NUR 320 Clinical Practice
Full Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
A 65-year-old patient presents with acute shortness of breath and
chest pain. The ECG reveals ST-elevation in leads II, III, and
aVF. What is the most likely diagnosis?
A. Pulmonary Embolism
B. Inferior Myocardial Infarction
C. Tension Pneumothorax
D. Aortic Dissection
ANS: B. Inferior Myocardial Infarction
©2025
, Rationale: ST-elevation in leads II, III, and aVF indicates acute
myocardial infarction in the inferior wall of the heart, often
caused by occlusion of the right coronary artery.
---
2. Fill-in-the-Blank
_ is the primary intervention for a patient experiencing
anaphylactic shock.
ANS: Epinephrine
Rationale: Epinephrine is the first-line treatment for
anaphylaxis because it counteracts severe allergic reactions by
reversing airway constriction and improving circulation.
---
3. True/False
Daily hemodialysis is required for all patients with end-stage
renal disease.
ANS: False
©2025
, Rationale: Hemodialysis is usually done 3 times a week unless
the patient requires more frequent treatments due to specific
complications like fluid overload.
---
4. Multiple Response
Which actions should a nurse perform when managing a patient
with a suspected stroke? (Select all that apply.)
A. Administer thrombolytics without imaging
B. Perform a rapid neurological assessment
C. Monitor vital signs closely
D. Send the patient immediately for a CT scan
ANS: B, C, D
Rationale: Rapid neurological assessment, vital sign
monitoring, and obtaining a CT scan are critical for determining
stroke type and initiating appropriate treatment.
---
5. Multiple Choice
©2025
, A patient with a history of cirrhosis develops confusion and
asterixis. Which condition is most likely?
A. Hepatic Encephalopathy
B. Cerebral Edema
C. Meningitis
D. Alcohol Withdrawal
ANS: A. Hepatic Encephalopathy
Rationale: Cirrhosis can lead to hepatic encephalopathy due to
ammonia buildup, causing confusion and asterixis (flapping
tremor).
---
6. Fill-in-the-Blank
Positive _ sign in acute pancreatitis involves bluish discoloration
around the umbilicus.
ANS: Cullen’s
Rationale: Cullen's sign is indicative of retroperitoneal
hemorrhage, which can occur in severe cases of acute pancreatitis.
©2025
Full Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
A 65-year-old patient presents with acute shortness of breath and
chest pain. The ECG reveals ST-elevation in leads II, III, and
aVF. What is the most likely diagnosis?
A. Pulmonary Embolism
B. Inferior Myocardial Infarction
C. Tension Pneumothorax
D. Aortic Dissection
ANS: B. Inferior Myocardial Infarction
©2025
, Rationale: ST-elevation in leads II, III, and aVF indicates acute
myocardial infarction in the inferior wall of the heart, often
caused by occlusion of the right coronary artery.
---
2. Fill-in-the-Blank
_ is the primary intervention for a patient experiencing
anaphylactic shock.
ANS: Epinephrine
Rationale: Epinephrine is the first-line treatment for
anaphylaxis because it counteracts severe allergic reactions by
reversing airway constriction and improving circulation.
---
3. True/False
Daily hemodialysis is required for all patients with end-stage
renal disease.
ANS: False
©2025
, Rationale: Hemodialysis is usually done 3 times a week unless
the patient requires more frequent treatments due to specific
complications like fluid overload.
---
4. Multiple Response
Which actions should a nurse perform when managing a patient
with a suspected stroke? (Select all that apply.)
A. Administer thrombolytics without imaging
B. Perform a rapid neurological assessment
C. Monitor vital signs closely
D. Send the patient immediately for a CT scan
ANS: B, C, D
Rationale: Rapid neurological assessment, vital sign
monitoring, and obtaining a CT scan are critical for determining
stroke type and initiating appropriate treatment.
---
5. Multiple Choice
©2025
, A patient with a history of cirrhosis develops confusion and
asterixis. Which condition is most likely?
A. Hepatic Encephalopathy
B. Cerebral Edema
C. Meningitis
D. Alcohol Withdrawal
ANS: A. Hepatic Encephalopathy
Rationale: Cirrhosis can lead to hepatic encephalopathy due to
ammonia buildup, causing confusion and asterixis (flapping
tremor).
---
6. Fill-in-the-Blank
Positive _ sign in acute pancreatitis involves bluish discoloration
around the umbilicus.
ANS: Cullen’s
Rationale: Cullen's sign is indicative of retroperitoneal
hemorrhage, which can occur in severe cases of acute pancreatitis.
©2025
