NSGD 2256 ADVANCED HEALTH ASSESSMENT AND CLINICAL
REASONING EXAM 2026/2027 || COMPREHENSIVE HEALTH ASSESSMENT ||
ADVANCED CLINICAL REASONING & DIAGNOSTIC DECISION-MAKING ||
VERIFIED QUESTIONS WITH ACCURATE ANSWERS || HIGH-YIELD STUDY
GUIDE || GRADED A+
What is the MOST significant modifiable risk factor for the development of
impaired gas exchange?
Tobacco use
3 multiple choice options
When reviewing the concept of gas exchange, how should the nurse BEST
describe the movement of oxygen and carbon dioxide?
Gas moves from an area of high pressure to an area of low pressure across the
alveolar membrane.
3 multiple choice options
A healthcare provider writes a prescription for arterial blood gases (ABG).
What should the nurse recognize that this test is used to detect?
Status of acid-base balance in arterial blood.
3 multiple choice options
The nurse is administering oral glucocorticoids to a patient with asthma. What
finding indicates a therapeutic response to the medication?
No observable respiratory difficulty or shortness of breath over the last 24
hours.
3 multiple choice options
The nurse is caring for a patient with chronic obstructive pulmonary disease
(COPD). The patient tells the nurse he is having a "hard time breathing." His
RR is 32, P 120, O2 90%. Which action should the nurse take?
Initiate oxygen via a nasal cannula, and begin at a flow rate of 2L/min.
3 multiple choice options
The nurse should anticipate that the patient with which diagnosis or symptoms
will need to be treated with insertion of a chest tube?
Unequal thoracic expansion suspected of having a pneumothorax.
3 multiple choice options
,The nurse is assessing a female patient at the neighborhood clinic. The patient
reports frequent shortness of breath and dizziness. The nurse knows that these
symptoms may be an underlying symptom of which condition?
Myocardial infarction
3 multiple choice options
The nurse is assessing the sleep patterns of a patient when the patient reports
having trouble sleeping when lying flat. Which is the best response by the
nurse?
Use pillows to prop yourself up while sleeping.
3 multiple choice options
A patient is experiencing periods of confusion, and the family is concerned. The
patient’s son asks the nurse for an explanation and recommendation. Which is
the best response by the nurse?
"Your father may be having mini-strokes; I will notify his healthcare provider."
3 multiple choice options
A patient is questioning the nurse about circulation and perfusion. Which
response about perfusion by the nurse is the best?
"It is the flow of blood through arteries and capillaries delivering nutrients and
oxygen to cells."
3 multiple choice options
What is the purpose of including exercise and activity in a cardiac rehabilitation
program?
- Increase cardiac output
- Increase blood flow through the arteries
- Increase muscle mass
- Increase flexibility
A nursing instructor assigns the clinical group the task of writing a journal
depicting the student’s clinical day. What is the most likely rationale for this
assignment?
Allows reflection, an important aspect of clinical judgement.
3 multiple choice options
Which statement best describes clinical reasoning?
, Includes the thinking used for analyzing knowledge relative to a clinical
situation or specific patient.
3 multiple choice options
Tanner’s Clinical Judgment Model, the most commonly used model in nursing
education and based on three decades of research, has different stages. Which is
a stage of Tanner’s Clinical Judgment Model?
- Noticing
- Interpreting
- Responding
- Reflecting
Which communication term can be applied to this statement: How messages are
received and interpreted would include personal states such as mood
disturbance, environmental stimuli related to the setting of the communication,
and contextual variables?
Metacommunication
3 multiple choice options
A patient does not make eye contact with the nurse and folds their arms at their
chest. Which aspect of communication has the nurse assessed?
Nonverbal communication
3 multiple choice options
The nurse is admitting a new patient to the psychiatric unit. Which factor
will most likely contribute to a positive outcome of the interaction?
- The environment is quiet
- Pt has been admitted to the facility in the past
- Pt is awake, alert, and oriented to person, place and time.
Gas exchange is defined as:
A process by which oxygen is transported to cells and carbon dioxide is
transported from cells.
A patient experiencing an anxiety attack is breathing quickly and feels their
heart is racing. What type of acid base imbalance occurs as a result?
Respiratory alkalosis
3 multiple choice options
REASONING EXAM 2026/2027 || COMPREHENSIVE HEALTH ASSESSMENT ||
ADVANCED CLINICAL REASONING & DIAGNOSTIC DECISION-MAKING ||
VERIFIED QUESTIONS WITH ACCURATE ANSWERS || HIGH-YIELD STUDY
GUIDE || GRADED A+
What is the MOST significant modifiable risk factor for the development of
impaired gas exchange?
Tobacco use
3 multiple choice options
When reviewing the concept of gas exchange, how should the nurse BEST
describe the movement of oxygen and carbon dioxide?
Gas moves from an area of high pressure to an area of low pressure across the
alveolar membrane.
3 multiple choice options
A healthcare provider writes a prescription for arterial blood gases (ABG).
What should the nurse recognize that this test is used to detect?
Status of acid-base balance in arterial blood.
3 multiple choice options
The nurse is administering oral glucocorticoids to a patient with asthma. What
finding indicates a therapeutic response to the medication?
No observable respiratory difficulty or shortness of breath over the last 24
hours.
3 multiple choice options
The nurse is caring for a patient with chronic obstructive pulmonary disease
(COPD). The patient tells the nurse he is having a "hard time breathing." His
RR is 32, P 120, O2 90%. Which action should the nurse take?
Initiate oxygen via a nasal cannula, and begin at a flow rate of 2L/min.
3 multiple choice options
The nurse should anticipate that the patient with which diagnosis or symptoms
will need to be treated with insertion of a chest tube?
Unequal thoracic expansion suspected of having a pneumothorax.
3 multiple choice options
,The nurse is assessing a female patient at the neighborhood clinic. The patient
reports frequent shortness of breath and dizziness. The nurse knows that these
symptoms may be an underlying symptom of which condition?
Myocardial infarction
3 multiple choice options
The nurse is assessing the sleep patterns of a patient when the patient reports
having trouble sleeping when lying flat. Which is the best response by the
nurse?
Use pillows to prop yourself up while sleeping.
3 multiple choice options
A patient is experiencing periods of confusion, and the family is concerned. The
patient’s son asks the nurse for an explanation and recommendation. Which is
the best response by the nurse?
"Your father may be having mini-strokes; I will notify his healthcare provider."
3 multiple choice options
A patient is questioning the nurse about circulation and perfusion. Which
response about perfusion by the nurse is the best?
"It is the flow of blood through arteries and capillaries delivering nutrients and
oxygen to cells."
3 multiple choice options
What is the purpose of including exercise and activity in a cardiac rehabilitation
program?
- Increase cardiac output
- Increase blood flow through the arteries
- Increase muscle mass
- Increase flexibility
A nursing instructor assigns the clinical group the task of writing a journal
depicting the student’s clinical day. What is the most likely rationale for this
assignment?
Allows reflection, an important aspect of clinical judgement.
3 multiple choice options
Which statement best describes clinical reasoning?
, Includes the thinking used for analyzing knowledge relative to a clinical
situation or specific patient.
3 multiple choice options
Tanner’s Clinical Judgment Model, the most commonly used model in nursing
education and based on three decades of research, has different stages. Which is
a stage of Tanner’s Clinical Judgment Model?
- Noticing
- Interpreting
- Responding
- Reflecting
Which communication term can be applied to this statement: How messages are
received and interpreted would include personal states such as mood
disturbance, environmental stimuli related to the setting of the communication,
and contextual variables?
Metacommunication
3 multiple choice options
A patient does not make eye contact with the nurse and folds their arms at their
chest. Which aspect of communication has the nurse assessed?
Nonverbal communication
3 multiple choice options
The nurse is admitting a new patient to the psychiatric unit. Which factor
will most likely contribute to a positive outcome of the interaction?
- The environment is quiet
- Pt has been admitted to the facility in the past
- Pt is awake, alert, and oriented to person, place and time.
Gas exchange is defined as:
A process by which oxygen is transported to cells and carbon dioxide is
transported from cells.
A patient experiencing an anxiety attack is breathing quickly and feels their
heart is racing. What type of acid base imbalance occurs as a result?
Respiratory alkalosis
3 multiple choice options
