NUR2790 Final Exam V1 | NUR 2790
Professional Nursing III / PN3 Exam Q&A |
Rasmussen University
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This final exam preparation resource is designed to provide a comprehensive review of
professional nursing concepts, advanced patient management, and evidence-based nursing
interventions covered throughout the course. The material integrates major nursing concepts
into a realistic exam-style format.
The questions included in this version are structured to closely mirror actual final exam
assessments and strengthen nursing reasoning and patient-centered intervention skills. Detailed
expert explanations are included to improve concept integration and exam readiness.
════════════════════════════════════
The Exam Covers:
• Advanced nursing assessment
• Acute and chronic disease management
• Critical care nursing concepts
• Emergency patient interventions
• Leadership and delegation strategies
• Patient safety and quality improvement
• Ethical and legal nursing concepts
• Comprehensive professional nursing review
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1. A nurse is triaging victims at the scene of a multi-car accident. Which patient should be
assigned a ‘Red’ tag?
A. A patient with a minor arm laceration who is walking around
B. A patient with a sucking chest wound and labored breathing
,C. A patient with a closed fracture of the tibia and stable vitals
D. A patient with no pulse or respirations despite airway opening
Correct Answer: B
Expert Explanation: A red tag indicates an immediate life-threatening condition that is
treatable with rapid intervention. A sucking chest wound compromises the airway and
breathing, making it a top priority. Patients who are walking are tagged green, while those
who are deceased or unsalvageable are tagged black.
2. Which clinical manifestation is most indicative of Cushing’s Triad in a patient with
increased intracranial pressure (ICP)?
A. Tachycardia, hypotension, and tachypnea
B. Tachycardia, narrowing pulse pressure, and Cheyne-Stokes respirations
C. Bradycardia, hypertension, and kussmaul respirations
D. Bradycardia, widening pulse pressure, and irregular respirations
Correct Answer: D
Expert Explanation: Cushing’s Triad is a late sign of increased ICP and impending brain
herniation. It consists of bradycardia, hypertension with a widening pulse pressure, and
altered or irregular respirations. Recognizing these signs is critical for immediate
neurosurgical or medical intervention to prevent brain damage.
, 3. A patient in the ICU is on a mechanical ventilator. The high-pressure alarm sounds. Which
action should the nurse take first?
A. Assess the patient’s oxygen saturation
B. Check for kinks in the tubing or patient biting the tube
C. Manually bag the patient with 100% oxygen
D. Call the respiratory therapist to adjust the settings
Correct Answer: B
Expert Explanation: High-pressure alarms are triggered by resistance in the system, often
caused by biting the tube, secretions, or kinks. The nurse should first check the circuit for
physical obstructions that can be quickly resolved. If the cause is not immediately found or
the patient is distressed, manual ventilation should follow.
4. Which laboratory value is the most specific indicator of acute myocardial infarction (MI)?
A. Creatine Kinase (CK-MB)
B. Myoglobin
C. Lactic dehydrogenase (LDH)
D. Troponin I
Correct Answer: D
Expert Explanation: Troponin I is a highly sensitive and specific cardiac marker that rises
within hours of myocardial injury. It remains elevated for up to two weeks, providing a
Professional Nursing III / PN3 Exam Q&A |
Rasmussen University
────────────────────────────────────
This final exam preparation resource is designed to provide a comprehensive review of
professional nursing concepts, advanced patient management, and evidence-based nursing
interventions covered throughout the course. The material integrates major nursing concepts
into a realistic exam-style format.
The questions included in this version are structured to closely mirror actual final exam
assessments and strengthen nursing reasoning and patient-centered intervention skills. Detailed
expert explanations are included to improve concept integration and exam readiness.
════════════════════════════════════
The Exam Covers:
• Advanced nursing assessment
• Acute and chronic disease management
• Critical care nursing concepts
• Emergency patient interventions
• Leadership and delegation strategies
• Patient safety and quality improvement
• Ethical and legal nursing concepts
• Comprehensive professional nursing review
════════════════════════════════════
1. A nurse is triaging victims at the scene of a multi-car accident. Which patient should be
assigned a ‘Red’ tag?
A. A patient with a minor arm laceration who is walking around
B. A patient with a sucking chest wound and labored breathing
,C. A patient with a closed fracture of the tibia and stable vitals
D. A patient with no pulse or respirations despite airway opening
Correct Answer: B
Expert Explanation: A red tag indicates an immediate life-threatening condition that is
treatable with rapid intervention. A sucking chest wound compromises the airway and
breathing, making it a top priority. Patients who are walking are tagged green, while those
who are deceased or unsalvageable are tagged black.
2. Which clinical manifestation is most indicative of Cushing’s Triad in a patient with
increased intracranial pressure (ICP)?
A. Tachycardia, hypotension, and tachypnea
B. Tachycardia, narrowing pulse pressure, and Cheyne-Stokes respirations
C. Bradycardia, hypertension, and kussmaul respirations
D. Bradycardia, widening pulse pressure, and irregular respirations
Correct Answer: D
Expert Explanation: Cushing’s Triad is a late sign of increased ICP and impending brain
herniation. It consists of bradycardia, hypertension with a widening pulse pressure, and
altered or irregular respirations. Recognizing these signs is critical for immediate
neurosurgical or medical intervention to prevent brain damage.
, 3. A patient in the ICU is on a mechanical ventilator. The high-pressure alarm sounds. Which
action should the nurse take first?
A. Assess the patient’s oxygen saturation
B. Check for kinks in the tubing or patient biting the tube
C. Manually bag the patient with 100% oxygen
D. Call the respiratory therapist to adjust the settings
Correct Answer: B
Expert Explanation: High-pressure alarms are triggered by resistance in the system, often
caused by biting the tube, secretions, or kinks. The nurse should first check the circuit for
physical obstructions that can be quickly resolved. If the cause is not immediately found or
the patient is distressed, manual ventilation should follow.
4. Which laboratory value is the most specific indicator of acute myocardial infarction (MI)?
A. Creatine Kinase (CK-MB)
B. Myoglobin
C. Lactic dehydrogenase (LDH)
D. Troponin I
Correct Answer: D
Expert Explanation: Troponin I is a highly sensitive and specific cardiac marker that rises
within hours of myocardial injury. It remains elevated for up to two weeks, providing a
