NUR 216 EXAM 1 SPRING SUMMER
ACTUAL EXAM REAL QUESTIONS AND
CORRECT DETAILED ANSWERS| LATEST
2026/2027
Questions and Answers
1. A nurse is caring for a patient with dehydration. Which
assessment finding is most concerning?
A. Moist mucous membranes
B. Urine output of 20 mL/hr
C. Blood pressure 120/80 mmHg
D. Capillary refill less than 2 seconds
**Answer:** B
**Rationale:** Urine output less than 30 mL/hr may indicate
poor kidney perfusion and severe dehydration.
2. Which electrolyte imbalance is commonly associated with
muscle weakness and cardiac dysrhythmias?
A. Hypercalcemia
B. Hypokalemia
,C. Hypernatremia
D. Hypomagnesemia
**Answer:** B
**Rationale:** Low potassium levels interfere with muscle
contraction and cardiac electrical activity.
3. A patient’s blood pressure is 88/50 mmHg. Which action
should the nurse perform first?
A. Notify the provider
B. Reassess the blood pressure
C. Administer antihypertensive medication
D. Place the patient in high-Fowler’s position
**Answer:** B
**Rationale:** The nurse should first validate abnormal
findings before initiating additional interventions.
4. Which infection-control precaution is required for
tuberculosis?
A. Contact precautions
B. Standard precautions only
C. Airborne precautions
,D. Droplet precautions
**Answer:** C
**Rationale:** Tuberculosis spreads through airborne particles
and requires an N95 respirator and negative-pressure room.
5. A nurse is teaching a patient about hypertension. Which
statement indicates understanding?
A. “I will stop taking medication when I feel better.”
B. “Hypertension usually has no symptoms.”
C. “Salt intake does not affect blood pressure.”
D. “Exercise increases my risk for complications.”
**Answer:** B
**Rationale:** Hypertension is often called the “silent killer”
because many patients are asymptomatic.
6. Which pulse site is used during cardiopulmonary
resuscitation in an adult?
A. Radial
B. Brachial
C. Carotid
D. Pedal
, **Answer:** C
**Rationale:** The carotid pulse is the recommended central
pulse checked during CPR in adults.
7. A patient with diabetes reports shakiness and sweating.
Which action should the nurse take first?
A. Administer insulin
B. Check blood glucose level
C. Restrict oral fluids
D. Encourage exercise
**Answer:** B
**Rationale:** Symptoms suggest hypoglycemia, and glucose
should be checked immediately.
8. Which laboratory value is most important to monitor in a
patient receiving warfarin?
A. Hemoglobin
B. Platelet count
C. INR
D. Sodium level
ACTUAL EXAM REAL QUESTIONS AND
CORRECT DETAILED ANSWERS| LATEST
2026/2027
Questions and Answers
1. A nurse is caring for a patient with dehydration. Which
assessment finding is most concerning?
A. Moist mucous membranes
B. Urine output of 20 mL/hr
C. Blood pressure 120/80 mmHg
D. Capillary refill less than 2 seconds
**Answer:** B
**Rationale:** Urine output less than 30 mL/hr may indicate
poor kidney perfusion and severe dehydration.
2. Which electrolyte imbalance is commonly associated with
muscle weakness and cardiac dysrhythmias?
A. Hypercalcemia
B. Hypokalemia
,C. Hypernatremia
D. Hypomagnesemia
**Answer:** B
**Rationale:** Low potassium levels interfere with muscle
contraction and cardiac electrical activity.
3. A patient’s blood pressure is 88/50 mmHg. Which action
should the nurse perform first?
A. Notify the provider
B. Reassess the blood pressure
C. Administer antihypertensive medication
D. Place the patient in high-Fowler’s position
**Answer:** B
**Rationale:** The nurse should first validate abnormal
findings before initiating additional interventions.
4. Which infection-control precaution is required for
tuberculosis?
A. Contact precautions
B. Standard precautions only
C. Airborne precautions
,D. Droplet precautions
**Answer:** C
**Rationale:** Tuberculosis spreads through airborne particles
and requires an N95 respirator and negative-pressure room.
5. A nurse is teaching a patient about hypertension. Which
statement indicates understanding?
A. “I will stop taking medication when I feel better.”
B. “Hypertension usually has no symptoms.”
C. “Salt intake does not affect blood pressure.”
D. “Exercise increases my risk for complications.”
**Answer:** B
**Rationale:** Hypertension is often called the “silent killer”
because many patients are asymptomatic.
6. Which pulse site is used during cardiopulmonary
resuscitation in an adult?
A. Radial
B. Brachial
C. Carotid
D. Pedal
, **Answer:** C
**Rationale:** The carotid pulse is the recommended central
pulse checked during CPR in adults.
7. A patient with diabetes reports shakiness and sweating.
Which action should the nurse take first?
A. Administer insulin
B. Check blood glucose level
C. Restrict oral fluids
D. Encourage exercise
**Answer:** B
**Rationale:** Symptoms suggest hypoglycemia, and glucose
should be checked immediately.
8. Which laboratory value is most important to monitor in a
patient receiving warfarin?
A. Hemoglobin
B. Platelet count
C. INR
D. Sodium level
