NUR2571 Final Exam V1 | NUR 2571
Professional Nursing II / PN2 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, patient management strategies, 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.
════════════════════════════════════
Why Use This Exam:
• Reinforces comprehensive nursing knowledge
• Strengthens clinical judgment and prioritization
• Supports final exam preparation
• Improves understanding of patient management
• Enhances evidence-based nursing practice
• Encourages critical thinking and analysis
• Provides realistic nursing exam scenarios
• Builds confidence before final assessments
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1. A nurse is assessing a patient with suspected left-sided heart failure. Which clinical
manifestation should the nurse expect to find?
A. Peripheral edema in the lower extremities
B. Jugular venous distention (JVD)
,C. Crackles and wheezes upon auscultation
D. Hepatomegaly and abdominal girth increase
Correct Answer: C
Expert Explanation: Left-sided heart failure primarily affects the pulmonary system
because the left ventricle cannot pump blood efficiently to the body, causing backflow into
the lungs. This results in pulmonary congestion, manifested as crackles, wheezes, and
dyspnea. Options A, B, and D are characteristic of right-sided heart failure.
2. A patient’s arterial blood gas (ABG) results are: pH 7.30, PaCO2 52 mmHg, and HCO3 24
mEq/L. How should the nurse interpret these findings?
A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Alkalosis
D. Respiratory Acidosis
Correct Answer: D
Expert Explanation: The pH is below 7.35, indicating acidosis. The PaCO2 is elevated
above 45 mmHg, which is the respiratory component. The HCO3 is within the normal range
(22-26 mEq/L), indicating no compensation yet. This combination identifies respiratory
acidosis.
, 3. The nurse is caring for a patient in the ICU who has been diagnosed with Septic Shock.
Which assessment finding is a priority to report to the provider?
A. Temperature of 101.5°F
B. White blood cell count of 15,000/mm3
C. Mean Arterial Pressure (MAP) of 55 mmHg
D. Skin that is warm and flushed
Correct Answer: C
Expert Explanation: A MAP of at least 65 mmHg is required to maintain adequate tissue
perfusion to vital organs. A MAP of 55 mmHg indicates inadequate perfusion and is a
priority over expected signs of infection like fever or elevated WBCs. Flushed skin is
common in early distributive shock but perfusion pressure is the critical metric.
4. A patient with a history of Chronic Obstructive Pulmonary Disease (COPD) is receiving
oxygen via nasal cannula. Which oxygen flow rate is generally appropriate to avoid
suppressing the hypoxic drive?
A. 1-2 L/min
B. 6-10 L/min
C. 10-15 L/min
D. Flow rates do not matter for COPD patients
Correct Answer: A
Professional Nursing II / PN2 Exam Q&A |
Rasmussen University
────────────────────────────────────
This final exam preparation resource is designed to provide a comprehensive review of
professional nursing concepts, patient management strategies, 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.
════════════════════════════════════
Why Use This Exam:
• Reinforces comprehensive nursing knowledge
• Strengthens clinical judgment and prioritization
• Supports final exam preparation
• Improves understanding of patient management
• Enhances evidence-based nursing practice
• Encourages critical thinking and analysis
• Provides realistic nursing exam scenarios
• Builds confidence before final assessments
════════════════════════════════════
1. A nurse is assessing a patient with suspected left-sided heart failure. Which clinical
manifestation should the nurse expect to find?
A. Peripheral edema in the lower extremities
B. Jugular venous distention (JVD)
,C. Crackles and wheezes upon auscultation
D. Hepatomegaly and abdominal girth increase
Correct Answer: C
Expert Explanation: Left-sided heart failure primarily affects the pulmonary system
because the left ventricle cannot pump blood efficiently to the body, causing backflow into
the lungs. This results in pulmonary congestion, manifested as crackles, wheezes, and
dyspnea. Options A, B, and D are characteristic of right-sided heart failure.
2. A patient’s arterial blood gas (ABG) results are: pH 7.30, PaCO2 52 mmHg, and HCO3 24
mEq/L. How should the nurse interpret these findings?
A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Alkalosis
D. Respiratory Acidosis
Correct Answer: D
Expert Explanation: The pH is below 7.35, indicating acidosis. The PaCO2 is elevated
above 45 mmHg, which is the respiratory component. The HCO3 is within the normal range
(22-26 mEq/L), indicating no compensation yet. This combination identifies respiratory
acidosis.
, 3. The nurse is caring for a patient in the ICU who has been diagnosed with Septic Shock.
Which assessment finding is a priority to report to the provider?
A. Temperature of 101.5°F
B. White blood cell count of 15,000/mm3
C. Mean Arterial Pressure (MAP) of 55 mmHg
D. Skin that is warm and flushed
Correct Answer: C
Expert Explanation: A MAP of at least 65 mmHg is required to maintain adequate tissue
perfusion to vital organs. A MAP of 55 mmHg indicates inadequate perfusion and is a
priority over expected signs of infection like fever or elevated WBCs. Flushed skin is
common in early distributive shock but perfusion pressure is the critical metric.
4. A patient with a history of Chronic Obstructive Pulmonary Disease (COPD) is receiving
oxygen via nasal cannula. Which oxygen flow rate is generally appropriate to avoid
suppressing the hypoxic drive?
A. 1-2 L/min
B. 6-10 L/min
C. 10-15 L/min
D. Flow rates do not matter for COPD patients
Correct Answer: A
