NP 235 UPDATED EXAM SCRIPT 2026 QUESTIONS AND
SOLUTIONS GRADED A+
✔✔What are some risk factors for a patient with Type 1 diabetes? - ✔✔affect major
organs in the body
retinopathy (eye damage)
Neuropathy (nerve damage)
Cardiovascular disease
Kidney disease
✔✔What abnormal lab values would indicate a kidney problem? - ✔✔Creatine
BUN
✔✔What are some nursing considerations when caring for a patient taking
immunosuppressive medications? - ✔✔Standard precautions
PPE
Limit visitors
Encourage rest
Sign on door
✔✔What is a bronchoscopy? - ✔✔Procedure in which the bronchi are visualized
through a fiberoptic tube. Maybe used for diagnostic purposes to obtain biopsy
specimens and assess changes resulting from treatments.
✔✔What are some nursing considerations when caring for a patient who just received a
bronchoscopy? - ✔✔NPO
Looking for anything abnormal in the lungs
Aspiration
ALWAYS start with ABCs
✔✔What are some nursing considerations when caring for a patient taking
Chemotherapy medication? - ✔✔N/V
Diarrhea
Check mental status
Keep patient well hydrated.
✔✔What is Bacterial Endocarditis? How would you diagnose this? - ✔✔An infection of
the endocardial surface of the heart.
Diagnosed by echocardiogram.
Small blood clots, hemorrhages or stroke.
✔✔The following Arterial Blood gas results indicate what acid/base disorder?
pH 7.42
pCO2 32
, HCO3 22 - ✔✔Respiratory alkalosis compensated
✔✔What is disseminated intravascular coagulation (DIC)? What are some clinical
findings that you would assess on your patient? - ✔✔A life threating condition which
initially produces blood to clot excessively.
Blood in the urine
nose bleeds
red dots on the surface of the skin (petechiae)
recital or vaginal bleeding.
✔✔What laboratory values would you monitor for a patient taking coumadin (Warfarin)?
- ✔✔pT, INR
✔✔What would you assess for when caring for a patient in DKA? - ✔✔ABG's
Polyuria (increased urination)
polydipsia (thirst)
Potassium
✔✔What lab value would you anticipate being abnormal with a patient diagnosed with
hypothyroidism? - ✔✔TSH (t4)
✔✔How do cancer cells differ from normal cells in the human body? - ✔✔Cancer cells
are cells that exhibit malignant growth. They multiple and continue to reproduce.
Normal cells follow a cycle. They grow, divide and die.
✔✔What acid/base disorder would you expect for the COPD patient? - ✔✔Respiratory
acidosis
✔✔What acid/base disorder would you expect for a patient with Severe diarrhea? -
✔✔Metabolic acidosis
✔✔What acid/base disorder would you expect for a patient with Severe vomiting? -
✔✔Metabolic alkalosis
✔✔What acid/base disorder would you expect for the patient with DKA? - ✔✔metabolic
acidosis
✔✔What acid/base disorder would you expect for the with Nasogastric suctioning? -
✔✔Metabolic alkalosis
✔✔What is angioedema? What would be your immediate priority when caring for a
patient with angioedema? - ✔✔Swelling beneath the skin, face and or neck.
Priority would include ABCs
SOLUTIONS GRADED A+
✔✔What are some risk factors for a patient with Type 1 diabetes? - ✔✔affect major
organs in the body
retinopathy (eye damage)
Neuropathy (nerve damage)
Cardiovascular disease
Kidney disease
✔✔What abnormal lab values would indicate a kidney problem? - ✔✔Creatine
BUN
✔✔What are some nursing considerations when caring for a patient taking
immunosuppressive medications? - ✔✔Standard precautions
PPE
Limit visitors
Encourage rest
Sign on door
✔✔What is a bronchoscopy? - ✔✔Procedure in which the bronchi are visualized
through a fiberoptic tube. Maybe used for diagnostic purposes to obtain biopsy
specimens and assess changes resulting from treatments.
✔✔What are some nursing considerations when caring for a patient who just received a
bronchoscopy? - ✔✔NPO
Looking for anything abnormal in the lungs
Aspiration
ALWAYS start with ABCs
✔✔What are some nursing considerations when caring for a patient taking
Chemotherapy medication? - ✔✔N/V
Diarrhea
Check mental status
Keep patient well hydrated.
✔✔What is Bacterial Endocarditis? How would you diagnose this? - ✔✔An infection of
the endocardial surface of the heart.
Diagnosed by echocardiogram.
Small blood clots, hemorrhages or stroke.
✔✔The following Arterial Blood gas results indicate what acid/base disorder?
pH 7.42
pCO2 32
, HCO3 22 - ✔✔Respiratory alkalosis compensated
✔✔What is disseminated intravascular coagulation (DIC)? What are some clinical
findings that you would assess on your patient? - ✔✔A life threating condition which
initially produces blood to clot excessively.
Blood in the urine
nose bleeds
red dots on the surface of the skin (petechiae)
recital or vaginal bleeding.
✔✔What laboratory values would you monitor for a patient taking coumadin (Warfarin)?
- ✔✔pT, INR
✔✔What would you assess for when caring for a patient in DKA? - ✔✔ABG's
Polyuria (increased urination)
polydipsia (thirst)
Potassium
✔✔What lab value would you anticipate being abnormal with a patient diagnosed with
hypothyroidism? - ✔✔TSH (t4)
✔✔How do cancer cells differ from normal cells in the human body? - ✔✔Cancer cells
are cells that exhibit malignant growth. They multiple and continue to reproduce.
Normal cells follow a cycle. They grow, divide and die.
✔✔What acid/base disorder would you expect for the COPD patient? - ✔✔Respiratory
acidosis
✔✔What acid/base disorder would you expect for a patient with Severe diarrhea? -
✔✔Metabolic acidosis
✔✔What acid/base disorder would you expect for a patient with Severe vomiting? -
✔✔Metabolic alkalosis
✔✔What acid/base disorder would you expect for the patient with DKA? - ✔✔metabolic
acidosis
✔✔What acid/base disorder would you expect for the with Nasogastric suctioning? -
✔✔Metabolic alkalosis
✔✔What is angioedema? What would be your immediate priority when caring for a
patient with angioedema? - ✔✔Swelling beneath the skin, face and or neck.
Priority would include ABCs
