MARYVILLE UNIVERSITY NUR 409 NURSING EXIT EXAM
3|QUESTION AND GRADED A+|2026 UPDATE
1. Patient with acute myocardial infarction develops sudden hypotension, diaphoresis,
and tachycardia. Nursing action?
A) Assess for cardiogenic shock and notify provider
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Early recognition prevents organ hypoperfusion.
2. Patient post-op with PCA pump reports inadequate pain control. Nursing action?
A) Assess pain level and PCA settings
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Ensures effective analgesia and prevents complications.
3. Patient with hypoglycemia, confused and diaphoretic. Nursing action?
A) Administer 15–20 g fast-acting carbohydrate or IV glucose
B) Encourage oral fluids
C) Monitor only
D) High-protein snack
More Information: Rapid correction prevents neurological injury.
4. Patient post-op develops sudden SOB and pleuritic chest pain. Nursing action?
A) Administer oxygen and notify provider
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Suspected pulmonary embolism is life-threatening.
5. Patient with acute asthma attack, wheezing, and O₂ sat 83%. Nursing action?
A) Administer nebulized bronchodilator
B) Encourage oral fluids
C) Apply heat
, D) Monitor only
More Information: Rapid bronchodilation improves airway patency.
6. Patient with DKA, glucose 690 mg/dL, K⁺ 2.8 mEq/L. Nursing action?
A) Administer potassium before insulin
B) Start insulin immediately
C) Provide oral glucose
D) Monitor only
More Information: Prevents life-threatening arrhythmias.
7. Patient post-MI develops ventricular fibrillation. Nursing action?
A) Initiate CPR and defibrillation
B) Monitor only
C) Apply heat
D) Encourage ambulation
More Information: VF is immediately life-threatening.
8. Patient with pulmonary edema, dyspnea, crackles, O₂ sat 82%. Nursing action?
A) Elevate head of bed and administer oxygen
B) Encourage ambulation
C) Restrict fluids only
D) Apply heat
More Information: Improves oxygenation and reduces work of breathing.
9. Patient post-op wound shows redness and purulent drainage. Nursing action?
A) Obtain culture and start antibiotics
B) Cover wound only
C) Apply heat
D) Encourage ambulation
More Information: Culture guides therapy and prevents systemic infection.
10. Patient post-op develops bradycardia and hypotension. Nursing action?
A) Prepare for atropine
B) Administer morphine
C) Encourage ambulation
D) Monitor only
More Information: Heart block may require urgent intervention.
11. 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: Prevents further neurological injury.
12. Patient with CKD, hyperkalemia 6.9 mEq/L, peaked T waves. Nursing action?
A) Administer calcium gluconate and insulin/glucose
B) Monitor only
C) Restrict fluids
D) Encourage oral intake
More Information: Prevents fatal arrhythmias.
13. Patient post-op develops hypotension, tachycardia, HR 155. Nursing action?
A) Assess for bleeding and start IV fluids
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Prevents hypovolemic shock.
14. Patient with DKA, glucose 710 mg/dL, K⁺ 3.0 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 arrhythmias.
15. Patient post-MI reports chest pain unrelieved by nitroglycerin. Nursing action?
A) Administer morphine
B) Encourage rest
C) Apply warm compress
D) Monitor only
More Information: Reduces pain and myocardial oxygen demand.
16. Patient post-op PCA pump reports nausea. Nursing action?
A) Administer prescribed antiemetic
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Ensures comfort and safe analgesia.
3|QUESTION AND GRADED A+|2026 UPDATE
1. Patient with acute myocardial infarction develops sudden hypotension, diaphoresis,
and tachycardia. Nursing action?
A) Assess for cardiogenic shock and notify provider
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Early recognition prevents organ hypoperfusion.
2. Patient post-op with PCA pump reports inadequate pain control. Nursing action?
A) Assess pain level and PCA settings
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Ensures effective analgesia and prevents complications.
3. Patient with hypoglycemia, confused and diaphoretic. Nursing action?
A) Administer 15–20 g fast-acting carbohydrate or IV glucose
B) Encourage oral fluids
C) Monitor only
D) High-protein snack
More Information: Rapid correction prevents neurological injury.
4. Patient post-op develops sudden SOB and pleuritic chest pain. Nursing action?
A) Administer oxygen and notify provider
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Suspected pulmonary embolism is life-threatening.
5. Patient with acute asthma attack, wheezing, and O₂ sat 83%. Nursing action?
A) Administer nebulized bronchodilator
B) Encourage oral fluids
C) Apply heat
, D) Monitor only
More Information: Rapid bronchodilation improves airway patency.
6. Patient with DKA, glucose 690 mg/dL, K⁺ 2.8 mEq/L. Nursing action?
A) Administer potassium before insulin
B) Start insulin immediately
C) Provide oral glucose
D) Monitor only
More Information: Prevents life-threatening arrhythmias.
7. Patient post-MI develops ventricular fibrillation. Nursing action?
A) Initiate CPR and defibrillation
B) Monitor only
C) Apply heat
D) Encourage ambulation
More Information: VF is immediately life-threatening.
8. Patient with pulmonary edema, dyspnea, crackles, O₂ sat 82%. Nursing action?
A) Elevate head of bed and administer oxygen
B) Encourage ambulation
C) Restrict fluids only
D) Apply heat
More Information: Improves oxygenation and reduces work of breathing.
9. Patient post-op wound shows redness and purulent drainage. Nursing action?
A) Obtain culture and start antibiotics
B) Cover wound only
C) Apply heat
D) Encourage ambulation
More Information: Culture guides therapy and prevents systemic infection.
10. Patient post-op develops bradycardia and hypotension. Nursing action?
A) Prepare for atropine
B) Administer morphine
C) Encourage ambulation
D) Monitor only
More Information: Heart block may require urgent intervention.
11. 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: Prevents further neurological injury.
12. Patient with CKD, hyperkalemia 6.9 mEq/L, peaked T waves. Nursing action?
A) Administer calcium gluconate and insulin/glucose
B) Monitor only
C) Restrict fluids
D) Encourage oral intake
More Information: Prevents fatal arrhythmias.
13. Patient post-op develops hypotension, tachycardia, HR 155. Nursing action?
A) Assess for bleeding and start IV fluids
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Prevents hypovolemic shock.
14. Patient with DKA, glucose 710 mg/dL, K⁺ 3.0 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 arrhythmias.
15. Patient post-MI reports chest pain unrelieved by nitroglycerin. Nursing action?
A) Administer morphine
B) Encourage rest
C) Apply warm compress
D) Monitor only
More Information: Reduces pain and myocardial oxygen demand.
16. Patient post-op PCA pump reports nausea. Nursing action?
A) Administer prescribed antiemetic
B) Encourage ambulation
C) Apply heat
D) Monitor only
More Information: Ensures comfort and safe analgesia.
