WEST COAST UNIVERSITY NUR 240 COMPLEX CARE
NURSING (RN) FINAL EXAM QUESTIONS AND CORRECT
ANSWER WITH EXPLANATION LATEST 2025-2026
1. A patient in septic shock remains hypotensive after fluid resuscitation. What is the next
intervention?
A. Oral fluids
B. Vasopressors
C. Diuretics
D. Beta blockers
Answer: B
Vasopressors are used when fluids fail to maintain blood pressure.
2. A ventilated patient suddenly becomes restless and tachycardic. First nursing action?
A. Remove ventilator
B. Assess oxygenation and airway
C. Call family
GAnswer: B
Restlessness may indicate hypoxia.
3. ARDS is characterized by:
A. Easy oxygenation correction
B. Refractory hypoxemia
C. Hyperglycemia
D. Bradycardia
Answer: B
Severe oxygenation impairment despite oxygen therapy.
4. A patient in cardiogenic shock is likely to have:
,A. Warm dry skin
B. Pulmonary edema
C. Increased urine output
D. Fever
Answer: B
Poor cardiac pumping causes fluid backup into lungs.
5. A patient receiving heparin develops black tarry stools. This suggests:
A. Infection
B. GI bleeding
C. Hyperglycemia
D. Constipation
Answer: B
Melena indicates gastrointestinal bleeding.
6. A patient with DKA should be closely monitored for which electrolyte imbalance during
insulin therapy?
A. Hypercalcemia
B. Hypokalemia
C. Hypernatremia
D. Hypermagnesemia
Answer: B
Insulin shifts potassium into cells.
7. A post-op patient develops sudden dyspnea and chest pain. Priority concern?
A. Anxiety attack
B. Pulmonary embolism
C. Atelectasis
D. Asthma
Answer: B
Classic signs of pulmonary embolism.
8. Cushing’s triad indicates:
, A. Recovery from stroke
B. Increased intracranial pressure
C. Hypoglycemia
D. Kidney failure
Answer: B
Hypertension, bradycardia, irregular respirations.
9. A patient in hypovolemic shock will likely have:
A. Bounding pulse
B. Tachycardia
C. Hypertension
D. Warm flushed skin
Answer: B
Compensatory response to low volume.
10. GI bleeding can lead to which type of shock?
A. Cardiogenic
B. Hypovolemic
C. Neurogenic
D. Septic
Answer: B
Blood loss reduces circulating volume.
11. Acute kidney injury is often identified by:
A. Increased urine output
B. Elevated creatinine
C. Bradycardia
D. Fever
Answer: B
Indicates decreased kidney filtration.
12. COPD oxygen therapy should target:
NURSING (RN) FINAL EXAM QUESTIONS AND CORRECT
ANSWER WITH EXPLANATION LATEST 2025-2026
1. A patient in septic shock remains hypotensive after fluid resuscitation. What is the next
intervention?
A. Oral fluids
B. Vasopressors
C. Diuretics
D. Beta blockers
Answer: B
Vasopressors are used when fluids fail to maintain blood pressure.
2. A ventilated patient suddenly becomes restless and tachycardic. First nursing action?
A. Remove ventilator
B. Assess oxygenation and airway
C. Call family
GAnswer: B
Restlessness may indicate hypoxia.
3. ARDS is characterized by:
A. Easy oxygenation correction
B. Refractory hypoxemia
C. Hyperglycemia
D. Bradycardia
Answer: B
Severe oxygenation impairment despite oxygen therapy.
4. A patient in cardiogenic shock is likely to have:
,A. Warm dry skin
B. Pulmonary edema
C. Increased urine output
D. Fever
Answer: B
Poor cardiac pumping causes fluid backup into lungs.
5. A patient receiving heparin develops black tarry stools. This suggests:
A. Infection
B. GI bleeding
C. Hyperglycemia
D. Constipation
Answer: B
Melena indicates gastrointestinal bleeding.
6. A patient with DKA should be closely monitored for which electrolyte imbalance during
insulin therapy?
A. Hypercalcemia
B. Hypokalemia
C. Hypernatremia
D. Hypermagnesemia
Answer: B
Insulin shifts potassium into cells.
7. A post-op patient develops sudden dyspnea and chest pain. Priority concern?
A. Anxiety attack
B. Pulmonary embolism
C. Atelectasis
D. Asthma
Answer: B
Classic signs of pulmonary embolism.
8. Cushing’s triad indicates:
, A. Recovery from stroke
B. Increased intracranial pressure
C. Hypoglycemia
D. Kidney failure
Answer: B
Hypertension, bradycardia, irregular respirations.
9. A patient in hypovolemic shock will likely have:
A. Bounding pulse
B. Tachycardia
C. Hypertension
D. Warm flushed skin
Answer: B
Compensatory response to low volume.
10. GI bleeding can lead to which type of shock?
A. Cardiogenic
B. Hypovolemic
C. Neurogenic
D. Septic
Answer: B
Blood loss reduces circulating volume.
11. Acute kidney injury is often identified by:
A. Increased urine output
B. Elevated creatinine
C. Bradycardia
D. Fever
Answer: B
Indicates decreased kidney filtration.
12. COPD oxygen therapy should target:
