NUR 327 Health & Illness(Developing)
Full Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
A 68-year-old patient presents with shortness of breath, bilateral
lower extremity edema, and jugular venous distension. Which
condition is the most likely diagnosis?
A. Chronic Obstructive Pulmonary Disease (COPD)
B. Left-Sided Heart Failure
C. Right-Sided Heart Failure
D. Pulmonary Embolism
ANS: C. Right-Sided Heart Failure
©2025
, Rationale: Right-sided heart failure results in systemic venous
congestion, leading to symptoms such as peripheral edema and
jugular venous distension.
---
2. Fill-in-the-Blank
Elevated _ levels in the blood are a key indicator of acute
myocardial infarction.
ANS: Troponin
Rationale: Troponin is a cardiac biomarker that rises
significantly during myocardial injury and is highly specific to
myocardial infarction.
---
3. True/False
Increased intracranial pressure (ICP) always results in
hypotension due to reduced cerebral perfusion.
ANS: False
©2025
, Rationale: Increased ICP can lead to hypertension as part of
Cushing's triad, a compensatory response to preserve cerebral
perfusion.
---
4. Multiple Response
Which interventions are appropriate for a patient with diabetic
ketoacidosis (DKA)? (Select all that apply.)
A. Administering IV fluids
B. Initiating insulin therapy
C. Administering sodium bicarbonate for severe acidosis
D. Restricting potassium replacement
ANS: A, B, C
Rationale: DKA management involves fluid replacement to
correct dehydration, insulin therapy to lower blood glucose, and
bicarbonate for severe acidosis. Potassium replacement is
necessary, not restricted.
---
©2025
, 5. Multiple Choice
A patient admitted with pneumonia is experiencing confusion and
hypotension. What is the most likely complication?
A. Septic Shock
B. Atelectasis
C. Pulmonary Embolism
D. Pleural Effusion
ANS: A. Septic Shock
Rationale: Confusion and hypotension in a patient with an
infection suggest sepsis progressing to septic shock, a life-
threatening condition.
---
6. Fill-in-the-Blank
A positive _ test indicates the presence of fluid wave in a patient
with suspected ascites.
ANS: Fluid wave
©2025
Full Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
A 68-year-old patient presents with shortness of breath, bilateral
lower extremity edema, and jugular venous distension. Which
condition is the most likely diagnosis?
A. Chronic Obstructive Pulmonary Disease (COPD)
B. Left-Sided Heart Failure
C. Right-Sided Heart Failure
D. Pulmonary Embolism
ANS: C. Right-Sided Heart Failure
©2025
, Rationale: Right-sided heart failure results in systemic venous
congestion, leading to symptoms such as peripheral edema and
jugular venous distension.
---
2. Fill-in-the-Blank
Elevated _ levels in the blood are a key indicator of acute
myocardial infarction.
ANS: Troponin
Rationale: Troponin is a cardiac biomarker that rises
significantly during myocardial injury and is highly specific to
myocardial infarction.
---
3. True/False
Increased intracranial pressure (ICP) always results in
hypotension due to reduced cerebral perfusion.
ANS: False
©2025
, Rationale: Increased ICP can lead to hypertension as part of
Cushing's triad, a compensatory response to preserve cerebral
perfusion.
---
4. Multiple Response
Which interventions are appropriate for a patient with diabetic
ketoacidosis (DKA)? (Select all that apply.)
A. Administering IV fluids
B. Initiating insulin therapy
C. Administering sodium bicarbonate for severe acidosis
D. Restricting potassium replacement
ANS: A, B, C
Rationale: DKA management involves fluid replacement to
correct dehydration, insulin therapy to lower blood glucose, and
bicarbonate for severe acidosis. Potassium replacement is
necessary, not restricted.
---
©2025
, 5. Multiple Choice
A patient admitted with pneumonia is experiencing confusion and
hypotension. What is the most likely complication?
A. Septic Shock
B. Atelectasis
C. Pulmonary Embolism
D. Pleural Effusion
ANS: A. Septic Shock
Rationale: Confusion and hypotension in a patient with an
infection suggest sepsis progressing to septic shock, a life-
threatening condition.
---
6. Fill-in-the-Blank
A positive _ test indicates the presence of fluid wave in a patient
with suspected ascites.
ANS: Fluid wave
©2025
