WEST COAST UNIVERSITY NCLEX CLINICAL JUDGEMENT MIDTERM EXAM REGIDTERED NURSE CANDIDATE QUESTIONS AND CORRECT ANSWER WITH EXPLATATION LATEST

WEST COAST UNIVERSITY NCLEX CLINICAL JUDGEMENT
MIDTERM EXAM REGIDTERED NURSE CANDIDATE
QUESTIONS AND CORRECT ANSWER WITH EXPLATATION
LATEST 2025-2026

CASE 1: Respiratory Failure (COPD Exacerbation)

1.

A patient is admitted with COPD exacerbation. Which assessment is priority?
A. Skin integrity
B. Lung sounds
C. Bowel sounds
D. Nutrition status
Answer: B
Rationale: Respiratory status is the priority in COPD.



2.

Which finding is most concerning?
A. RR 24
B. SpO₂ 82%
C. BP 130/80
D. Temp 37°C
Answer: B
Rationale: Severe hypoxia indicates respiratory failure.



3.

Priority intervention?
A. Oxygen
B. Antibiotics
C. Fluids
D. Anticoagulants

,Answer: A
Rationale: Oxygenation is immediate priority.



4.

Expected ABG finding?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Normal pH
D. Respiratory alkalosis
Answer: A
Rationale: CO₂ retention causes acidosis.



5.

Best position?
A. Supine
B. High Fowler’s
C. Prone
D. Trendelenburg
Answer: B
Rationale: Improves lung expansion.



CASE 2: Acute Myocardial Infarction

6.

Priority intervention?
A. Oxygen
B. ECG
C. Troponin
D. Chest x-ray
Answer: A
Rationale: Oxygen reduces myocardial ischemia.



7.

, Which ECG change confirms MI?
A. ST elevation
B. U waves
C. Sinus bradycardia
D. T wave flattening
Answer: A
Rationale: Indicates infarction.



8.

Priority medication?
A. Aspirin
B. Insulin
C. Antibiotics
D. Diuretics
Answer: A
Rationale: Prevents platelet aggregation.



9.

SATA: MI symptoms include:

• Chest pain

• Diaphoresis

• Rash

• Nausea
Answer: Chest pain, Diaphoresis, Nausea



10.

Best outcome?
A. Improved perfusion
B. Fever
C. Hypotension
D. Confusion