NSG 430 EXAM 2 / NSG 430 ADULT HEALTH NURSING II EXAM 2
ACTUAL EXAM 2026 COMPLETE TEST APPROVED QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALES (FULL REVISED
EXAM) A NEW UPDATED VERSION |ALREADY GRADED A+ (BRAND
NEW!) NSG 430 EXAM 2
A patient with acute pulmonary edema is struggling to breathe and has a
Spot₂ of 82%. What is the nurse’s first action?
correct answer: raise the head of the bed to high fowler’s position
Rationale: Improving airway and oxygenation takes priority over
medications or labs.
A patient with septic shock has a BP of 78/50 mmHg, HR 130 bpm, and
cool extremities. Which intervention should the nurse implement first?
correct answer: start rapid IV fluid resuscitation
Rationale: Restoring perfusion is the immediate priority to prevent organ
failure.
During a code, a patient is pulseless. What is the priority nursing action?
correct answer: begin chest compressions immediately
Rationale: High-quality compressions are critical for perfusion and
survival.
A patient with heart failure reports sudden weight gain of 4 lb. in 24
hours. What should the nurse do first?
correct answer: assess for edema and lung sounds
,Rationale: Fluid overload assessment guides interventions before
medications.
A patient with COPD has a Paso₂ of 55 mmHg. Which action should the
nurse perform first?
correct answer: administer supplemental oxygen
Rationale: Hypoxia is the priority over medications or labs.
A patient with hypovolemic shock has a heart rate of 140 bpm and weak
peripheral pulses. What is the nurse’s priority?
correct answer: initiate IV fluid replacement
Rationale: Restoring circulating volume takes precedence to prevent
organ damage.
A patient with diabetic ketoacidosis has a K⁺ of 3.0 me/L and is on IV
insulin. What should the nurse do first?
correct answer: notify the provider and hold insulin until potassium
is corrected
Rationale: Insulin drives potassium into cells, risking severe
hypokalemia.
A patient with a new tracheostomy is coughing and producing thick
secretions. Which action should the nurse perform first?
correct answer: suction the tracheostomy
Rationale: Airway clearance takes immediate priority to prevent
hypoxia.
, A patient with an acute MI develops sudden dyspnea, hypotension, and
distended neck veins. What is the priority action?
correct answer: notify the provider immediately
Rationale: Signs indicate possible cardiac tamponade or acute heart
failure; rapid intervention is critical.
A patient with sepsis has a lactate of 5 moll/L. Which intervention
should the nurse prioritize?
correct answer: start IV fluids as ordered
Rationale: Elevated lactate indicates poor perfusion; fluids restore tissue
oxygenation.
A patient with hypoglycemia is lethargic and unable to swallow. What is
the nurse’s priority action?
correct answer: administer IV dextrose
Rationale: Conscious patients can take oral glucose, but lethargic
patients need IV glucose to prevent airway compromise.
A patient with atrial fibrillation has a heart rate of 160 bpm and
hypotension. Which action is most urgent?
correct answer: prepare for synchronized cardioversion
Rationale: Unstable tachyarrhythmia requires immediate rhythm control
to restore perfusion.
ACTUAL EXAM 2026 COMPLETE TEST APPROVED QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALES (FULL REVISED
EXAM) A NEW UPDATED VERSION |ALREADY GRADED A+ (BRAND
NEW!) NSG 430 EXAM 2
A patient with acute pulmonary edema is struggling to breathe and has a
Spot₂ of 82%. What is the nurse’s first action?
correct answer: raise the head of the bed to high fowler’s position
Rationale: Improving airway and oxygenation takes priority over
medications or labs.
A patient with septic shock has a BP of 78/50 mmHg, HR 130 bpm, and
cool extremities. Which intervention should the nurse implement first?
correct answer: start rapid IV fluid resuscitation
Rationale: Restoring perfusion is the immediate priority to prevent organ
failure.
During a code, a patient is pulseless. What is the priority nursing action?
correct answer: begin chest compressions immediately
Rationale: High-quality compressions are critical for perfusion and
survival.
A patient with heart failure reports sudden weight gain of 4 lb. in 24
hours. What should the nurse do first?
correct answer: assess for edema and lung sounds
,Rationale: Fluid overload assessment guides interventions before
medications.
A patient with COPD has a Paso₂ of 55 mmHg. Which action should the
nurse perform first?
correct answer: administer supplemental oxygen
Rationale: Hypoxia is the priority over medications or labs.
A patient with hypovolemic shock has a heart rate of 140 bpm and weak
peripheral pulses. What is the nurse’s priority?
correct answer: initiate IV fluid replacement
Rationale: Restoring circulating volume takes precedence to prevent
organ damage.
A patient with diabetic ketoacidosis has a K⁺ of 3.0 me/L and is on IV
insulin. What should the nurse do first?
correct answer: notify the provider and hold insulin until potassium
is corrected
Rationale: Insulin drives potassium into cells, risking severe
hypokalemia.
A patient with a new tracheostomy is coughing and producing thick
secretions. Which action should the nurse perform first?
correct answer: suction the tracheostomy
Rationale: Airway clearance takes immediate priority to prevent
hypoxia.
, A patient with an acute MI develops sudden dyspnea, hypotension, and
distended neck veins. What is the priority action?
correct answer: notify the provider immediately
Rationale: Signs indicate possible cardiac tamponade or acute heart
failure; rapid intervention is critical.
A patient with sepsis has a lactate of 5 moll/L. Which intervention
should the nurse prioritize?
correct answer: start IV fluids as ordered
Rationale: Elevated lactate indicates poor perfusion; fluids restore tissue
oxygenation.
A patient with hypoglycemia is lethargic and unable to swallow. What is
the nurse’s priority action?
correct answer: administer IV dextrose
Rationale: Conscious patients can take oral glucose, but lethargic
patients need IV glucose to prevent airway compromise.
A patient with atrial fibrillation has a heart rate of 160 bpm and
hypotension. Which action is most urgent?
correct answer: prepare for synchronized cardioversion
Rationale: Unstable tachyarrhythmia requires immediate rhythm control
to restore perfusion.
