1 | Page
Final Exam NSG430 EXAM (updated 2025)
Questions & Answers | Latest Already
Graded A+ UPDATE 2025|2026 Questions
and Correct Answers
The nurse is caring for a patient with an arterial monitoring
system. The nurse asses the patient's noninvasive cuff blood
pressure to be 70/40 mm Hg. The arterial blood pressure
measurement via an intra-arterial catheter in the same arm is
assessed by the nurse to be 108/70 mm Hg. What is the best
action by the nurse?
Select one:
a. Frequent oropharyngeal suctioning
b. Side to side position changes
c. Range-of-motion to extremities
d. Frequent neurological assessments Ans: — d. Frequent
neurological assessments
The nurse is caring for a burn-injured patient who weighs 154
pounds, and the burn injury covers 40% of his body surface area.
The nurse calculates the fluid needs for the first 24 hours after a
burn injury using a standard fluid resuscitation formula of 4
mL/kg/% burn of intravenous (IV) fluid for the first 24 hours. The
nurse plans to administer what amount of fluid in the first 24
hours?
Select one:
a. 14000 ml
b. 2800 ml
c. 7000 ml
© 2025 All rights reserved
, 2 | Page
d. 11200 ml Ans: — a. 14000 ml
For patients with major burns, when should you start enteral
feedings?
Select one:
a. A few hours after the injury has occurred
b. Not until bowel sounds have returned
c. After the emergent phase of the injury
d. 2 to 3 days after the injury Ans: — c. After the emergent phase
of the injury
After receiving the handoff report from the day shift charge nurse,
which patient should the evening charge nurse assess first?
Select one:
a. Patient with meningitis complaining of photophobia
b. A patient with bacterial meningitis on droplet precautions
c. Mechanically ventilated patient with a GCS of 6
d. A patient with an intracranial pressure ICP of 20 mm Hg and an
oral temperature of 104°F Ans: — d. A patient with an intracranial
pressure ICP of 20 mm Hg and an oral temperature of 104°F
The charge nurse assigns patients based on their acuity and the
level of experience of the critical care nurses on duty. This is an
example of implementation of:
Select one:
a. Healthy work environment
b. National patient safety goals
c. SBAR communication
d. Synergy model Ans: — d. Synergy model
© 2025 All rights reserved
, 3 | Page
While caring for a patient with a basilar skull fracture, the nurse
assesses clear drainage from the patient's left naris. What is the
best nursing action?
Select one:
a. Insert bilateral cotton nasal packing.
b. Have the patient blow the nose until clear.
c. Place a nasal drip pad under the nose.
d. Suction the left nares until the drainage clears. Ans: — c. Place a
nasal drip pad under the nose.
The nurse is caring for a patient who was hit on the head with a
hammer. The patient was unconscious at the scene briefly but is
now conscious upon arrival at the emergency department with a
GCS score of 15. One hour later, the nurse assesses a GCS score of
3. What is the priority nursing action?
Select one:
a. stimulate the patient hourly.
b. Notify the provider immediately.
c. Elevate the head of the bed.
d. Continue to monitor the patient. Ans: — b. Notify the provider
immediately.
The nurse is caring for a patient who has a diminished level of
consciousness and who is mechanically ventilated. While
performing endotracheal suctioning, the patient's hands clench
and pull into the chest. What is the best interpretation by the
nurse?
Select one:
a. The patient is exhibiting purposeful movement.
b. The patient is exhibiting flexion posturing.
c. The patient is exhibiting extension posturing.
© 2025 All rights reserved
Final Exam NSG430 EXAM (updated 2025)
Questions & Answers | Latest Already
Graded A+ UPDATE 2025|2026 Questions
and Correct Answers
The nurse is caring for a patient with an arterial monitoring
system. The nurse asses the patient's noninvasive cuff blood
pressure to be 70/40 mm Hg. The arterial blood pressure
measurement via an intra-arterial catheter in the same arm is
assessed by the nurse to be 108/70 mm Hg. What is the best
action by the nurse?
Select one:
a. Frequent oropharyngeal suctioning
b. Side to side position changes
c. Range-of-motion to extremities
d. Frequent neurological assessments Ans: — d. Frequent
neurological assessments
The nurse is caring for a burn-injured patient who weighs 154
pounds, and the burn injury covers 40% of his body surface area.
The nurse calculates the fluid needs for the first 24 hours after a
burn injury using a standard fluid resuscitation formula of 4
mL/kg/% burn of intravenous (IV) fluid for the first 24 hours. The
nurse plans to administer what amount of fluid in the first 24
hours?
Select one:
a. 14000 ml
b. 2800 ml
c. 7000 ml
© 2025 All rights reserved
, 2 | Page
d. 11200 ml Ans: — a. 14000 ml
For patients with major burns, when should you start enteral
feedings?
Select one:
a. A few hours after the injury has occurred
b. Not until bowel sounds have returned
c. After the emergent phase of the injury
d. 2 to 3 days after the injury Ans: — c. After the emergent phase
of the injury
After receiving the handoff report from the day shift charge nurse,
which patient should the evening charge nurse assess first?
Select one:
a. Patient with meningitis complaining of photophobia
b. A patient with bacterial meningitis on droplet precautions
c. Mechanically ventilated patient with a GCS of 6
d. A patient with an intracranial pressure ICP of 20 mm Hg and an
oral temperature of 104°F Ans: — d. A patient with an intracranial
pressure ICP of 20 mm Hg and an oral temperature of 104°F
The charge nurse assigns patients based on their acuity and the
level of experience of the critical care nurses on duty. This is an
example of implementation of:
Select one:
a. Healthy work environment
b. National patient safety goals
c. SBAR communication
d. Synergy model Ans: — d. Synergy model
© 2025 All rights reserved
, 3 | Page
While caring for a patient with a basilar skull fracture, the nurse
assesses clear drainage from the patient's left naris. What is the
best nursing action?
Select one:
a. Insert bilateral cotton nasal packing.
b. Have the patient blow the nose until clear.
c. Place a nasal drip pad under the nose.
d. Suction the left nares until the drainage clears. Ans: — c. Place a
nasal drip pad under the nose.
The nurse is caring for a patient who was hit on the head with a
hammer. The patient was unconscious at the scene briefly but is
now conscious upon arrival at the emergency department with a
GCS score of 15. One hour later, the nurse assesses a GCS score of
3. What is the priority nursing action?
Select one:
a. stimulate the patient hourly.
b. Notify the provider immediately.
c. Elevate the head of the bed.
d. Continue to monitor the patient. Ans: — b. Notify the provider
immediately.
The nurse is caring for a patient who has a diminished level of
consciousness and who is mechanically ventilated. While
performing endotracheal suctioning, the patient's hands clench
and pull into the chest. What is the best interpretation by the
nurse?
Select one:
a. The patient is exhibiting purposeful movement.
b. The patient is exhibiting flexion posturing.
c. The patient is exhibiting extension posturing.
© 2025 All rights reserved
