NSG-430 Adult Health Nursing II Comprehensive Exam Guide Q & A 2026 (Complete And Verified Study material) (18pages) LEARNEXAMS

1. Multiple Choice: When assessing a client with acute respiratory distress syndrome (ARDS), which of the following interventions should the nurse prioritize? a) Positioning the client in a high Fowler's position b) Administering a sedative c) Initiating mechanical ventilation d) Providing oral fluids Correct Answer: c) Initiating mechanical ventilation Rationale: In ARDS, the client's oxygenation is severely compromised, making mechanical ventilation crucial to ensure adequate oxygen delivery to the tissues. 2. True/False: In a client with septic shock, capillary refill time is a reliable indicator of effective perfusion. Answer: False Rationale: Capillary refill time can be affected by various factors and may not accurately reflect perfusion status in a critically ill client. 3. Fill-in-the-Blank: The primary goal of __________ therapy is to optimize cardiac performance in clients with heart failure. Correct Answer: Inotropic Rationale: Inotropic therapy strengthens the force of the heartbeat, improving cardiac output and perfusion. 4. Multiple Choice: A nurse is caring for a client with a traumatic brain injury. Which of the following is the most important parameter to monitor? a) Blood glucose levels b) Intracranial pressure (ICP) c) Serum potassium levels