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NURS 6531 Final Exam 2026-2027 (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+
1. A patient presents with acute chest pain and ST-elevation on ECG. Priority nursing action?
A. Administer prescribed nitroglycerin and oxygen
B. Document the findings
C. Obtain IV access and prepare for reperfusion therapy
D. Encourage ambulation
Answer: C
Rationale: ST-elevation myocardial infarction (STEMI) requires rapid reperfusion; IV access
and preparation for intervention are priority.
2. A patient with type 1 diabetes presents with polyuria, polydipsia, and Kussmaul respirations.
Likely complication?
A. Diabetic ketoacidosis (DKA)
B. Hyperosmolar hyperglycemic state (HHS)
C. Hypoglycemia
D. Metabolic alkalosis
Answer: A
Rationale: Classic DKA signs include hyperglycemia, ketosis, dehydration, and Kussmaul
respirations.
3. A patient with hyperkalemia (6.8 mEq/L) is at risk for:
A. Cardiac arrhythmias
B. Seizures
C. Hypotension only
D. Hypernatremia
Answer: A
Rationale: Elevated potassium affects cardiac conduction, causing arrhythmias.
practice exam 2026
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4. Which lab indicates kidney function most accurately?
A. Serum creatinine
B. ALT
C. Hemoglobin
D. WBC
Answer: A
Rationale: Creatinine reflects glomerular filtration rate and kidney function.
5. A patient with COPD is experiencing hypercapnia. Expected ABG finding?
A. Elevated PaCO₂
B. Low PaCO₂
C. High pH
D. Low HCO₃⁻
Answer: A
Rationale: CO₂ retention in COPD causes respiratory acidosis.
6. Which patient is highest risk for hospital-acquired infection?
A. Immunosuppressed patient with central line
B. Healthy outpatient
C. Pediatric patient with mild cold
D. Patient with minor laceration
Answer: A
Rationale: Immunosuppression and invasive devices increase infection risk.
7. Priority intervention for anaphylaxis?
A. Administer epinephrine
B. Provide IV fluids only
C. Administer antihistamines only
D. Apply ice packs
Answer: A
Rationale: Epinephrine counteracts airway obstruction and hypotension immediately.
practice exam 2026
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8. A patient presents with vomiting and hypokalemia. Expected ECG finding?
A. U waves
B. Peaked T waves
C. ST elevation
D. Flattened P waves
Answer: A
Rationale: Low potassium causes U waves and potential arrhythmias.
9. Early signs of hypovolemic shock?
A. Tachycardia, hypotension, pallor
B. Bradycardia only
C. Edema only
D. Jaundice only
Answer: A
Rationale: Compensatory mechanisms cause tachycardia and hypotension.
10. A patient with metabolic acidosis may present with:
A. Low pH and low HCO₃⁻
B. High pH and low HCO₃⁻
C. High pH and high HCO₃⁻
D. Low pH and high HCO₃⁻
Answer: A
Rationale: Loss of base or accumulation of acids lowers pH and bicarbonate.
11. Hypercalcemia may cause:
A. Weakness, constipation, confusion
B. Tetany only
C. Seizures only
D. Diaphoresis only
Answer: A
Rationale: Excess calcium depresses neuromuscular and cognitive function.
practice exam 2026
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12. Priority nursing intervention for pulmonary edema?
A. Administer oxygen and diuretics
B. Encourage ambulation
C. Provide analgesics only
D. Monitor blood glucose
Answer: A
Rationale: Oxygen improves oxygenation, and diuretics reduce fluid overload.
13. Patient with CHF should monitor:
A. Daily weight, intake/output, peripheral edema
B. Intake/output only
C. Blood pressure only
D. Vitals only
Answer: A
Rationale: Monitoring prevents fluid overload and complications.
14. Patient with hypernatremia may present with:
A. Thirst, restlessness, confusion
B. Hypotension only
C. Bradycardia only
D. Edema only
Answer: A
Rationale: Hypernatremia causes cellular dehydration, leading to neurological symptoms.
15. Hypocalcemia signs include:
A. Tetany, Chvostek and Trousseau signs
B. Bradycardia only
C. Constipation only
D. Polyuria only
Answer: A
Rationale: Low calcium increases neuromuscular excitability.
practice exam 2026
NURS 6531 Final Exam 2026-2027 (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+
1. A patient presents with acute chest pain and ST-elevation on ECG. Priority nursing action?
A. Administer prescribed nitroglycerin and oxygen
B. Document the findings
C. Obtain IV access and prepare for reperfusion therapy
D. Encourage ambulation
Answer: C
Rationale: ST-elevation myocardial infarction (STEMI) requires rapid reperfusion; IV access
and preparation for intervention are priority.
2. A patient with type 1 diabetes presents with polyuria, polydipsia, and Kussmaul respirations.
Likely complication?
A. Diabetic ketoacidosis (DKA)
B. Hyperosmolar hyperglycemic state (HHS)
C. Hypoglycemia
D. Metabolic alkalosis
Answer: A
Rationale: Classic DKA signs include hyperglycemia, ketosis, dehydration, and Kussmaul
respirations.
3. A patient with hyperkalemia (6.8 mEq/L) is at risk for:
A. Cardiac arrhythmias
B. Seizures
C. Hypotension only
D. Hypernatremia
Answer: A
Rationale: Elevated potassium affects cardiac conduction, causing arrhythmias.
practice exam 2026
,2|Page
4. Which lab indicates kidney function most accurately?
A. Serum creatinine
B. ALT
C. Hemoglobin
D. WBC
Answer: A
Rationale: Creatinine reflects glomerular filtration rate and kidney function.
5. A patient with COPD is experiencing hypercapnia. Expected ABG finding?
A. Elevated PaCO₂
B. Low PaCO₂
C. High pH
D. Low HCO₃⁻
Answer: A
Rationale: CO₂ retention in COPD causes respiratory acidosis.
6. Which patient is highest risk for hospital-acquired infection?
A. Immunosuppressed patient with central line
B. Healthy outpatient
C. Pediatric patient with mild cold
D. Patient with minor laceration
Answer: A
Rationale: Immunosuppression and invasive devices increase infection risk.
7. Priority intervention for anaphylaxis?
A. Administer epinephrine
B. Provide IV fluids only
C. Administer antihistamines only
D. Apply ice packs
Answer: A
Rationale: Epinephrine counteracts airway obstruction and hypotension immediately.
practice exam 2026
,3|Page
8. A patient presents with vomiting and hypokalemia. Expected ECG finding?
A. U waves
B. Peaked T waves
C. ST elevation
D. Flattened P waves
Answer: A
Rationale: Low potassium causes U waves and potential arrhythmias.
9. Early signs of hypovolemic shock?
A. Tachycardia, hypotension, pallor
B. Bradycardia only
C. Edema only
D. Jaundice only
Answer: A
Rationale: Compensatory mechanisms cause tachycardia and hypotension.
10. A patient with metabolic acidosis may present with:
A. Low pH and low HCO₃⁻
B. High pH and low HCO₃⁻
C. High pH and high HCO₃⁻
D. Low pH and high HCO₃⁻
Answer: A
Rationale: Loss of base or accumulation of acids lowers pH and bicarbonate.
11. Hypercalcemia may cause:
A. Weakness, constipation, confusion
B. Tetany only
C. Seizures only
D. Diaphoresis only
Answer: A
Rationale: Excess calcium depresses neuromuscular and cognitive function.
practice exam 2026
, 4|Page
12. Priority nursing intervention for pulmonary edema?
A. Administer oxygen and diuretics
B. Encourage ambulation
C. Provide analgesics only
D. Monitor blood glucose
Answer: A
Rationale: Oxygen improves oxygenation, and diuretics reduce fluid overload.
13. Patient with CHF should monitor:
A. Daily weight, intake/output, peripheral edema
B. Intake/output only
C. Blood pressure only
D. Vitals only
Answer: A
Rationale: Monitoring prevents fluid overload and complications.
14. Patient with hypernatremia may present with:
A. Thirst, restlessness, confusion
B. Hypotension only
C. Bradycardia only
D. Edema only
Answer: A
Rationale: Hypernatremia causes cellular dehydration, leading to neurological symptoms.
15. Hypocalcemia signs include:
A. Tetany, Chvostek and Trousseau signs
B. Bradycardia only
C. Constipation only
D. Polyuria only
Answer: A
Rationale: Low calcium increases neuromuscular excitability.
practice exam 2026
