NIGHTINGALE BSN 346 COMPLEX CARE NURSING EXAM
2|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1. A patient in heart failure has crackles and worsening SOB. Priority?
A. Give IV fluids
B. Elevate head of bed
C. Encourage ambulation
D. Restrict oxygen
Answer: B
Rationale: High Fowler’s improves lung expansion and oxygenation.
2. SATA: Signs of fluid overload include:
A. Crackles
B. Edema
C. Weight gain
D. Dry mucosa
E. JVD
Answer: A, B, C, E
Rationale: Excess fluid increases vascular congestion.
3. A post-op patient suddenly develops chest pain. First action?
A. ECG
B. Oxygen
C. Pain medication
D. CT scan
Answer: B
Rationale: Airway and oxygenation come first.
4. Which lab indicates kidney failure?
,A. Creatinine 0.8
B. BUN 12
C. Creatinine 3.6
D. Sodium 140
Answer: C
Rationale: Elevated creatinine indicates poor filtration.
5. SATA: Hypoxia signs include:
A. Restlessness
B. Cyanosis
C. Confusion
D. Bradycardia
E. Anxiety
Answer: A, B, C, E
Rationale: Early and late hypoxia signs affect CNS and oxygenation.
6. Priority in DKA?
A. Insulin
B. Fluids
C. Potassium only
D. Antibiotics
Answer: B
Rationale: Rehydration is first priority.
7. ECG finding in hyperkalemia:
A. U waves
B. Peaked T waves
C. Flat ST
D. Prolonged PR only
Answer: B
Rationale: Classic hyperkalemia sign.
8. COPD patient position:
, A. Supine
B. High Fowler’s
C. Trendelenburg
D. Flat
Answer: B
Rationale: Improves lung expansion.
9. SATA: Stroke signs:
A. Facial droop
B. Weakness
C. Slurred speech
D. Gradual headache
E. Vision loss
Answer: A, B, C, E
Rationale: Sudden neuro deficits.
10. First-line anaphylaxis treatment:
A. Antihistamine
B. Epinephrine IM
C. Steroids
D. Oxygen only
Answer: B
Rationale: Epinephrine is life-saving.
11. Normal urine output:
A. 10 mL/hr
B. 20 mL/hr
C. 30 mL/hr
D. 60 mL/hr
Answer: C
Rationale: Minimum adequate output.
12. SATA: Hypoglycemia signs:
2|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1. A patient in heart failure has crackles and worsening SOB. Priority?
A. Give IV fluids
B. Elevate head of bed
C. Encourage ambulation
D. Restrict oxygen
Answer: B
Rationale: High Fowler’s improves lung expansion and oxygenation.
2. SATA: Signs of fluid overload include:
A. Crackles
B. Edema
C. Weight gain
D. Dry mucosa
E. JVD
Answer: A, B, C, E
Rationale: Excess fluid increases vascular congestion.
3. A post-op patient suddenly develops chest pain. First action?
A. ECG
B. Oxygen
C. Pain medication
D. CT scan
Answer: B
Rationale: Airway and oxygenation come first.
4. Which lab indicates kidney failure?
,A. Creatinine 0.8
B. BUN 12
C. Creatinine 3.6
D. Sodium 140
Answer: C
Rationale: Elevated creatinine indicates poor filtration.
5. SATA: Hypoxia signs include:
A. Restlessness
B. Cyanosis
C. Confusion
D. Bradycardia
E. Anxiety
Answer: A, B, C, E
Rationale: Early and late hypoxia signs affect CNS and oxygenation.
6. Priority in DKA?
A. Insulin
B. Fluids
C. Potassium only
D. Antibiotics
Answer: B
Rationale: Rehydration is first priority.
7. ECG finding in hyperkalemia:
A. U waves
B. Peaked T waves
C. Flat ST
D. Prolonged PR only
Answer: B
Rationale: Classic hyperkalemia sign.
8. COPD patient position:
, A. Supine
B. High Fowler’s
C. Trendelenburg
D. Flat
Answer: B
Rationale: Improves lung expansion.
9. SATA: Stroke signs:
A. Facial droop
B. Weakness
C. Slurred speech
D. Gradual headache
E. Vision loss
Answer: A, B, C, E
Rationale: Sudden neuro deficits.
10. First-line anaphylaxis treatment:
A. Antihistamine
B. Epinephrine IM
C. Steroids
D. Oxygen only
Answer: B
Rationale: Epinephrine is life-saving.
11. Normal urine output:
A. 10 mL/hr
B. 20 mL/hr
C. 30 mL/hr
D. 60 mL/hr
Answer: C
Rationale: Minimum adequate output.
12. SATA: Hypoglycemia signs:
