MARYVILLE UNIVERSITY NUR 409 NURSING EXIT EXAM
1|QUESTIONS AND VERIFIED ANSWERS|GRADED
A+|2026 UPDATE
1.Patient post-op develops sudden hypotension and HR 160. Nursing action?
A) Assess for bleeding and start IV fluids
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Hypovolemic shock is life-threatening; immediate intervention is
required.
1. Patient with acute MI reports chest pain unrelieved by nitroglycerin. Nursing action?
A) Administer morphine
B) Encourage rest
C) Apply warm compress
D) Monitor only
More Information: Morphine reduces myocardial oxygen demand and pain.
2. Patient with DKA, glucose 720 mg/dL, K⁺ 2.8 mEq/L. Nursing action?
A) Administer potassium before insulin
B) Start insulin immediately
C) Provide oral glucose
D) Administer sodium bicarbonate
More Information: Correcting potassium prevents life-threatening arrhythmias.
3. Patient post-op wound shows redness, warmth, purulent drainage. Nursing action?
A) Obtain culture and start antibiotics
B) Cover wound only
C) Apply heat
D) Encourage ambulation
More Information: Culture guides targeted therapy to prevent sepsis.
4. Patient with pulmonary edema, dyspnea, crackles. Nursing action?
A) Elevate head of bed
B) Encourage ambulation
C) Restrict fluids only
, D) Apply heat
More Information: Improves oxygenation and reduces work of breathing.
5. Patient post-op develops bradycardia and hypotension. Nursing action?
A) Prepare for atropine
B) Administer morphine
C) Encourage ambulation
D) Monitor only
More Information: May indicate heart block requiring urgent intervention.
6. Patient with hypoglycemia, lethargic. Nursing action?
A) Administer fast-acting carbohydrate
B) Monitor only
C) Encourage exercise
D) High-protein snack
More Information: Prevents neurological injury.
7. Patient post-MI develops ventricular tachycardia, pulse present. Nursing action?
A) Prepare for synchronized cardioversion
B) Monitor only
C) Apply heat
D) Encourage ambulation
More Information: Life-threatening arrhythmia requires urgent treatment.
8. Patient post-op PCA pump reports nausea. Nursing action?
A) Assess and administer prescribed antiemetic
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Ensures comfort and safe analgesia.
9. Patient with acute stroke, left-sided weakness. Nursing action?
A) Initiate stroke protocol and neuro checks
B) Encourage ambulation
C) Apply heat
D) Provide high-protein diet
More Information: Early recognition prevents further neurological injury.
10. Patient post-op develops sudden SOB, chest pain, O₂ sat 84%. Nursing action?
A) Administer oxygen and notify provider
1|QUESTIONS AND VERIFIED ANSWERS|GRADED
A+|2026 UPDATE
1.Patient post-op develops sudden hypotension and HR 160. Nursing action?
A) Assess for bleeding and start IV fluids
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Hypovolemic shock is life-threatening; immediate intervention is
required.
1. Patient with acute MI reports chest pain unrelieved by nitroglycerin. Nursing action?
A) Administer morphine
B) Encourage rest
C) Apply warm compress
D) Monitor only
More Information: Morphine reduces myocardial oxygen demand and pain.
2. Patient with DKA, glucose 720 mg/dL, K⁺ 2.8 mEq/L. Nursing action?
A) Administer potassium before insulin
B) Start insulin immediately
C) Provide oral glucose
D) Administer sodium bicarbonate
More Information: Correcting potassium prevents life-threatening arrhythmias.
3. Patient post-op wound shows redness, warmth, purulent drainage. Nursing action?
A) Obtain culture and start antibiotics
B) Cover wound only
C) Apply heat
D) Encourage ambulation
More Information: Culture guides targeted therapy to prevent sepsis.
4. Patient with pulmonary edema, dyspnea, crackles. Nursing action?
A) Elevate head of bed
B) Encourage ambulation
C) Restrict fluids only
, D) Apply heat
More Information: Improves oxygenation and reduces work of breathing.
5. Patient post-op develops bradycardia and hypotension. Nursing action?
A) Prepare for atropine
B) Administer morphine
C) Encourage ambulation
D) Monitor only
More Information: May indicate heart block requiring urgent intervention.
6. Patient with hypoglycemia, lethargic. Nursing action?
A) Administer fast-acting carbohydrate
B) Monitor only
C) Encourage exercise
D) High-protein snack
More Information: Prevents neurological injury.
7. Patient post-MI develops ventricular tachycardia, pulse present. Nursing action?
A) Prepare for synchronized cardioversion
B) Monitor only
C) Apply heat
D) Encourage ambulation
More Information: Life-threatening arrhythmia requires urgent treatment.
8. Patient post-op PCA pump reports nausea. Nursing action?
A) Assess and administer prescribed antiemetic
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Ensures comfort and safe analgesia.
9. Patient with acute stroke, left-sided weakness. Nursing action?
A) Initiate stroke protocol and neuro checks
B) Encourage ambulation
C) Apply heat
D) Provide high-protein diet
More Information: Early recognition prevents further neurological injury.
10. Patient post-op develops sudden SOB, chest pain, O₂ sat 84%. Nursing action?
A) Administer oxygen and notify provider
