RNSG 2539 FINAL EXAM/ 2539 RNSG FINAL EXAM NEWEST
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS A
NEW UPDATED VERSION LATEST 2026-2027 ( 100%CORRECT
VERIFIED ANSWERS) ALREADY GRADED A+
1. A patient with septic shock has a mean arterial pressure (MAP) of 55 mm Hg. Which
intervention should the nurse prioritize?
a) Administer prescribed antipyretics
b) Obtain a serum lactate level
c) ＊Initiate vasopressor therapy as ordered＊
d) Place patient in Trendelenburg position
2. The nurse is caring for a patient with acute respiratory distress syndrome (ARDS). Which
finding indicates that the treatment is effective?
a) PaO₂ of 55 mm Hg on FiO₂ 0.8
b) ＊PaO₂/FiO₂ ratio increases from 150 to 250＊
c) Pulmonary artery wedge pressure of 22 mm Hg
d) Respiratory rate of 32 breaths/min
3. A patient with a traumatic brain injury has an intracranial pressure (ICP) of 24 mm Hg. Which
action should the nurse take first?
a) Administer mannitol IV
b) ＊Elevate the head of the bed to 30 degrees＊
c) Hyperventilate the patient via bag-valve mask
d) Notify the healthcare provider
4. Which electrocardiogram (ECG) finding is most characteristic of hypokalemia?
a) ＊Prominent U wave＊
b) Tall peaked T waves
c) Widened QRS complex
d) ST segment elevation
,5. The nurse is caring for a patient receiving continuous renal replacement therapy (CRRT). Which
complication requires immediate intervention?
a) Filter pressure of 150 mm Hg
b) Blood flow rate of 150 mL/min
c) ＊Venous air alarm sounding with visible air in tubing＊
d) Ultrafiltrate volume of 200 mL/hr
6. A patient with acute pancreatitis develops hypocalcemia. Which assessment finding confirms
this complication?
a) ＊Chvostek’s sign＊
b) Hyperactive bowel sounds
c) Bounding peripheral pulses
d) Warm, dry skin
7. The nurse is preparing to administer packed red blood cells to a patient with gastrointestinal
bleeding. Which IV fluid is compatible for priming the tubing?
a) Dextrose 5% in water
b) ＊0.9% sodium chloride＊
c) Lactated Ringer’s solution
d) Dextrose 5% in 0.45% saline
8. In a patient with status epilepticus, which medication should the nurse prepare to administer
first?
a) Phenytoin IV push
b) ＊Lorazepam IV push＊
c) Valproic acid IV infusion
d) Levetiracetam IV piggyback
9. The nurse is assessing a patient with cardiac tamponade. Which finding is classic for this
condition?
a) Widened pulse pressure
b) ＊Pulsus paradoxus >10 mm Hg＊
c) Bounding carotid pulses
d) Absent jugular venous distention
10.A patient with diabetic ketoacidosis (DKA) has a blood glucose of 380 mg/dL and serum
potassium of 3.2 mEq/L. Which action should the nurse take first?
a) Start insulin infusion at 0.1 units/kg/hr
b) ＊Begin IV potassium replacement＊
, c) Administer sodium bicarbonate IV
d) Push 50% dextrose IV
11.The nurse is caring for a patient with a pulmonary embolism. Which assessment finding
suggests the embolism is resolving?
a) ＊Oxygen saturation increases from 88% to 94% on room air＊
b) Heart rate increases from 90 to 120 bpm
c) Respiratory rate increases from 22 to 30 breaths/min
d) Jugular veins become more distended
12.A patient with liver cirrhosis develops asterixis. The nurse should interpret this as a sign of:
a) Hypoglycemia
b) ＊Hepatic encephalopathy＊
c) Portal hypertension
d) Coagulopathy
13.Which ventilator setting directly controls the minute ventilation in a patient on
pressure-controlled ventilation?
a) Peak inspiratory pressure
b) ＊Respiratory rate and inspiratory pressure＊
c) Fraction of inspired oxygen
d) PEEP level
14.The nurse is monitoring a patient after thrombolytic therapy for ischemic stroke. Which finding
requires immediate action?
a) Mild headache
b) ＊Sudden decline in level of consciousness＊
c) Blood pressure of 140/90 mm Hg
d) Bruising at IV site
15.A patient with heart failure has a pulmonary artery catheter. Which value indicates worsening
left ventricular function?
a) Cardiac index of 2.8 L/min/m²
b) ＊Pulmonary artery wedge pressure of 25 mm Hg＊
c) Central venous pressure of 6 mm Hg
d) Mixed venous oxygen saturation of 70%
16.The nurse is caring for a patient following a kidney transplant. Which urine output finding in the
first 24 hours is most concerning for graft failure?
a) 200 mL in first hour
b) ＊Less than 30 mL total over 8 hours＊
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS A
NEW UPDATED VERSION LATEST 2026-2027 ( 100%CORRECT
VERIFIED ANSWERS) ALREADY GRADED A+
1. A patient with septic shock has a mean arterial pressure (MAP) of 55 mm Hg. Which
intervention should the nurse prioritize?
a) Administer prescribed antipyretics
b) Obtain a serum lactate level
c) ＊Initiate vasopressor therapy as ordered＊
d) Place patient in Trendelenburg position
2. The nurse is caring for a patient with acute respiratory distress syndrome (ARDS). Which
finding indicates that the treatment is effective?
a) PaO₂ of 55 mm Hg on FiO₂ 0.8
b) ＊PaO₂/FiO₂ ratio increases from 150 to 250＊
c) Pulmonary artery wedge pressure of 22 mm Hg
d) Respiratory rate of 32 breaths/min
3. A patient with a traumatic brain injury has an intracranial pressure (ICP) of 24 mm Hg. Which
action should the nurse take first?
a) Administer mannitol IV
b) ＊Elevate the head of the bed to 30 degrees＊
c) Hyperventilate the patient via bag-valve mask
d) Notify the healthcare provider
4. Which electrocardiogram (ECG) finding is most characteristic of hypokalemia?
a) ＊Prominent U wave＊
b) Tall peaked T waves
c) Widened QRS complex
d) ST segment elevation
,5. The nurse is caring for a patient receiving continuous renal replacement therapy (CRRT). Which
complication requires immediate intervention?
a) Filter pressure of 150 mm Hg
b) Blood flow rate of 150 mL/min
c) ＊Venous air alarm sounding with visible air in tubing＊
d) Ultrafiltrate volume of 200 mL/hr
6. A patient with acute pancreatitis develops hypocalcemia. Which assessment finding confirms
this complication?
a) ＊Chvostek’s sign＊
b) Hyperactive bowel sounds
c) Bounding peripheral pulses
d) Warm, dry skin
7. The nurse is preparing to administer packed red blood cells to a patient with gastrointestinal
bleeding. Which IV fluid is compatible for priming the tubing?
a) Dextrose 5% in water
b) ＊0.9% sodium chloride＊
c) Lactated Ringer’s solution
d) Dextrose 5% in 0.45% saline
8. In a patient with status epilepticus, which medication should the nurse prepare to administer
first?
a) Phenytoin IV push
b) ＊Lorazepam IV push＊
c) Valproic acid IV infusion
d) Levetiracetam IV piggyback
9. The nurse is assessing a patient with cardiac tamponade. Which finding is classic for this
condition?
a) Widened pulse pressure
b) ＊Pulsus paradoxus >10 mm Hg＊
c) Bounding carotid pulses
d) Absent jugular venous distention
10.A patient with diabetic ketoacidosis (DKA) has a blood glucose of 380 mg/dL and serum
potassium of 3.2 mEq/L. Which action should the nurse take first?
a) Start insulin infusion at 0.1 units/kg/hr
b) ＊Begin IV potassium replacement＊
, c) Administer sodium bicarbonate IV
d) Push 50% dextrose IV
11.The nurse is caring for a patient with a pulmonary embolism. Which assessment finding
suggests the embolism is resolving?
a) ＊Oxygen saturation increases from 88% to 94% on room air＊
b) Heart rate increases from 90 to 120 bpm
c) Respiratory rate increases from 22 to 30 breaths/min
d) Jugular veins become more distended
12.A patient with liver cirrhosis develops asterixis. The nurse should interpret this as a sign of:
a) Hypoglycemia
b) ＊Hepatic encephalopathy＊
c) Portal hypertension
d) Coagulopathy
13.Which ventilator setting directly controls the minute ventilation in a patient on
pressure-controlled ventilation?
a) Peak inspiratory pressure
b) ＊Respiratory rate and inspiratory pressure＊
c) Fraction of inspired oxygen
d) PEEP level
14.The nurse is monitoring a patient after thrombolytic therapy for ischemic stroke. Which finding
requires immediate action?
a) Mild headache
b) ＊Sudden decline in level of consciousness＊
c) Blood pressure of 140/90 mm Hg
d) Bruising at IV site
15.A patient with heart failure has a pulmonary artery catheter. Which value indicates worsening
left ventricular function?
a) Cardiac index of 2.8 L/min/m²
b) ＊Pulmonary artery wedge pressure of 25 mm Hg＊
c) Central venous pressure of 6 mm Hg
d) Mixed venous oxygen saturation of 70%
16.The nurse is caring for a patient following a kidney transplant. Which urine output finding in the
first 24 hours is most concerning for graft failure?
a) 200 mL in first hour
b) ＊Less than 30 mL total over 8 hours＊
