NUR2571 Final Exam V3 | NUR 2571
Professional Nursing II / PN2 Exam Q&A |
Rasmussen University
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This comprehensive final exam preparation material is designed to strengthen understanding of
advanced nursing concepts, professional healthcare management, and critical nursing
interventions. The content focuses on integrating nursing knowledge into real-world healthcare
scenarios and clinical decision-making.
The questions are structured to closely mirror actual nursing final exams while reinforcing
analytical reasoning, prioritization, and nursing intervention strategies. Detailed expert
explanations are included to support concept mastery and academic success.
════════════════════════════════════
Why Use This Exam:
• Reinforces advanced nursing concepts
• Strengthens clinical decision-making skills
• Supports comprehensive nursing review
• Improves patient-centered care understanding
• Enhances prioritization and intervention planning
• Encourages evidence-based nursing practice
• Provides realistic final exam preparation
• Builds confidence for academic success
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1. A nurse is caring for a patient diagnosed with Diabetic Ketoacidosis (DKA). Which of the
following is the priority nursing intervention?
A. Administering subcutaneous long-acting insulin
B. Initiating intravenous fluid resuscitation with 0.9% Normal Saline
,C. Educating the patient on a low-carbohydrate diet
D. Monitoring the patient’s hourly urine output
Correct Answer: B
Expert Explanation: The immediate priority in DKA is to restore circulatory volume and
perfusion to vital organs through fluid resuscitation. Dehydration is a significant risk due to
osmotic diuresis caused by hyperglycemia. Once fluid replacement is initiated, the nurse
then focuses on correcting electrolyte imbalances and reducing blood glucose levels via
intravenous insulin infusion.
2. A patient with chronic kidney disease (CKD) has a serum potassium level of 6.8 mEq/L.
Which medication should the nurse anticipate administering as a priority?
A. Calcium Gluconate
B. Lisinopril
C. Furosemide
D. Sodium Polystyrene Sulfonate
Correct Answer: A
Expert Explanation: While medications like Sodium Polystyrene Sulfonate help remove
potassium from the body, Calcium Gluconate is the priority in severe hyperkalemia to
protect the heart. It stabilizes the cardiac cell membrane to prevent life-threatening
dysrhythmias. Following stabilization, other measures like insulin with dextrose or
exchange resins are used to lower the actual potassium level.
,3. The nurse is assessing a patient with right-sided heart failure. Which clinical manifestation
should the nurse expect to observe?
A. Dependent peripheral edema
B. Pulmonary crackles and wheezing
C. Orthopnea and paroxysmal nocturnal dyspnea
D. Pink, frothy sputum
Correct Answer: A
Expert Explanation: Right-sided heart failure causes blood to back up into the systemic
circulation, leading to symptoms like peripheral edema, jugular venous distention, and
hepatomegaly. Pulmonary symptoms such as crackles and pink sputum are characteristic
of left-sided heart failure. Understanding the difference in symptoms helps the nurse
localize the primary side of cardiac dysfunction.
4. Which task is most appropriate for the Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Evaluating the effectiveness of pain medication
B. Performing a sterile dressing change on a post-operative wound
C. Measuring and recording vital signs on a stable patient
D. Assisting a stable patient with ambulation for the first time post-surgery
Correct Answer: C
, Expert Explanation: Measuring and recording vital signs for a stable patient is within the
scope of practice for UAPs as it involves routine data collection. Evaluation, sterile
procedures, and first-time assessments or ambulations require the clinical judgment and
specialized knowledge of an RN. Delegating appropriately ensures patient safety and
optimizes the use of the healthcare team’s resources.
5. A patient with cirrhosis is showing signs of hepatic encephalopathy. Which laboratory
result is most likely elevated?
A. Serum Albumin
B. Ammonia
C. Platelets
D. Hemoglobin
Correct Answer: B
Expert Explanation: Hepatic encephalopathy occurs when the liver can no longer convert
ammonia into urea for excretion, leading to toxic levels in the blood. Ammonia crosses the
blood-brain barrier and causes neurological symptoms such as confusion and asterixis.
Treatment often involves lactulose to promote the excretion of ammonia through the stool.
6. When caring for a patient in a thyroid storm, which nursing intervention is the highest
priority?
A. Increasing the patient’s caloric intake
B. Providing a quiet and dark environment
Professional Nursing II / PN2 Exam Q&A |
Rasmussen University
────────────────────────────────────
This comprehensive final exam preparation material is designed to strengthen understanding of
advanced nursing concepts, professional healthcare management, and critical nursing
interventions. The content focuses on integrating nursing knowledge into real-world healthcare
scenarios and clinical decision-making.
The questions are structured to closely mirror actual nursing final exams while reinforcing
analytical reasoning, prioritization, and nursing intervention strategies. Detailed expert
explanations are included to support concept mastery and academic success.
════════════════════════════════════
Why Use This Exam:
• Reinforces advanced nursing concepts
• Strengthens clinical decision-making skills
• Supports comprehensive nursing review
• Improves patient-centered care understanding
• Enhances prioritization and intervention planning
• Encourages evidence-based nursing practice
• Provides realistic final exam preparation
• Builds confidence for academic success
════════════════════════════════════
1. A nurse is caring for a patient diagnosed with Diabetic Ketoacidosis (DKA). Which of the
following is the priority nursing intervention?
A. Administering subcutaneous long-acting insulin
B. Initiating intravenous fluid resuscitation with 0.9% Normal Saline
,C. Educating the patient on a low-carbohydrate diet
D. Monitoring the patient’s hourly urine output
Correct Answer: B
Expert Explanation: The immediate priority in DKA is to restore circulatory volume and
perfusion to vital organs through fluid resuscitation. Dehydration is a significant risk due to
osmotic diuresis caused by hyperglycemia. Once fluid replacement is initiated, the nurse
then focuses on correcting electrolyte imbalances and reducing blood glucose levels via
intravenous insulin infusion.
2. A patient with chronic kidney disease (CKD) has a serum potassium level of 6.8 mEq/L.
Which medication should the nurse anticipate administering as a priority?
A. Calcium Gluconate
B. Lisinopril
C. Furosemide
D. Sodium Polystyrene Sulfonate
Correct Answer: A
Expert Explanation: While medications like Sodium Polystyrene Sulfonate help remove
potassium from the body, Calcium Gluconate is the priority in severe hyperkalemia to
protect the heart. It stabilizes the cardiac cell membrane to prevent life-threatening
dysrhythmias. Following stabilization, other measures like insulin with dextrose or
exchange resins are used to lower the actual potassium level.
,3. The nurse is assessing a patient with right-sided heart failure. Which clinical manifestation
should the nurse expect to observe?
A. Dependent peripheral edema
B. Pulmonary crackles and wheezing
C. Orthopnea and paroxysmal nocturnal dyspnea
D. Pink, frothy sputum
Correct Answer: A
Expert Explanation: Right-sided heart failure causes blood to back up into the systemic
circulation, leading to symptoms like peripheral edema, jugular venous distention, and
hepatomegaly. Pulmonary symptoms such as crackles and pink sputum are characteristic
of left-sided heart failure. Understanding the difference in symptoms helps the nurse
localize the primary side of cardiac dysfunction.
4. Which task is most appropriate for the Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Evaluating the effectiveness of pain medication
B. Performing a sterile dressing change on a post-operative wound
C. Measuring and recording vital signs on a stable patient
D. Assisting a stable patient with ambulation for the first time post-surgery
Correct Answer: C
, Expert Explanation: Measuring and recording vital signs for a stable patient is within the
scope of practice for UAPs as it involves routine data collection. Evaluation, sterile
procedures, and first-time assessments or ambulations require the clinical judgment and
specialized knowledge of an RN. Delegating appropriately ensures patient safety and
optimizes the use of the healthcare team’s resources.
5. A patient with cirrhosis is showing signs of hepatic encephalopathy. Which laboratory
result is most likely elevated?
A. Serum Albumin
B. Ammonia
C. Platelets
D. Hemoglobin
Correct Answer: B
Expert Explanation: Hepatic encephalopathy occurs when the liver can no longer convert
ammonia into urea for excretion, leading to toxic levels in the blood. Ammonia crosses the
blood-brain barrier and causes neurological symptoms such as confusion and asterixis.
Treatment often involves lactulose to promote the excretion of ammonia through the stool.
6. When caring for a patient in a thyroid storm, which nursing intervention is the highest
priority?
A. Increasing the patient’s caloric intake
B. Providing a quiet and dark environment
