NURS 480 Final Exam Review Questions and 100% Correct Answers
Latest2026 (Group Performance Profile) – West Coast University.
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
The nurse is caring for a patient Educator Multiple Elevated systemic vascular Key 58.3% 0.19
receiving a continuous Choice resistance (SVR).
norepinephrine IV infusion. Which
patient assessment finding Heart rate is 58 beats/min. Distractor 22.2% -0.02
indicates that the infusion rate
may need to be adjusted?
Mean arterial pressure is 62 Distractor 11.1% -0.24
mm Hg.
Pulmonary artery wedge Distractor 8.3% -0.03
pressure (PAWP) is low.
When evaluating a 62 yr old Educator Multiple Discontinue the catheter and Key 97.2% 0.14
patient with a central venous Choice culture the tip.
catheter, the nurse observes that
the insertion site is red and Use the catheter only for fluid Distractor 0.0% N/A
tender to touch and the patient's administration.
temperature is 101.8° F. What
should the nurse prioritize to do
next? Change the flush system and Distractor 2.8% -0.14
monitor the site.
Check the site more frequently Distractor 0.0% N/A
for any swelling.
A recently admitted 36 yr old Educator Multiple Hypovolemia Key 72.2% 0.42
patient who has sustained Choice
multiple traumas develops a low Fluid overload Distractor 2.8% -0.23
CVP pressure. Which of the
following interpretations will alert
the nurse of this change? Left ventricular failure Distractor 19.4% -0.28
Intracardiac shunt Distractor 5.6% -0.17
Which finding by the nurse caring Educator Multiple The right hand feels cooler Key 100.0% N/A
for a patient with a right radial Choice than the left hand
arterial line indicates a need for
the nurse to take immediate The mean arterial pressure Distractor 0.0% N/A
action? (MAP) is 77 mm Hg.
The system is delivering 3 mL Distractor 0.0% N/A
of flush solution per hour.
The flush bag and tubing were Distractor 0.0% N/A
changed 2 days previously.
What action by a new intensive Educator Multiple Positions the zero-reference Key 86.1% 0.37
care unit staff nurse would Choice stopcock line level with the
indicate that the nurse educator’s phlebostatic axis.
teaching about arterial pressure
monitoring has been effective?
,QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
Balances and calibrates the Distractor 0.0% N/A
monitoring equipment every 2
hours.
Ensures that the patient is Distractor 2.8% -0.19
supine with the head of the
bed flat for all readings.
Rechecks the location of the Distractor 11.1% -0.32
phlebostatic axis with changes
in the patient’s position.
The nursing student is asked to Educator Multiple Test used to determine Key 100.0% N/A
demonstrate the Allen test on a Choice patency of the radial and
fellow student. Which of the ulnar arteries.
following best describes the Allen
test? A condition in which the Distractor 0.0% N/A
arterioles is the fingers
develop spasms, causing
intermittent skin pallor or
cyanosis and then rubor (red
color).
Diagnostic maneuver in which Distractor 0.0% N/A
pain may increase with sharp
dorsiflexion of the foot.
Yellowish cholesterol deposits Distractor 0.0% N/A
seen on the eyelids and are
indicative of premature
atherosclerosis.
Which diagnostic test will provide Educator Multiple Arterial blood gas analysis Key 91.7% -0.14
the nurse with the most specific Choice
information to evaluate the Chest x-ray Distractor 2.8% 0.23
effectiveness of interventions for
a patient with ventilatory failure?
O2 saturation Distractor 0.0% N/A
Central venous pressure Distractor 5.6% 0.00
monitoring
Which of the following is a Educator Multiple Refractory Hypoxemia Key 63.9% 0.30
hallmark characteristic of acute Choice
respiratory distress syndrome Shortness of breath Distractor 11.1% -0.06
(ARDS)?
Hyperventilation Distractor 8.3% -0.23
Change in level of Distractor 16.7% -0.16
consciousness
, QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
A nurse is caring for a client who Educator Multiple Respiratory alkalosis, Key 86.1% 0.37
has the following arterial blood Choice partially compensated
gas results: pH 7.49, HCO3- 20
mEq/L, and PaCO2 28 mm Hg Metabolic acidosis, partially Distractor 2.8% -0.05
The nurse recognizes the client is compensated
experiencing which of the
following acid base imbalances?
Respiratory acidosis, fully Distractor 0.0% N/A
compensated
Metabolic alkalosis, fully Distractor 11.1% -0.39
compensated
A 28-year-old trauma patient in Educator Multiple Ask family members if they Key 88.9% -0.13
the ICU has a respiratory arrest Choice wish to remain in the room
event, and resuscitation is during the resuscitation.
started. Family members are
present in the room during the Tell the family members that Distractor 0.0% N/A
event. Which action by the nurse watching the resuscitation will
is best? be very stressful.
Take the family members Distractor 2.8% 0.18
quickly out of the patient room
and remain with them.
Assign a staff member to wait Distractor 8.3% 0.04
with family members just
outside the patient room.
Four hours after mechanical Educator Multiple Decrease the respiratory Key 61.1% 0.41
ventilation is initiated, a patients Choice rate.
arterial blood gas (ABG) results
include a pH of 7.51, PaO2?of 82 Increase the FIO2. Distractor 11.1% 0.03
mm Hg, PaCO2?of 26 mm Hg,
and HCO3−?of 23 mEq/L
(23 mmol/L). What change Increase the tidal volume. Distractor 11.1% -0.34
should the nurse anticipate to the
ventilator settings? Increase the respiratory rate. Distractor 16.7% -0.28
The nurse notes premature Educator Multiple Stop and ventilate the Key 77.8% -0.12
ventricular contractions (PVCs) Choice patient with 100% oxygen.
while suctioning a patients
endotracheal tube. Plan to suction the patient Distractor 0.0% N/A
Which?next?action by the nurse more frequently.
is indicated?
Decrease the suction pressure Distractor 2.8% -0.16
to 80 mm Hg.
Give antidysrhythmic Distractor 19.4% 0.19
medications per protocol.
Latest2026 (Group Performance Profile) – West Coast University.
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
The nurse is caring for a patient Educator Multiple Elevated systemic vascular Key 58.3% 0.19
receiving a continuous Choice resistance (SVR).
norepinephrine IV infusion. Which
patient assessment finding Heart rate is 58 beats/min. Distractor 22.2% -0.02
indicates that the infusion rate
may need to be adjusted?
Mean arterial pressure is 62 Distractor 11.1% -0.24
mm Hg.
Pulmonary artery wedge Distractor 8.3% -0.03
pressure (PAWP) is low.
When evaluating a 62 yr old Educator Multiple Discontinue the catheter and Key 97.2% 0.14
patient with a central venous Choice culture the tip.
catheter, the nurse observes that
the insertion site is red and Use the catheter only for fluid Distractor 0.0% N/A
tender to touch and the patient's administration.
temperature is 101.8° F. What
should the nurse prioritize to do
next? Change the flush system and Distractor 2.8% -0.14
monitor the site.
Check the site more frequently Distractor 0.0% N/A
for any swelling.
A recently admitted 36 yr old Educator Multiple Hypovolemia Key 72.2% 0.42
patient who has sustained Choice
multiple traumas develops a low Fluid overload Distractor 2.8% -0.23
CVP pressure. Which of the
following interpretations will alert
the nurse of this change? Left ventricular failure Distractor 19.4% -0.28
Intracardiac shunt Distractor 5.6% -0.17
Which finding by the nurse caring Educator Multiple The right hand feels cooler Key 100.0% N/A
for a patient with a right radial Choice than the left hand
arterial line indicates a need for
the nurse to take immediate The mean arterial pressure Distractor 0.0% N/A
action? (MAP) is 77 mm Hg.
The system is delivering 3 mL Distractor 0.0% N/A
of flush solution per hour.
The flush bag and tubing were Distractor 0.0% N/A
changed 2 days previously.
What action by a new intensive Educator Multiple Positions the zero-reference Key 86.1% 0.37
care unit staff nurse would Choice stopcock line level with the
indicate that the nurse educator’s phlebostatic axis.
teaching about arterial pressure
monitoring has been effective?
,QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
Balances and calibrates the Distractor 0.0% N/A
monitoring equipment every 2
hours.
Ensures that the patient is Distractor 2.8% -0.19
supine with the head of the
bed flat for all readings.
Rechecks the location of the Distractor 11.1% -0.32
phlebostatic axis with changes
in the patient’s position.
The nursing student is asked to Educator Multiple Test used to determine Key 100.0% N/A
demonstrate the Allen test on a Choice patency of the radial and
fellow student. Which of the ulnar arteries.
following best describes the Allen
test? A condition in which the Distractor 0.0% N/A
arterioles is the fingers
develop spasms, causing
intermittent skin pallor or
cyanosis and then rubor (red
color).
Diagnostic maneuver in which Distractor 0.0% N/A
pain may increase with sharp
dorsiflexion of the foot.
Yellowish cholesterol deposits Distractor 0.0% N/A
seen on the eyelids and are
indicative of premature
atherosclerosis.
Which diagnostic test will provide Educator Multiple Arterial blood gas analysis Key 91.7% -0.14
the nurse with the most specific Choice
information to evaluate the Chest x-ray Distractor 2.8% 0.23
effectiveness of interventions for
a patient with ventilatory failure?
O2 saturation Distractor 0.0% N/A
Central venous pressure Distractor 5.6% 0.00
monitoring
Which of the following is a Educator Multiple Refractory Hypoxemia Key 63.9% 0.30
hallmark characteristic of acute Choice
respiratory distress syndrome Shortness of breath Distractor 11.1% -0.06
(ARDS)?
Hyperventilation Distractor 8.3% -0.23
Change in level of Distractor 16.7% -0.16
consciousness
, QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
A nurse is caring for a client who Educator Multiple Respiratory alkalosis, Key 86.1% 0.37
has the following arterial blood Choice partially compensated
gas results: pH 7.49, HCO3- 20
mEq/L, and PaCO2 28 mm Hg Metabolic acidosis, partially Distractor 2.8% -0.05
The nurse recognizes the client is compensated
experiencing which of the
following acid base imbalances?
Respiratory acidosis, fully Distractor 0.0% N/A
compensated
Metabolic alkalosis, fully Distractor 11.1% -0.39
compensated
A 28-year-old trauma patient in Educator Multiple Ask family members if they Key 88.9% -0.13
the ICU has a respiratory arrest Choice wish to remain in the room
event, and resuscitation is during the resuscitation.
started. Family members are
present in the room during the Tell the family members that Distractor 0.0% N/A
event. Which action by the nurse watching the resuscitation will
is best? be very stressful.
Take the family members Distractor 2.8% 0.18
quickly out of the patient room
and remain with them.
Assign a staff member to wait Distractor 8.3% 0.04
with family members just
outside the patient room.
Four hours after mechanical Educator Multiple Decrease the respiratory Key 61.1% 0.41
ventilation is initiated, a patients Choice rate.
arterial blood gas (ABG) results
include a pH of 7.51, PaO2?of 82 Increase the FIO2. Distractor 11.1% 0.03
mm Hg, PaCO2?of 26 mm Hg,
and HCO3−?of 23 mEq/L
(23 mmol/L). What change Increase the tidal volume. Distractor 11.1% -0.34
should the nurse anticipate to the
ventilator settings? Increase the respiratory rate. Distractor 16.7% -0.28
The nurse notes premature Educator Multiple Stop and ventilate the Key 77.8% -0.12
ventricular contractions (PVCs) Choice patient with 100% oxygen.
while suctioning a patients
endotracheal tube. Plan to suction the patient Distractor 0.0% N/A
Which?next?action by the nurse more frequently.
is indicated?
Decrease the suction pressure Distractor 2.8% -0.16
to 80 mm Hg.
Give antidysrhythmic Distractor 19.4% 0.19
medications per protocol.
