NUR2790 Exam 3 V3 | NUR 2790 Professional
Nursing III / PN3 Exam Q&A | Rasmussen
University
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This comprehensive exam-style resource is designed to prepare students for professional nursing
assessments focused on critical patient management, advanced emergency interventions, and
complex nursing care planning. The material emphasizes safe nursing practices and evidence-
based patient management strategies.
The questions are structured to closely mirror actual course exams while reinforcing analytical
reasoning, nursing prioritization, and patient care decision-making skills. Detailed expert
explanations support deeper understanding and successful exam performance.
════════════════════════════════════
The Exam Covers:
• Advanced airway management concepts
• Hemodynamic instability interventions
• Emergency medication administration
• Trauma and disaster nursing
• Multisystem organ failure nursing care
• Critical care communication strategies
• Interdisciplinary emergency collaboration
• Acute patient safety management
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1. A nurse is caring for a patient who was just intubated. What is the gold standard for
confirming correct endotracheal tube placement immediately after the procedure?
A. Auscultating bilateral breath sounds
B. Observing chest wall expansion
,C. End-tidal CO2 detection (capnography)
D. Obtaining a portable chest X-ray
Correct Answer: C
Expert Explanation: While X-ray is the definitive way to check the exact position above
the carina, end-tidal CO2 detection is the gold standard for immediate verification that the
tube is in the trachea and not the esophagus. Auscultation is subjective and can be
misleading if air is entering the stomach.
2. A patient in the ICU has a blood pressure of 90/50 mmHg. What is the calculated Mean
Arterial Pressure (MAP), and is it adequate for organ perfusion?
A. MAP 63; adequate
B. MAP 70; adequate
C. MAP 60; inadequate
D. MAP 63; inadequate
Correct Answer: D
Expert Explanation: MAP is calculated as [Systolic + 2(Diastolic)] / 3. For 90/50, MAP =
(90 + 100) / 3 = 63.3. Generally, a MAP of at least 65 mmHg is required to maintain
adequate tissue perfusion to vital organs.
, 3. A nurse is assessing a patient for early signs of septic shock. Which of the following findings
is most indicative of the ‘warm’ hyperdynamic phase?
A. Cool, clammy skin and bradycardia
B. Hypotension and decreased urinary output
C. Confusion and metabolic acidosis
D. Flushed, warm skin and high cardiac output
Correct Answer: D
Expert Explanation: In the early phase of septic shock, the body compensates with
vasodilation and increased cardiac output, leading to warm, flushed skin. As the shock
progresses to the ‘cold’ phase, cardiac output drops and skin becomes cool.
4. Which medication is the first-line treatment for a patient experiencing Supraventricular
Tachycardia (SVT) who is hemodynamically stable?
A. Amiodarone 150 mg IV
B. Epinephrine 1 mg IV push
C. Atropine 1 mg IV push
D. Adenosine 6 mg rapid IV push
Correct Answer: D
Nursing III / PN3 Exam Q&A | Rasmussen
University
────────────────────────────────────
This comprehensive exam-style resource is designed to prepare students for professional nursing
assessments focused on critical patient management, advanced emergency interventions, and
complex nursing care planning. The material emphasizes safe nursing practices and evidence-
based patient management strategies.
The questions are structured to closely mirror actual course exams while reinforcing analytical
reasoning, nursing prioritization, and patient care decision-making skills. Detailed expert
explanations support deeper understanding and successful exam performance.
════════════════════════════════════
The Exam Covers:
• Advanced airway management concepts
• Hemodynamic instability interventions
• Emergency medication administration
• Trauma and disaster nursing
• Multisystem organ failure nursing care
• Critical care communication strategies
• Interdisciplinary emergency collaboration
• Acute patient safety management
════════════════════════════════════
1. A nurse is caring for a patient who was just intubated. What is the gold standard for
confirming correct endotracheal tube placement immediately after the procedure?
A. Auscultating bilateral breath sounds
B. Observing chest wall expansion
,C. End-tidal CO2 detection (capnography)
D. Obtaining a portable chest X-ray
Correct Answer: C
Expert Explanation: While X-ray is the definitive way to check the exact position above
the carina, end-tidal CO2 detection is the gold standard for immediate verification that the
tube is in the trachea and not the esophagus. Auscultation is subjective and can be
misleading if air is entering the stomach.
2. A patient in the ICU has a blood pressure of 90/50 mmHg. What is the calculated Mean
Arterial Pressure (MAP), and is it adequate for organ perfusion?
A. MAP 63; adequate
B. MAP 70; adequate
C. MAP 60; inadequate
D. MAP 63; inadequate
Correct Answer: D
Expert Explanation: MAP is calculated as [Systolic + 2(Diastolic)] / 3. For 90/50, MAP =
(90 + 100) / 3 = 63.3. Generally, a MAP of at least 65 mmHg is required to maintain
adequate tissue perfusion to vital organs.
, 3. A nurse is assessing a patient for early signs of septic shock. Which of the following findings
is most indicative of the ‘warm’ hyperdynamic phase?
A. Cool, clammy skin and bradycardia
B. Hypotension and decreased urinary output
C. Confusion and metabolic acidosis
D. Flushed, warm skin and high cardiac output
Correct Answer: D
Expert Explanation: In the early phase of septic shock, the body compensates with
vasodilation and increased cardiac output, leading to warm, flushed skin. As the shock
progresses to the ‘cold’ phase, cardiac output drops and skin becomes cool.
4. Which medication is the first-line treatment for a patient experiencing Supraventricular
Tachycardia (SVT) who is hemodynamically stable?
A. Amiodarone 150 mg IV
B. Epinephrine 1 mg IV push
C. Atropine 1 mg IV push
D. Adenosine 6 mg rapid IV push
Correct Answer: D
