NRSG 327 FINAL TEST COMPLETE – QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
Pathophysiology and Disease Management
Pharmacological Interventions and Safety
Evidence-Based Nursing Practice
Health Assessment and Diagnostic Reasoning
Patient Education and Health Promotion
Ethical and Legal Standards in Care
Acute and Chronic Care Coordination
Leadership and Professionalism in Nursing
INTRODUCTION
The NRSG 327 Final Test Complete is a comprehensive assessment designed to evaluate a student's mastery of
advanced nursing concepts and clinical decision-making. The purpose of this exam is to ensure that candidates
possess the critical knowledge required for safe and effective practice in diverse healthcare settings. This
assessment covers foundational theories, diagnostic reasoning, and the application of evidence-based
interventions. Utilizing a combination of multiple-choice questions and complex scenario-based inquiries, the
exam emphasizes real-world application and the ability to prioritize care under pressure. This rigorous tool
prepares students for professional licensure and high-stakes clinical environments.
SECTION ONE: QUESTIONS 1–100
1. A patient with heart failure is prescribed digoxin. Which assessment finding should the nurse prioritize
before administration?
,A. Respiratory rate
B. Apical pulse rate
C. Blood pressure
D. Oxygen saturation
🟢 B. Apical pulse rate
🔴 RATIONALE: Digoxin is a cardiac glycoside that slows the heart rate; the apical pulse must be assessed for a
full minute, and the dose held if the rate is below 60 bpm to prevent toxicity.
2. Which regulatory body is responsible for defining the scope of nursing practice within a specific state?
A. American Nurses Association
B. Joint Commission
C. State Board of Nursing
D. Department of Health and Human Services
🟢 C. State Board of Nursing
🔴 RATIONALE: Each state’s Board of Nursing establishes the Nurse Practice Act, which legally defines the
scope of practice and responsibilities for nurses in that jurisdiction.
3. A nurse is caring for a patient with a potassium level of 6.2 mEq/L. Which cardiac change is most
commonly associated with this finding?
A. Prominent U waves
B. ST-segment depression
C. Tall, peaked T waves
D. Shortened PR interval
,🟢 C. Tall, peaked T waves
🔴 RATIONALE: Hyperkalemia (potassium > 5.0 mEq/L) typically manifests on an EKG as tall, peaked T waves,
which can progress to life-threatening arrhythmias if not treated.
4. A patient is scheduled for an elective surgery but expresses confusion about the risks involved. What is the
nurse's most appropriate action?
A. Explain the risks to the patient in detail
B. Notify the surgeon that the patient needs more information
C. Have the patient sign the consent form quickly
D. Document that the patient refused to cooperate
🟢 B. Notify the surgeon that the patient needs more information
🔴 RATIONALE: While nurses witness the signature, the primary responsibility for explaining the risks and
benefits of a procedure (Informed Consent) lies with the provider performing the surgery.
5. Which principle of ethics is being applied when a nurse ensures that a patient receives the same quality of
care regardless of their socioeconomic status?
A. Autonomy
B. Fidelity
C. Justice
D. Beneficence
🟢 C. Justice
🔴 RATIONALE: Justice refers to fairness and the equitable distribution of resources and care among all
individuals, regardless of personal characteristics.
, 6. A patient with Type 1 Diabetes is found unconscious and diaphoretic. What is the immediate priority
intervention?
A. Administer 10 units of regular insulin
B. Check blood glucose and administer glucagon or glucose
C. Start a bolus of Normal Saline
D. Call the hospital chaplain
🟢 B. Check blood glucose and administer glucagon or glucose
🔴 RATIONALE: Diaphoresis and unconsciousness are signs of severe hypoglycemia; immediate administration
of glucose or glucagon is required to prevent brain damage.
7. Which oxygen delivery device provides the highest concentration of oxygen to a spontaneously breathing
patient?
A. Nasal cannula
B. Simple face mask
C. Venturi mask
D. Non-rebreather mask
🟢 D. Non-rebreather mask
🔴 RATIONALE: A non-rebreather mask with a properly inflated reservoir bag can deliver oxygen concentrations
between 60% and 90%.
8. A nurse is performing a primary survey on a trauma patient. Which action follows the assessment of
"Airway"?
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
Pathophysiology and Disease Management
Pharmacological Interventions and Safety
Evidence-Based Nursing Practice
Health Assessment and Diagnostic Reasoning
Patient Education and Health Promotion
Ethical and Legal Standards in Care
Acute and Chronic Care Coordination
Leadership and Professionalism in Nursing
INTRODUCTION
The NRSG 327 Final Test Complete is a comprehensive assessment designed to evaluate a student's mastery of
advanced nursing concepts and clinical decision-making. The purpose of this exam is to ensure that candidates
possess the critical knowledge required for safe and effective practice in diverse healthcare settings. This
assessment covers foundational theories, diagnostic reasoning, and the application of evidence-based
interventions. Utilizing a combination of multiple-choice questions and complex scenario-based inquiries, the
exam emphasizes real-world application and the ability to prioritize care under pressure. This rigorous tool
prepares students for professional licensure and high-stakes clinical environments.
SECTION ONE: QUESTIONS 1–100
1. A patient with heart failure is prescribed digoxin. Which assessment finding should the nurse prioritize
before administration?
,A. Respiratory rate
B. Apical pulse rate
C. Blood pressure
D. Oxygen saturation
🟢 B. Apical pulse rate
🔴 RATIONALE: Digoxin is a cardiac glycoside that slows the heart rate; the apical pulse must be assessed for a
full minute, and the dose held if the rate is below 60 bpm to prevent toxicity.
2. Which regulatory body is responsible for defining the scope of nursing practice within a specific state?
A. American Nurses Association
B. Joint Commission
C. State Board of Nursing
D. Department of Health and Human Services
🟢 C. State Board of Nursing
🔴 RATIONALE: Each state’s Board of Nursing establishes the Nurse Practice Act, which legally defines the
scope of practice and responsibilities for nurses in that jurisdiction.
3. A nurse is caring for a patient with a potassium level of 6.2 mEq/L. Which cardiac change is most
commonly associated with this finding?
A. Prominent U waves
B. ST-segment depression
C. Tall, peaked T waves
D. Shortened PR interval
,🟢 C. Tall, peaked T waves
🔴 RATIONALE: Hyperkalemia (potassium > 5.0 mEq/L) typically manifests on an EKG as tall, peaked T waves,
which can progress to life-threatening arrhythmias if not treated.
4. A patient is scheduled for an elective surgery but expresses confusion about the risks involved. What is the
nurse's most appropriate action?
A. Explain the risks to the patient in detail
B. Notify the surgeon that the patient needs more information
C. Have the patient sign the consent form quickly
D. Document that the patient refused to cooperate
🟢 B. Notify the surgeon that the patient needs more information
🔴 RATIONALE: While nurses witness the signature, the primary responsibility for explaining the risks and
benefits of a procedure (Informed Consent) lies with the provider performing the surgery.
5. Which principle of ethics is being applied when a nurse ensures that a patient receives the same quality of
care regardless of their socioeconomic status?
A. Autonomy
B. Fidelity
C. Justice
D. Beneficence
🟢 C. Justice
🔴 RATIONALE: Justice refers to fairness and the equitable distribution of resources and care among all
individuals, regardless of personal characteristics.
, 6. A patient with Type 1 Diabetes is found unconscious and diaphoretic. What is the immediate priority
intervention?
A. Administer 10 units of regular insulin
B. Check blood glucose and administer glucagon or glucose
C. Start a bolus of Normal Saline
D. Call the hospital chaplain
🟢 B. Check blood glucose and administer glucagon or glucose
🔴 RATIONALE: Diaphoresis and unconsciousness are signs of severe hypoglycemia; immediate administration
of glucose or glucagon is required to prevent brain damage.
7. Which oxygen delivery device provides the highest concentration of oxygen to a spontaneously breathing
patient?
A. Nasal cannula
B. Simple face mask
C. Venturi mask
D. Non-rebreather mask
🟢 D. Non-rebreather mask
🔴 RATIONALE: A non-rebreather mask with a properly inflated reservoir bag can deliver oxygen concentrations
between 60% and 90%.
8. A nurse is performing a primary survey on a trauma patient. Which action follows the assessment of
"Airway"?
