NUR2571 Exam 3 V1 | NUR 2571 Professional
Nursing II / PN2 Exam Q&A | Rasmussen
University
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This exam preparation resource is designed to help students strengthen their understanding of
critical care nursing concepts, emergency patient management, and advanced nursing
interventions. The material emphasizes rapid clinical decision-making, patient stabilization, and
evidence-based nursing care practices.
The questions included in this version are structured to closely mirror the actual course exam
format and level of difficulty. Detailed expert explanations are included to improve nursing
judgment and emergency care planning skills.
════════════════════════════════════
Why Use This Exam:
• Reinforces critical care nursing concepts
• Strengthens emergency nursing interventions
• Supports patient stabilization strategies
• Improves nursing prioritization skills
• Enhances clinical judgment abilities
• Provides realistic nursing exam preparation
• Encourages evidence-based patient care
• Builds confidence for complex nursing assessments
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1. A patient in septic shock is receiving large volumes of crystalloid fluids. Which assessment
finding most clearly indicates the treatment is successful?
A. CVP of 2 mmHg
B. Urine output of 35 mL/hr
,C. Mean Arterial Pressure (MAP) of 68 mmHg
D. Lactate level of 5 mmol/L
Correct Answer: C
Expert Explanation: A MAP above 65 mmHg is a primary indicator of adequate organ
perfusion in shock states. Urine output should also be maintained above 0.5 mL/kg/hr,
which 35 mL/hr usually represents for an average adult. A lactate level of 5 is high, and a
CVP of 2 is low, both indicating ongoing shock or dehydration.
2. When calculating fluid resuscitation for a burn patient using the Parkland formula, the
nurse knows that half of the total volume must be administered within:
A. The first 8 hours after the time of the burn injury
B. The first 8 hours after arrival at the hospital
C. The first 4 hours after the burn injury
D. The first 24 hours after the injury occurred
Correct Answer: A
Expert Explanation: The Parkland formula calculates fluid requirements for the first 24
hours. Half of this calculated volume must be given within the first 8 hours starting from
the time the injury occurred, not hospital arrival. This rapid infusion is critical to prevent
hypovolemic shock and maintain renal perfusion.
, 3. A patient with a head injury exhibits a widened pulse pressure, bradycardia, and irregular
respirations. The nurse recognizes this as:
A. Virchow’s Triad
B. Beck’s Triad
C. Cushing’s Triad
D. The GCS response
Correct Answer: C
Expert Explanation: Cushing’s Triad is a late sign of significantly increased intracranial
pressure (ICP). It consists of bradycardia, irregular respirations (Cheyne-Stokes), and a
widening pulse pressure where the systolic pressure rises while the diastolic stays the
same or drops. This indicates that the brain is herniating and requires immediate
emergency intervention.
4. In a mass casualty incident, a patient with a sucking chest wound is breathing 28 times per
minute and has a weak radial pulse. Which color tag should the triage nurse assign?
A. Green
B. Red
C. Yellow
D. Black
Correct Answer: B
Nursing II / PN2 Exam Q&A | Rasmussen
University
────────────────────────────────────
This exam preparation resource is designed to help students strengthen their understanding of
critical care nursing concepts, emergency patient management, and advanced nursing
interventions. The material emphasizes rapid clinical decision-making, patient stabilization, and
evidence-based nursing care practices.
The questions included in this version are structured to closely mirror the actual course exam
format and level of difficulty. Detailed expert explanations are included to improve nursing
judgment and emergency care planning skills.
════════════════════════════════════
Why Use This Exam:
• Reinforces critical care nursing concepts
• Strengthens emergency nursing interventions
• Supports patient stabilization strategies
• Improves nursing prioritization skills
• Enhances clinical judgment abilities
• Provides realistic nursing exam preparation
• Encourages evidence-based patient care
• Builds confidence for complex nursing assessments
════════════════════════════════════
1. A patient in septic shock is receiving large volumes of crystalloid fluids. Which assessment
finding most clearly indicates the treatment is successful?
A. CVP of 2 mmHg
B. Urine output of 35 mL/hr
,C. Mean Arterial Pressure (MAP) of 68 mmHg
D. Lactate level of 5 mmol/L
Correct Answer: C
Expert Explanation: A MAP above 65 mmHg is a primary indicator of adequate organ
perfusion in shock states. Urine output should also be maintained above 0.5 mL/kg/hr,
which 35 mL/hr usually represents for an average adult. A lactate level of 5 is high, and a
CVP of 2 is low, both indicating ongoing shock or dehydration.
2. When calculating fluid resuscitation for a burn patient using the Parkland formula, the
nurse knows that half of the total volume must be administered within:
A. The first 8 hours after the time of the burn injury
B. The first 8 hours after arrival at the hospital
C. The first 4 hours after the burn injury
D. The first 24 hours after the injury occurred
Correct Answer: A
Expert Explanation: The Parkland formula calculates fluid requirements for the first 24
hours. Half of this calculated volume must be given within the first 8 hours starting from
the time the injury occurred, not hospital arrival. This rapid infusion is critical to prevent
hypovolemic shock and maintain renal perfusion.
, 3. A patient with a head injury exhibits a widened pulse pressure, bradycardia, and irregular
respirations. The nurse recognizes this as:
A. Virchow’s Triad
B. Beck’s Triad
C. Cushing’s Triad
D. The GCS response
Correct Answer: C
Expert Explanation: Cushing’s Triad is a late sign of significantly increased intracranial
pressure (ICP). It consists of bradycardia, irregular respirations (Cheyne-Stokes), and a
widening pulse pressure where the systolic pressure rises while the diastolic stays the
same or drops. This indicates that the brain is herniating and requires immediate
emergency intervention.
4. In a mass casualty incident, a patient with a sucking chest wound is breathing 28 times per
minute and has a weak radial pulse. Which color tag should the triage nurse assign?
A. Green
B. Red
C. Yellow
D. Black
Correct Answer: B
