NUR2571 Final Exam V2 | NUR 2571
Professional Nursing II / PN2 Exam Q&A |
Rasmussen University
────────────────────────────────────
This study guide is intended to help students consolidate foundational and advanced concepts
related to professional nursing practice, clinical decision-making, and evidence-based
healthcare management. The material reflects the style and complexity commonly encountered
in nursing final examinations.
This version contains realistic final exam-style questions covering patient care management,
nursing leadership concepts, and professional nursing responsibilities. Detailed expert
explanations are included to support deeper understanding and comprehensive exam
preparation.
════════════════════════════════════
Why Use This Exam:
• Supports mastery of nursing fundamentals
• Reinforces healthcare leadership concepts
• Strengthens patient safety awareness
• Improves readiness for cumulative nursing exams
• Enhances professional nursing knowledge
• Provides detailed expert explanations
• Encourages active learning and retention
• Helps identify weak nursing content areas
════════════════════════════════════
1. A nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed Assistive
Personnel (UAP). Which task is most appropriate for the nurse to delegate to the UAP?
A. Assisting a stable patient with ambulation to the bathroom.
B. Evaluating the effectiveness of pain medication administered 30 minutes ago.
,C. Performing a sterile dressing change on a post-operative wound.
D. Providing discharge instructions to a patient with a new diagnosis of heart failure.
Correct Answer: A
Expert Explanation: The nurse must assign tasks based on the scope of practice.
Unlicensed Assistive Personnel (UAP) can perform standard, non-invasive tasks such as
assisting with activities of daily living (ADLs) and ambulating stable patients. Sterile
procedures, evaluation of outcomes, and patient education require the specialized
knowledge and judgment of an RN or LPN.
2. A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen via nasal
cannula at 2L/min. The nurse notes the patient’s oxygen saturation is 89%. What is the most
appropriate action?
A. Immediately increase the oxygen flow to 6L/min.
B. Document the finding as a normal expected value for this patient.
C. Prepare for immediate endotracheal intubation.
D. Notify the physician and request an arterial blood gas (ABG) test.
Correct Answer: B
Expert Explanation: For patients with COPD, a target oxygen saturation range of 88-92%
is often acceptable because higher levels of oxygen can suppress the hypoxic drive to
breathe. Clinical judgment is required to balance oxygenation without causing carbon
, dioxide retention. In this scenario, 89% is within the expected therapeutic window for a
COPD patient.
3. The nurse is caring for a patient experiencing an acute myocardial infarction (MI). Which
laboratory value is the most sensitive and specific indicator of myocardial damage?
A. Creatine kinase-MB (CK-MB)
B. Myoglobin
C. Lactate dehydrogenase (LDH)
D. Troponin T or I
Correct Answer: D
Expert Explanation: Troponins are proteins released into the bloodstream when the heart
muscle is damaged. They are the gold standard for diagnosing MI because they are highly
specific to cardiac tissue and remain elevated for several days. Other markers like
myoglobin rise earlier but lack specificity, and CK-MB is less specific than troponin.
4. A nurse is caring for a patient with right-sided heart failure. Which clinical manifestation
should the nurse expect to find?
A. Crackles in the lung bases
B. Orthopnea and paroxysmal nocturnal dyspnea
C. Peripheral edema and jugular venous distention (JVD)
D. Pink, frothy sputum
Professional Nursing II / PN2 Exam Q&A |
Rasmussen University
────────────────────────────────────
This study guide is intended to help students consolidate foundational and advanced concepts
related to professional nursing practice, clinical decision-making, and evidence-based
healthcare management. The material reflects the style and complexity commonly encountered
in nursing final examinations.
This version contains realistic final exam-style questions covering patient care management,
nursing leadership concepts, and professional nursing responsibilities. Detailed expert
explanations are included to support deeper understanding and comprehensive exam
preparation.
════════════════════════════════════
Why Use This Exam:
• Supports mastery of nursing fundamentals
• Reinforces healthcare leadership concepts
• Strengthens patient safety awareness
• Improves readiness for cumulative nursing exams
• Enhances professional nursing knowledge
• Provides detailed expert explanations
• Encourages active learning and retention
• Helps identify weak nursing content areas
════════════════════════════════════
1. A nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed Assistive
Personnel (UAP). Which task is most appropriate for the nurse to delegate to the UAP?
A. Assisting a stable patient with ambulation to the bathroom.
B. Evaluating the effectiveness of pain medication administered 30 minutes ago.
,C. Performing a sterile dressing change on a post-operative wound.
D. Providing discharge instructions to a patient with a new diagnosis of heart failure.
Correct Answer: A
Expert Explanation: The nurse must assign tasks based on the scope of practice.
Unlicensed Assistive Personnel (UAP) can perform standard, non-invasive tasks such as
assisting with activities of daily living (ADLs) and ambulating stable patients. Sterile
procedures, evaluation of outcomes, and patient education require the specialized
knowledge and judgment of an RN or LPN.
2. A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen via nasal
cannula at 2L/min. The nurse notes the patient’s oxygen saturation is 89%. What is the most
appropriate action?
A. Immediately increase the oxygen flow to 6L/min.
B. Document the finding as a normal expected value for this patient.
C. Prepare for immediate endotracheal intubation.
D. Notify the physician and request an arterial blood gas (ABG) test.
Correct Answer: B
Expert Explanation: For patients with COPD, a target oxygen saturation range of 88-92%
is often acceptable because higher levels of oxygen can suppress the hypoxic drive to
breathe. Clinical judgment is required to balance oxygenation without causing carbon
, dioxide retention. In this scenario, 89% is within the expected therapeutic window for a
COPD patient.
3. The nurse is caring for a patient experiencing an acute myocardial infarction (MI). Which
laboratory value is the most sensitive and specific indicator of myocardial damage?
A. Creatine kinase-MB (CK-MB)
B. Myoglobin
C. Lactate dehydrogenase (LDH)
D. Troponin T or I
Correct Answer: D
Expert Explanation: Troponins are proteins released into the bloodstream when the heart
muscle is damaged. They are the gold standard for diagnosing MI because they are highly
specific to cardiac tissue and remain elevated for several days. Other markers like
myoglobin rise earlier but lack specificity, and CK-MB is less specific than troponin.
4. A nurse is caring for a patient with right-sided heart failure. Which clinical manifestation
should the nurse expect to find?
A. Crackles in the lung bases
B. Orthopnea and paroxysmal nocturnal dyspnea
C. Peripheral edema and jugular venous distention (JVD)
D. Pink, frothy sputum
