1|Page
NUR 221 EXAM 3 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
The nurse is caring for a patient admitted following a motor
vehicle crash. Over the past 2 hours, the patient has received 6
units of packed red blood cells and 4 units of fresh frozen plasma
by rapid infusion. To prevent complications, what is the priority
nursing intervention?
A. Administer pain medication.
B. Turn patient every 2 hours.
C. Assess core body temperature.
D. Apply bilateral heel protectors. - ANSWER-C. Assess core
body temperature.
The nurse is caring for a patient in cardiogenic shock who is being
treated with an infusion of dobutamine. The physician's order calls
for the nurse to titrate the infusion to achieve a cardiac index of
>2.5 L/min/m 2 . The nurse measures a cardiac output, and the
,2|Page
calculated cardiac index for the patient is 4.6 L/min/m 2 . What is
the best action by the nurse?
A. Obtain a stat serum potassium level.
B. Order a stat 12-lead electrocardiogram.
C. Reduce the rate of dobutamine.
D. Assess the patient's hourly urine output. - ANSWER-C. Reduce
the rate of dobutamine.
The nurse is caring for a patient diagnosed with severe sepsis
who was resuscitated with 3000 mL of lactated Ringer solution
over the past 4 hours. Morning laboratory results show a
hemoglobin of 8 g/dL and hematocrit of 28%. What is the best
interpretation of these findings by the nurse?
A. Blood transfusion with packed red blood cells is required.
B. Hemoglobin and hematocrit results indicate hemodilution.
C. Fluid resuscitation has resulted in fluid volume overload.
,3|Page
D. Fluid resuscitation has resulted in third spacing of fluid. -
ANSWER-B. Hemoglobin and hematocrit results indicate
hemodilution.
Fifteen minutes after beginning a transfusion of O negative blood
to a patient in shock, the nurse assesses a drop in the patient's
blood pressure to 60/40 mm Hg, heart rate 135 beats/min,
respirations 40 breaths/min, and a temperature of 102° F. The
nurse notes the new onset of hematuria in the patient's Foley
catheter. What are the priority nursing actions? (Select all that
apply.)
A. Administer acetaminophen
B. Document the patient's response.
C. Increase the rate of transfusion.
D. Notify the blood bank.
E. Notify the physician.
F. Stop the transfusion. - ANSWER-B. Document the patient's
response.
, 4|Page
D. Notify the blood bank.
E. Notify the physician.
F. Stop the transfusion.
The nurse is caring for a young adult patient admitted with shock.
The nurse understands which assessment findings best assess
tissue perfusion in a patient in shock? (Select all that apply.)
A. Blood pressure
B. Heart rate
C. Level of consciousness
D. Pupil response
E. Respirations
F. Urine output - ANSWER-A. Blood pressure
C. Level of consciousness
F. Urine output
NUR 221 EXAM 3 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
The nurse is caring for a patient admitted following a motor
vehicle crash. Over the past 2 hours, the patient has received 6
units of packed red blood cells and 4 units of fresh frozen plasma
by rapid infusion. To prevent complications, what is the priority
nursing intervention?
A. Administer pain medication.
B. Turn patient every 2 hours.
C. Assess core body temperature.
D. Apply bilateral heel protectors. - ANSWER-C. Assess core
body temperature.
The nurse is caring for a patient in cardiogenic shock who is being
treated with an infusion of dobutamine. The physician's order calls
for the nurse to titrate the infusion to achieve a cardiac index of
>2.5 L/min/m 2 . The nurse measures a cardiac output, and the
,2|Page
calculated cardiac index for the patient is 4.6 L/min/m 2 . What is
the best action by the nurse?
A. Obtain a stat serum potassium level.
B. Order a stat 12-lead electrocardiogram.
C. Reduce the rate of dobutamine.
D. Assess the patient's hourly urine output. - ANSWER-C. Reduce
the rate of dobutamine.
The nurse is caring for a patient diagnosed with severe sepsis
who was resuscitated with 3000 mL of lactated Ringer solution
over the past 4 hours. Morning laboratory results show a
hemoglobin of 8 g/dL and hematocrit of 28%. What is the best
interpretation of these findings by the nurse?
A. Blood transfusion with packed red blood cells is required.
B. Hemoglobin and hematocrit results indicate hemodilution.
C. Fluid resuscitation has resulted in fluid volume overload.
,3|Page
D. Fluid resuscitation has resulted in third spacing of fluid. -
ANSWER-B. Hemoglobin and hematocrit results indicate
hemodilution.
Fifteen minutes after beginning a transfusion of O negative blood
to a patient in shock, the nurse assesses a drop in the patient's
blood pressure to 60/40 mm Hg, heart rate 135 beats/min,
respirations 40 breaths/min, and a temperature of 102° F. The
nurse notes the new onset of hematuria in the patient's Foley
catheter. What are the priority nursing actions? (Select all that
apply.)
A. Administer acetaminophen
B. Document the patient's response.
C. Increase the rate of transfusion.
D. Notify the blood bank.
E. Notify the physician.
F. Stop the transfusion. - ANSWER-B. Document the patient's
response.
, 4|Page
D. Notify the blood bank.
E. Notify the physician.
F. Stop the transfusion.
The nurse is caring for a young adult patient admitted with shock.
The nurse understands which assessment findings best assess
tissue perfusion in a patient in shock? (Select all that apply.)
A. Blood pressure
B. Heart rate
C. Level of consciousness
D. Pupil response
E. Respirations
F. Urine output - ANSWER-A. Blood pressure
C. Level of consciousness
F. Urine output
