NUR2790 Exam 2 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 related to acute and chronic illness management, advanced patient care, and
safe nursing interventions. The material emphasizes evidence-based care and patient safety
practices.
The questions are structured to closely mirror actual course exams while reinforcing
prioritization, clinical reasoning, and nursing management strategies. Detailed expert
explanations support understanding and successful exam performance.
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The Exam Covers:
• Neurological nursing care
• Hemodynamic monitoring basics
• Shock and emergency interventions
• Pharmacological nursing concepts
• Mobility and rehabilitation nursing
• Patient discharge planning
• Chronic disease management
• Nursing documentation standards
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1. A patient with a head injury has a Glasgow Coma Scale (GCS) score of 7. Which action
should the nurse prioritize?
A. Monitor urine output hourly
B. Position the patient in a supine position
,C. Assess pupillary response to light
D. Prepare for immediate endotracheal intubation
Correct Answer: D
Expert Explanation: This exam analysis focuses on critical care nursing interventions and
neurological stability. A GCS score of 8 or less typically indicates a coma and a high risk of
airway compromise, requiring immediate intubation. The nurse must prioritize the ABCs
(Airway, Breathing, Circulation) in acute neurological trauma.
2. Which clinical manifestation is most characteristic of the compensatory stage of shock?
A. Narrowing pulse pressure and cold, clammy skin
B. Normal blood pressure with increased heart rate
C. Severe bradycardia and warm, dry skin
D. Refractory hypotension and metabolic acidosis
Correct Answer: B
Expert Explanation: In the compensatory stage of shock, the body attempts to maintain
homeostasis. Blood pressure often remains within normal limits due to sympathetic
nervous system activation, though tachycardia is usually present as a compensatory
mechanism.
, 3. The nurse is monitoring a patient with an intracranial pressure (ICP) monitor. Which ICP
reading requires immediate intervention?
A. 22 mmHg
B. 12 mmHg
C. 5 mmHg
D. 15 mmHg
Correct Answer: A
Expert Explanation: Normal ICP ranges from 5 to 15 mmHg. A reading of 22 mmHg
indicates intracranial hypertension, which can lead to brain herniation if not treated
promptly.
4. A patient in septic shock is receiving a norepinephrine infusion. What is the primary
therapeutic goal of this medication?
A. Increase heart rate to 120 bpm
B. Decrease systemic vascular resistance
C. Increase mean arterial pressure (MAP) above 65 mmHg
D. Provide sedation during mechanical ventilation
Correct Answer: C
Nursing III / PN3 Exam Q&A | Rasmussen
University
────────────────────────────────────
This comprehensive exam-style resource is designed to prepare students for professional nursing
assessments related to acute and chronic illness management, advanced patient care, and
safe nursing interventions. The material emphasizes evidence-based care and patient safety
practices.
The questions are structured to closely mirror actual course exams while reinforcing
prioritization, clinical reasoning, and nursing management strategies. Detailed expert
explanations support understanding and successful exam performance.
════════════════════════════════════
The Exam Covers:
• Neurological nursing care
• Hemodynamic monitoring basics
• Shock and emergency interventions
• Pharmacological nursing concepts
• Mobility and rehabilitation nursing
• Patient discharge planning
• Chronic disease management
• Nursing documentation standards
════════════════════════════════════
1. A patient with a head injury has a Glasgow Coma Scale (GCS) score of 7. Which action
should the nurse prioritize?
A. Monitor urine output hourly
B. Position the patient in a supine position
,C. Assess pupillary response to light
D. Prepare for immediate endotracheal intubation
Correct Answer: D
Expert Explanation: This exam analysis focuses on critical care nursing interventions and
neurological stability. A GCS score of 8 or less typically indicates a coma and a high risk of
airway compromise, requiring immediate intubation. The nurse must prioritize the ABCs
(Airway, Breathing, Circulation) in acute neurological trauma.
2. Which clinical manifestation is most characteristic of the compensatory stage of shock?
A. Narrowing pulse pressure and cold, clammy skin
B. Normal blood pressure with increased heart rate
C. Severe bradycardia and warm, dry skin
D. Refractory hypotension and metabolic acidosis
Correct Answer: B
Expert Explanation: In the compensatory stage of shock, the body attempts to maintain
homeostasis. Blood pressure often remains within normal limits due to sympathetic
nervous system activation, though tachycardia is usually present as a compensatory
mechanism.
, 3. The nurse is monitoring a patient with an intracranial pressure (ICP) monitor. Which ICP
reading requires immediate intervention?
A. 22 mmHg
B. 12 mmHg
C. 5 mmHg
D. 15 mmHg
Correct Answer: A
Expert Explanation: Normal ICP ranges from 5 to 15 mmHg. A reading of 22 mmHg
indicates intracranial hypertension, which can lead to brain herniation if not treated
promptly.
4. A patient in septic shock is receiving a norepinephrine infusion. What is the primary
therapeutic goal of this medication?
A. Increase heart rate to 120 bpm
B. Decrease systemic vascular resistance
C. Increase mean arterial pressure (MAP) above 65 mmHg
D. Provide sedation during mechanical ventilation
Correct Answer: C
