regarding FVD
Answer:
diminished capillary refill
cool clammy skin
diaphoresis, sunken eyeballs
flat neck veins
poor skin turgor and tenting
Q: Normal plasma osmolality
Answer:
280-295 mOsm/kg
Q: Hemoglobin and Hematocit, BUN, Urine specific gravity, Serum sodium, and Blood
osmolality labs regarding FVO
Answer:
all are decreased
Q: Hemoglobin and Hematocrit, BUN, Urine specific gravity, Serum sodium, and Blood
osmolality labs regarding FVD
Answer:
all increased or slightly elevated
Q: The nurse is caring for several clients with altered fluid balance. Which diagnostic tests can
determine if a client’s condition is worsening or improving?
Answer:
Comprehensive metabolic panel (CMP)
Chest x-ray
Complete blood count (CBC)
Q: Medication and/or intravenous fluid administration can help improve fluid balance for FVO
Answer:
Diuretics
ACE inhibitors
Beta Blockers
Calcium Channel Blockers
Q: Medication and/or intravenous fluid administration can help improve fluid balance for FVD
Answer:
Intravenous (IV) fluid replacements (isotonic, hypotonic, hypertonic)
Blood transfusion, if needed
(For DI, give desmopressin)
Q: Clients with fluid volume deficit are at risk for falling. Which nursing action best promotes
safety?
Answer:
Change positions slowly when rising from a bed
Q: Fluid volume deficit can significantly impair oxygenation. Which nursing actions are
appropriate to resolve oxygenation problems?
Answer:
Continuously monitor oxygen saturation
Monitor arterial blood gas results
Administer supplemental oxygen
Q: Fluid volume deficit most commonly occurs due to…
Answer:
abnormal loss of body fluids (diarrhea, vomiting, hemorrhage, polyuria)
inadequate fluid intake (dehydration).
Q: what can directly cause FVD?
Answer:
Illness and disease (burns and DKA)
Diuretic medications
colonoscopy preparation
Perioperative clients
Q: Isotonic fluids
Answer:
0.9% NaCl(normal saline)
get pdf at https://learnexams.com/search/study?query=
Exam 2: NR324/ NR 324 (Latest 2024/ 2025
Update) Adult Health I | Complete Guide
with Questions and Verified Answers | Weeks
4-6 Covered| 100% Correct | Grade A –
Chamberlain
Q: erythrocytosis
Answer:
too many red blood cells
Q: leukocytopenia
Answer:
deficiency of white blood cells
Q: leukocytosis
Answer:
too many white blood cells
Q: thrombocytopenia
Answer:
not enough platelets
Q: thrombocytosis
Answer:
too many platelets
Q: assessments that show improvement of anemia
Answer:
-increased red blood cell count on complete blood count
-improved oxygen saturation
-increased blood pressure
-decreased pulse
-improved fatigue
Q: assessments that show improvement of Leukocytopenia
Answer:
-absence of signs or symptoms of infection
-increased white blood cell count
Q: assessments that show improvement of Leukocytosis
Answer:
-decreased fever
-decreased white blood cell count
-stable blood pressure
Q: assessments that show improvement of Thrombocytopenia
Answer:
-absence of signs or symptoms of infection
-increased platelet count
Q: assessments that show improvement of Thrombocytosis
Answer:
-absence of signs or symptoms of thromboembolism
-decreased platelet count
Q: What lab does the nurse anticipate being prescribed to evaluate the needs of a client with a
hematologic alteration?
Answer:
Complete Blood Count
Q: Which are laboratory markers for anemia? Select all that apply.
Answer:
Hematocrit
Hemoglobin
RBC
Q: Causes of anemia
Answer:
Iron deficiency
Vitamin deficiency
Chronic diseases
Bone marrow diseases
Hemolytic anemia
Sickle cell anemia
Q: s/s of anemia
Answer:
pale skin
cool skin temp
fatigue and dizziness
shortness of breath
chest discomfort
tachycardia
Q: Microcytic anemia
Answer:
MCV less than 80
-Small red blood cells are produced and lack oxygen-carrying capacity due to iron deficiency
anemia or thalassemia
Q: Normocytic anemia
Answer:
MCV 80-100
-Red blood cells are lost or destroyed due to blood loss or kidney failure
Q: Macrocytic anemia
Answer:
MCV greater than 100
-Large red blood cells are produced and lack oxygen-carrying capacity due to folate or vitamin B
deficiency
Q: iron deficiency anemia
Answer:
most common
get pdf at https://learnexams.com/search/study?query=
Exam 2: NR324/ NR 324 (Latest 2024/ 2025
Update) Adult Health I Review | Questions
and Verified Answers | 100% Correct | Grade
A – Chamberlain
Q: Anorexia nervosa
Answer:
is characterized by restricting energy intake, difficulties in maintaining an appropriate weight, an
intense fear of gaining weight or being fat, and distorted body image. People with AN generally
restrict the number of calories and the types of food they eat.
Q: Bulimia nervosa
Answer:
is a disorder characterized by episodes of binge eating with in- appropriate compensatory
behaviors to avoid weight gain (vomiting, laxative misuse, over exercise). • A treatment
combination of psychologic counselling (i.e., cognitive behavioural therapy) and nutrition
counselling is used with both anorexia nervosa and bulimia nervosa.
Q: Gastroesophageal Reflux Disease (GERD)
Answer:
is a syndrome, not a disease, in which there are chronic symptoms or mucosal damage resulting
from reflux of gastric contents into the lower esophagus.
-caused by incompetent LES
-food, drugs, obesity, smoking, and hiatal hernia affect LES pressure
Q: Manifestations of GERD
Answer:
heartburn, dyspepsia(pain in upper abd), regurgi- tation, wheezing, coughing, dyspnea, night
time disturbances, hoarseness, sore throat, lump in throat, choking, increased saliva
Q: Lifestyle modifications Patient education for GERD treatment
Answer:
low fat diet;
small meals
avoid alcohol, caffeine, and smoking sit upright 2-3 hours after meals avoid tight clothing at
waist
avoid bending over after eating avoid eating 3 hours before bed raise HOB
weight reduction
Q: Drugs for GERD
Answer:
PPIs (-prazole): decrease HCI secretion and absorption
-take before 1st meal
H2 Receptor Blockers(-tidine): decrease HCI secretion/irritation
Antacids(-carbonate): neutralize acid
-take 1-3 hours after meals; before bed
Cytoprotective: stimulate mucus production/ BF to GI
-1-2 hrs before.after antacid
Prokinetics: increase gastric emptying/motility
Q: Inflammatory Bowel Disease
Answer:
Autoimmune disease: Crohn’s disease and ul- cerative colitis
-overactive, inappropriate, sustained immune response to substances that are nor- mally
tolerated.
-acute exacerbations that occur at unpredictable intervals.
-environmental/bacterial triggers
-widespread tissue destruction
Q: Ulcerative colitis
Answer:
affects the mucosal layer (inner) of the rectum and colon
Q: Ulcerative colitis manifestations
Answer:
-Bloody diarrhea (electrolyte/protein loss)
-Abd pain
-weight loss
-fever
-fatigue
-psuedopolyps (tongue projections)
Q: Crohn’s disease
Answer:
occur anywhere in the GI tract from the mouth to the anus but occurs most often in the terminal
ileum and colon
Q: Crohns disease manifestations
Answer:
skip lesions cobblestone appearance
strictures leaks fistulas diarrhea weight loss abd pain fever fatigue
rectal bleeding
Q: IBD complications
Answer:
hemorrhage, structures, perforation, abscess, fistulas, CDI, clonic dilation
get pdf at https://learnexams.com/search/study?query=
Final Exam: NR324/ NR 324 (Latest 2024/
2025 Update) Adult Health I Review|
Questions and Verified Answers | 100%
Correct | Grade A – Chamberlain
Q: Peritonitis
Answer:
-MEDICAL EMERGENCY
-“hot belly” S/S:
-Severe pain
-Fever
-anorexia, N/V
-‘RR, “BP, ‘HR
-Knife-like pain
-“Board-like” abd with guarding
-Decreased or absent bowel sound
TX: abx
Q: Appendicitis
Answer:
-RLQ ab pain (McBurney’s point) S/S:
-Persistent pain
-Fever, anorexia, N/V
-Rebound tenderness (pain= pressure removed) Medications: IV antibiotics, analgesics,
antiemetics
Q: Nausea/ Vomiting
Answer:
Nausea: discomfort; ‘RR‘HR; gag, pale, sweating
Vomiting: emesis
Assess: Color, odor, frequency, amount
Tx: anticholinergics- scopolamine, ginger, peppermint
Q: Proton Pump Inhibitors (PPIs)
Answer:
-End in “zole” Action: Decrease HCl acid; Promote healing
N/C: Take before the first meal of the day
Disorders: Gastritis, GERD, Hiatal Hernia, PUD
Q: Histamine (H2) Receptor Blockers
Answer:
-End in “dine”
Action: Decrease HCL acid secretion; Decrease pepsinogen to pepsin
N/C: Daily
Disorders: Gastritis, GERD, Hiatal Hernia, PUD
Q: Prokinetic Agents
Answer:
Action: Increase gastric motility and help with emptying
N/C: Given every 6 hours IVP Disorders: GERD
Q: Antiulcer, Protectants
Answer:
Action: Coat the stomach and provide a barrier
N/C: Given 1 hours prior to eating
Disorders: PUD
Q: Antiemetic
Answer:
Action: Helps decrease s/s of nausea and vomiting
N/C: prn
Disorders: Appendicitis
Q: INFLAMMATORY RESPONSE: Vascular
Answer:
-Vasodilation: causes heat, redness, and swelling
-‘ permeability=‘ fluid movement-edema/drainage
Q: INFLAMMATORY RESPONSE: Cellular
Answer:
-“Bad guys” antigens: unique identifi- er
-“Good guys” antibodies help identify invasion sooner
Q: Types of Immunity
Answer:
Active: infection or through immunization
Passive: plecenta/breast milk
Q: SYSTEMIC LUPUS ERYTHEMATOSUS(SLE)
Answer:
Triggers: – Sunlight- Stress- Pregnancy- Drugs
S/S:
-Wt. loss
-Chronic fatigue
-Fever
-Tachypnea/cough
-Butterfly rash
-Photo sensitivity
get pdf at https://learnexams.com/search/study?query=