NUR2571 Exam 1 V2 | NUR 2571 Professional
Nursing II / PN2 Exam Q&A | Rasmussen
University
────────────────────────────────────
This study guide is intended to provide comprehensive preparation for nursing examinations by
focusing on adult health nursing, therapeutic interventions, and safe patient management
strategies. The content reflects practical nursing concepts frequently tested in professional
nursing assessments.
This version contains realistic exam-style questions designed to strengthen understanding of
nursing priorities, healthcare communication, and interdisciplinary collaboration. Detailed
expert explanations support deeper understanding and practical clinical application.
════════════════════════════════════
Why Use This Exam:
• Strengthens nursing communication skills
• Reinforces patient safety concepts
• Supports development of clinical judgment
• Improves understanding of nursing responsibilities
• Enhances interdisciplinary collaboration knowledge
• Provides realistic nursing exam scenarios
• Encourages critical thinking and analysis
• Helps students prepare for clinical application
════════════════════════════════════
1. A nurse is caring for a patient who is 12 hours post-operative from abdominal surgery. The
patient’s urine output has been 20 mL/hr for the past 3 hours. Which action should the nurse
take first?
A. Encourage the patient to increase oral fluid intake.
B. Assess the patient’s blood pressure and heart rate.
,C. Notify the healthcare provider of the findings.
D. Continue to monitor the output for another hour.
Correct Answer: B
Expert Explanation: Assessment is the first step of the nursing process and is necessary to
determine the patient’s hemodynamic status. Low urine output can indicate poor renal
perfusion or fluid volume deficit, which often correlates with hypotension and tachycardia.
Checking vital signs provides immediate data to share with the provider when calling for
orders.
2. The nurse is preparing to administer a blood transfusion to a client. Which of the following
actions is the most critical for patient safety?
A. Ensuring the patient has a patent 22-gauge IV line.
B. Verifying the patient’s identity and blood type with another RN.
C. Warming the blood to room temperature before administration.
D. Administering the blood over a period of 6 hours.
Correct Answer: B
Expert Explanation: Verifying the blood product and patient identity with a second
registered nurse is a critical safety protocol to prevent life-threatening hemolytic reactions.
Errors in identification are the leading cause of transfusion-related fatalities. This step
ensures that the right blood is given to the right patient.
,3. A nurse is assigned to care for four clients. Which client should the nurse assess first after
receiving the change-of-shift report?
A. A client with pneumonia who has a new onset of confusion and restlessness.
B. A client with a hip fracture who reports pain as 6 on a scale of 0 to 10.
C. A client with diabetes whose morning blood glucose level is 150 mg/dL.
D. A client scheduled for an endoscopy in 2 hours who needs a consent form signed.
Correct Answer: A
Expert Explanation: A new onset of confusion and restlessness in a patient with
pneumonia is a sign of potential hypoxia. Using the ABC (Airway, Breathing, Circulation)
framework, respiratory distress or changes in mental status take priority over stable pain
or routine tasks. Prompt assessment of oxygen saturation and lung sounds is required
immediately.
4. Which of the following tasks is most appropriate for the nurse to delegate to an unlicensed
assistive personnel (UAP)?
A. Assessing the lung sounds of a patient with a history of heart failure.
B. Instructing a patient on the use of an incentive spirometer.
C. Changing a sterile dressing on a post-operative incision.
D. Assisting a stable patient with ambulation to the bathroom.
Correct Answer: D
, Expert Explanation: Delegation to UAPs should involve tasks that are routine, non-
invasive, and do not require clinical judgment or nursing assessment. Assisting a stable
patient with activities of daily living, such as ambulation, is within the UAP’s scope of
practice. Assessing, teaching, and performing sterile procedures are responsibilities that
remain with the licensed nurse.
5. A nurse is providing discharge education to a client who had a permanent pacemaker
inserted. Which statement by the client indicates a need for further teaching?
A. I will avoid lifting my arm above my shoulder for the next few weeks.
B. I can continue to use my microwave oven at home safely.
C. I will need to avoid going through airport security metal detectors.
D. I should check my pulse every morning and record the rate.
Correct Answer: C
Expert Explanation: Clients with pacemakers can typically go through airport security,
but they should notify security personnel and avoid standing directly in or leaning against
the metal detector. Standard household appliances like microwaves are generally safe to
use. Restricted movement of the arm on the pacemaker side is necessary initially to
prevent lead displacement.
6. A nurse is caring for a patient with a serum potassium level of 6.2 mEq/L. Which of the
following is the priority nursing intervention?
A. Check the patient’s deep tendon reflexes every 4 hours.
Nursing II / PN2 Exam Q&A | Rasmussen
University
────────────────────────────────────
This study guide is intended to provide comprehensive preparation for nursing examinations by
focusing on adult health nursing, therapeutic interventions, and safe patient management
strategies. The content reflects practical nursing concepts frequently tested in professional
nursing assessments.
This version contains realistic exam-style questions designed to strengthen understanding of
nursing priorities, healthcare communication, and interdisciplinary collaboration. Detailed
expert explanations support deeper understanding and practical clinical application.
════════════════════════════════════
Why Use This Exam:
• Strengthens nursing communication skills
• Reinforces patient safety concepts
• Supports development of clinical judgment
• Improves understanding of nursing responsibilities
• Enhances interdisciplinary collaboration knowledge
• Provides realistic nursing exam scenarios
• Encourages critical thinking and analysis
• Helps students prepare for clinical application
════════════════════════════════════
1. A nurse is caring for a patient who is 12 hours post-operative from abdominal surgery. The
patient’s urine output has been 20 mL/hr for the past 3 hours. Which action should the nurse
take first?
A. Encourage the patient to increase oral fluid intake.
B. Assess the patient’s blood pressure and heart rate.
,C. Notify the healthcare provider of the findings.
D. Continue to monitor the output for another hour.
Correct Answer: B
Expert Explanation: Assessment is the first step of the nursing process and is necessary to
determine the patient’s hemodynamic status. Low urine output can indicate poor renal
perfusion or fluid volume deficit, which often correlates with hypotension and tachycardia.
Checking vital signs provides immediate data to share with the provider when calling for
orders.
2. The nurse is preparing to administer a blood transfusion to a client. Which of the following
actions is the most critical for patient safety?
A. Ensuring the patient has a patent 22-gauge IV line.
B. Verifying the patient’s identity and blood type with another RN.
C. Warming the blood to room temperature before administration.
D. Administering the blood over a period of 6 hours.
Correct Answer: B
Expert Explanation: Verifying the blood product and patient identity with a second
registered nurse is a critical safety protocol to prevent life-threatening hemolytic reactions.
Errors in identification are the leading cause of transfusion-related fatalities. This step
ensures that the right blood is given to the right patient.
,3. A nurse is assigned to care for four clients. Which client should the nurse assess first after
receiving the change-of-shift report?
A. A client with pneumonia who has a new onset of confusion and restlessness.
B. A client with a hip fracture who reports pain as 6 on a scale of 0 to 10.
C. A client with diabetes whose morning blood glucose level is 150 mg/dL.
D. A client scheduled for an endoscopy in 2 hours who needs a consent form signed.
Correct Answer: A
Expert Explanation: A new onset of confusion and restlessness in a patient with
pneumonia is a sign of potential hypoxia. Using the ABC (Airway, Breathing, Circulation)
framework, respiratory distress or changes in mental status take priority over stable pain
or routine tasks. Prompt assessment of oxygen saturation and lung sounds is required
immediately.
4. Which of the following tasks is most appropriate for the nurse to delegate to an unlicensed
assistive personnel (UAP)?
A. Assessing the lung sounds of a patient with a history of heart failure.
B. Instructing a patient on the use of an incentive spirometer.
C. Changing a sterile dressing on a post-operative incision.
D. Assisting a stable patient with ambulation to the bathroom.
Correct Answer: D
, Expert Explanation: Delegation to UAPs should involve tasks that are routine, non-
invasive, and do not require clinical judgment or nursing assessment. Assisting a stable
patient with activities of daily living, such as ambulation, is within the UAP’s scope of
practice. Assessing, teaching, and performing sterile procedures are responsibilities that
remain with the licensed nurse.
5. A nurse is providing discharge education to a client who had a permanent pacemaker
inserted. Which statement by the client indicates a need for further teaching?
A. I will avoid lifting my arm above my shoulder for the next few weeks.
B. I can continue to use my microwave oven at home safely.
C. I will need to avoid going through airport security metal detectors.
D. I should check my pulse every morning and record the rate.
Correct Answer: C
Expert Explanation: Clients with pacemakers can typically go through airport security,
but they should notify security personnel and avoid standing directly in or leaning against
the metal detector. Standard household appliances like microwaves are generally safe to
use. Restricted movement of the arm on the pacemaker side is necessary initially to
prevent lead displacement.
6. A nurse is caring for a patient with a serum potassium level of 6.2 mEq/L. Which of the
following is the priority nursing intervention?
A. Check the patient’s deep tendon reflexes every 4 hours.
