NRSG 327 FINAL EXAM - (100 QUESTIONS) UP-TO-DATE ACTUAL
EXAM QUESTIONS AND 100% ACCURATE SOLUTIONS | VERIFIED
ANSWERS - INSTANT PDF DOWNLOAD
Candidate Name: ____________________________
Candidate ID: ______________________________
Date: _____________________________________
Examination Centre: _________________________
Time Allowed: 120 Minutes
Total Questions: 100
Instructions:
• Answer all questions. Each question carries equal marks.
• Select the most appropriate answer based on clinical judgment and
evidence-based nursing practice.
• No external materials are permitted during the examination.
• Read each question carefully before selecting your answer.
• This examination assesses advanced nursing competencies including
clinical reasoning, patient safety, pharmacology, and care management.
Core Competency Areas:
• Medical-Surgical Nursing
• Pharmacology & Medication Administration
• Clinical Decision-Making & Critical Thinking
• Patient Safety & Infection Control
• Nursing Ethics & Professional Practice
• Health Assessment & Pathophysiology
This assessment is a professionally developed, original simulation designed to
reflect the structure, rigor, and competency focus of a typical NRSG 327 final
examination. It is intended solely for educational preparation and practice
purposes.
, This examination evaluates the student’s ability to integrate theoretical
knowledge with clinical application in complex patient care scenarios.
Emphasis is placed on prioritization, safe nursing interventions, and
multidisciplinary collaboration in diverse healthcare settings.
QUESTIONS
Q1. A nurse is caring for a patient with acute exacerbation of chronic
obstructive pulmonary disease (COPD) who is receiving oxygen therapy at 4
L/min via nasal cannula. The patient becomes increasingly drowsy with shallow
respirations. What is the nurse’s priority action?
A. Increase oxygen flow rate to 6 L/min
B. Assess arterial blood gas (ABG) results
C. Encourage deep breathing exercises
D. Place the patient in Trendelenburg position
Correct Answer: B. Assess arterial blood gas (ABG) results
Explanation:
Patients with COPD rely on hypoxic drive for respiration. Excess oxygen
may suppress respiratory drive, leading to CO₂ retention and respiratory
acidosis. Assessing ABGs confirms this condition.
Option A is incorrect because increasing oxygen may worsen CO₂ retention.
Option C is supportive but not priority in acute deterioration.
Option D is inappropriate and may impair breathing further.
Q2. A postoperative patient develops sudden chest pain, dyspnea, and
tachycardia. Which condition should the nurse suspect first?
A. Myocardial infarction
B. Pulmonary embolism
C. Pneumonia
D. Atelectasis
Correct Answer: B. Pulmonary embolism
Explanation:
Classic signs of pulmonary embolism include sudden dyspnea, chest pain,
,and tachycardia, especially postoperatively due to immobility.
Option A presents with chest pain but not typically sudden dyspnea in this
context.
Option C develops gradually with infection signs.
Option D causes mild symptoms, not acute severe distress.
Q3. A nurse is administering IV potassium chloride. Which action is essential to
ensure patient safety?
A. Administer via IV push
B. Dilute in appropriate IV fluid
C. Administer rapidly to correct deficiency
D. Mix with calcium-containing solutions
Correct Answer: B. Dilute in appropriate IV fluid
Explanation:
Potassium chloride must always be diluted and infused slowly to prevent
cardiac arrhythmias.
Option A is dangerous—IV push potassium can cause cardiac arrest.
Option C is unsafe due to risk of hyperkalemia.
Option D may cause precipitation and incompatibility.
Q4. A nurse notes a patient’s blood glucose is 58 mg/dL. The patient is
conscious but weak. What is the best initial intervention?
A. Administer IV insulin
B. Provide 15 g of fast-acting carbohydrate
C. Start IV fluids
D. Notify the physician immediately
Correct Answer: B. Provide 15 g of fast-acting carbohydrate
Explanation:
Hypoglycemia management begins with rapid glucose intake if the patient is
conscious.
Option A worsens hypoglycemia.
Option C is not specific for glucose correction.
Option D may be necessary later but not before intervention.
, Q5. A nurse is caring for a patient receiving warfarin therapy. Which lab value
indicates therapeutic effectiveness?
A. INR of 2.5
B. Platelet count of 150,000
C. Hemoglobin of 12 g/dL
D. aPTT of 30 seconds
Correct Answer: A. INR of 2.5
Explanation:
Warfarin effectiveness is monitored using INR, with therapeutic range
typically 2.0–3.0.
Option B is unrelated to anticoagulation effect.
Option C reflects oxygen-carrying capacity.
Option D monitors heparin, not warfarin.
Q6. A patient with heart failure reports increased shortness of breath and weight
gain of 2 kg in 2 days. What is the nurse’s priority action?
A. Encourage fluid intake
B. Administer prescribed diuretics
C. Place patient on bed rest
D. Monitor vital signs every 8 hours
Correct Answer: B. Administer prescribed diuretics
Explanation:
Rapid weight gain indicates fluid overload; diuretics reduce excess fluid.
Option A worsens fluid overload.
Option C is supportive but not priority.
Option D is insufficient for acute symptoms.
Q7. A nurse is assessing a patient with suspected meningitis. Which finding
requires immediate intervention?
A. Headache
B. Fever
EXAM QUESTIONS AND 100% ACCURATE SOLUTIONS | VERIFIED
ANSWERS - INSTANT PDF DOWNLOAD
Candidate Name: ____________________________
Candidate ID: ______________________________
Date: _____________________________________
Examination Centre: _________________________
Time Allowed: 120 Minutes
Total Questions: 100
Instructions:
• Answer all questions. Each question carries equal marks.
• Select the most appropriate answer based on clinical judgment and
evidence-based nursing practice.
• No external materials are permitted during the examination.
• Read each question carefully before selecting your answer.
• This examination assesses advanced nursing competencies including
clinical reasoning, patient safety, pharmacology, and care management.
Core Competency Areas:
• Medical-Surgical Nursing
• Pharmacology & Medication Administration
• Clinical Decision-Making & Critical Thinking
• Patient Safety & Infection Control
• Nursing Ethics & Professional Practice
• Health Assessment & Pathophysiology
This assessment is a professionally developed, original simulation designed to
reflect the structure, rigor, and competency focus of a typical NRSG 327 final
examination. It is intended solely for educational preparation and practice
purposes.
, This examination evaluates the student’s ability to integrate theoretical
knowledge with clinical application in complex patient care scenarios.
Emphasis is placed on prioritization, safe nursing interventions, and
multidisciplinary collaboration in diverse healthcare settings.
QUESTIONS
Q1. A nurse is caring for a patient with acute exacerbation of chronic
obstructive pulmonary disease (COPD) who is receiving oxygen therapy at 4
L/min via nasal cannula. The patient becomes increasingly drowsy with shallow
respirations. What is the nurse’s priority action?
A. Increase oxygen flow rate to 6 L/min
B. Assess arterial blood gas (ABG) results
C. Encourage deep breathing exercises
D. Place the patient in Trendelenburg position
Correct Answer: B. Assess arterial blood gas (ABG) results
Explanation:
Patients with COPD rely on hypoxic drive for respiration. Excess oxygen
may suppress respiratory drive, leading to CO₂ retention and respiratory
acidosis. Assessing ABGs confirms this condition.
Option A is incorrect because increasing oxygen may worsen CO₂ retention.
Option C is supportive but not priority in acute deterioration.
Option D is inappropriate and may impair breathing further.
Q2. A postoperative patient develops sudden chest pain, dyspnea, and
tachycardia. Which condition should the nurse suspect first?
A. Myocardial infarction
B. Pulmonary embolism
C. Pneumonia
D. Atelectasis
Correct Answer: B. Pulmonary embolism
Explanation:
Classic signs of pulmonary embolism include sudden dyspnea, chest pain,
,and tachycardia, especially postoperatively due to immobility.
Option A presents with chest pain but not typically sudden dyspnea in this
context.
Option C develops gradually with infection signs.
Option D causes mild symptoms, not acute severe distress.
Q3. A nurse is administering IV potassium chloride. Which action is essential to
ensure patient safety?
A. Administer via IV push
B. Dilute in appropriate IV fluid
C. Administer rapidly to correct deficiency
D. Mix with calcium-containing solutions
Correct Answer: B. Dilute in appropriate IV fluid
Explanation:
Potassium chloride must always be diluted and infused slowly to prevent
cardiac arrhythmias.
Option A is dangerous—IV push potassium can cause cardiac arrest.
Option C is unsafe due to risk of hyperkalemia.
Option D may cause precipitation and incompatibility.
Q4. A nurse notes a patient’s blood glucose is 58 mg/dL. The patient is
conscious but weak. What is the best initial intervention?
A. Administer IV insulin
B. Provide 15 g of fast-acting carbohydrate
C. Start IV fluids
D. Notify the physician immediately
Correct Answer: B. Provide 15 g of fast-acting carbohydrate
Explanation:
Hypoglycemia management begins with rapid glucose intake if the patient is
conscious.
Option A worsens hypoglycemia.
Option C is not specific for glucose correction.
Option D may be necessary later but not before intervention.
, Q5. A nurse is caring for a patient receiving warfarin therapy. Which lab value
indicates therapeutic effectiveness?
A. INR of 2.5
B. Platelet count of 150,000
C. Hemoglobin of 12 g/dL
D. aPTT of 30 seconds
Correct Answer: A. INR of 2.5
Explanation:
Warfarin effectiveness is monitored using INR, with therapeutic range
typically 2.0–3.0.
Option B is unrelated to anticoagulation effect.
Option C reflects oxygen-carrying capacity.
Option D monitors heparin, not warfarin.
Q6. A patient with heart failure reports increased shortness of breath and weight
gain of 2 kg in 2 days. What is the nurse’s priority action?
A. Encourage fluid intake
B. Administer prescribed diuretics
C. Place patient on bed rest
D. Monitor vital signs every 8 hours
Correct Answer: B. Administer prescribed diuretics
Explanation:
Rapid weight gain indicates fluid overload; diuretics reduce excess fluid.
Option A worsens fluid overload.
Option C is supportive but not priority.
Option D is insufficient for acute symptoms.
Q7. A nurse is assessing a patient with suspected meningitis. Which finding
requires immediate intervention?
A. Headache
B. Fever
