(FIU) NUR 3227L Nursing Care of Adults II Clinical Midterm Readiness Exam 2024.(FIU) NUR 3227L Nursing Care of Adults II Clinical Midterm Readiness Exam 2024.(FIU) NUR 3227L Nursing Care of Adults II Clinical Midterm Readiness Exam 2024.
,1. A patient in chronic heart failure presents with sudden weight
gain and edema. What is the most appropriate nursing
intervention?
a) Administer diuretics immediately
b) Assess vital signs and fluid intake/output
c) Encourage high-sodium diet
d) Schedule a follow-up appointment
Answer: b) Assess vital signs and fluid intake/output
Rationale: Assessing vital signs and fluid balance helps in
evaluating the severity of heart failure and determining
appropriate interventions.
2. Which laboratory finding is indicative of acute kidney injury
in a patient with diabetes?
a) Decreased BUN
b) Elevated creatinine
c) Normal serum electrolytes
d) Increased hemoglobin
Answer: b) Elevated creatinine
Rationale: Elevated creatinine levels are a key indicator of
declining renal function and may signify acute kidney injury.
3. A patient has been diagnosed with pneumonia. What is the
priority nursing assessment?
a) Auscultation of bowel sounds
b) Respiratory rate and effort
c) Skin turgor
d) Capillary refill
, Rationale: The respiratory status is critical in pneumonia,
where breathing may be compromised.
4. In managing a patient with DKA (diabetic ketoacidosis), the
nurse understands that the priority intervention is to:
a) Administer insulin
b) Monitor glucose levels
c) Infuse IV fluids
d) Provide education on diabetes management
Answer: c) Infuse IV fluids
Rationale: Fluid resuscitation is crucial to restore
hemodynamic stability and dilute excess ketones.
5. Which nursing diagnosis is most appropriate for a patient
post-head injury with altered consciousness?
a) Impaired physical mobility
b) Risk for injury
c) Activity intolerance
d) Ineffective airway clearance
Answer: b) Risk for injury
Rationale: Altered consciousness predisposes the patient to
potential injuries related to mobility and safety.
### Fill-in-the-Blank Questions
6. Cushing's syndrome is characterized by an excess of
__________ hormone.
Answer: cortisol
Rationale: Cushing's syndrome results from prolonged
exposure to high levels of cortisol.
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