WEST COAST UNIVERSITY NUR 240 COMPLEX CARE
NURSING (RN) MIDTERM EXAM QUESTIONS AND
CORRECT ANSWER WITH EXPLANATION LATEST 2025-
2026
1. A patient in shock has a MAP of 55 mmHg. What does this indicate?
A. Adequate perfusion
B. Poor organ perfusion
C. Hypertension
D. Hypervolemia
Answer: B
MAP below 60–65 indicates inadequate tissue perfusion.
2. First sign of hypoxia in a patient is often:
A. Bradycardia
B. Restlessness
C. Cyanosis
D. Hypotension
Answer: B
Restlessness is an early neurologic response to low oxygen.
3. A patient with COPD should receive oxygen at what target saturation?
A. 100%
B. 94–100%
C. 88–92%
D. 70–80%
Answer: C
Prevents suppression of hypoxic respiratory drive.
4. A patient with pulmonary embolism will most likely have:
,A. Slow breathing
B. Sudden dyspnea and chest pain
C. Weight gain
D. Fever only
Answer: B
Classic acute presentation of PE.
5. Priority intervention for a patient in anaphylactic shock is:
A. Antihistamines
B. Epinephrine
C. Diuretics
D. Oxygen only
Answer: B
Epinephrine reverses airway swelling and vasodilation.
6. A patient with DKA is expected to have:
A. Alkalosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Normal pH
Answer: B
Ketone production causes acidosis.
7. Which finding indicates increased intracranial pressure?
A. Hypotension
B. Cushing’s triad
C. Bradycardia only
D. Fever
Answer: B
Hypertension, bradycardia, irregular respirations.
8. A patient with hyperkalemia is at risk for:
, A. Stroke
B. Cardiac dysrhythmias
C. Infection
D. Hypoglycemia
Answer: B
Potassium affects cardiac conduction.
9. A patient with hypoglycemia becomes unconscious. What is priority?
A. Oral juice
B. IV dextrose
C. Insulin
D. Water
Answer: B
Immediate glucose replacement needed.
10. A post-op patient with calf pain and swelling likely has:
A. MI
B. DVT
C. Stroke
D. Pneumonia
Answer: B
Venous clot formation.
11. A patient in cardiogenic shock will show:
A. Warm skin
B. Pulmonary edema
C. Increased urine output
D. Fever
Answer: B
Heart failure causes lung congestion.
12. A ventilated patient alarm sounds. First action:
NURSING (RN) MIDTERM EXAM QUESTIONS AND
CORRECT ANSWER WITH EXPLANATION LATEST 2025-
2026
1. A patient in shock has a MAP of 55 mmHg. What does this indicate?
A. Adequate perfusion
B. Poor organ perfusion
C. Hypertension
D. Hypervolemia
Answer: B
MAP below 60–65 indicates inadequate tissue perfusion.
2. First sign of hypoxia in a patient is often:
A. Bradycardia
B. Restlessness
C. Cyanosis
D. Hypotension
Answer: B
Restlessness is an early neurologic response to low oxygen.
3. A patient with COPD should receive oxygen at what target saturation?
A. 100%
B. 94–100%
C. 88–92%
D. 70–80%
Answer: C
Prevents suppression of hypoxic respiratory drive.
4. A patient with pulmonary embolism will most likely have:
,A. Slow breathing
B. Sudden dyspnea and chest pain
C. Weight gain
D. Fever only
Answer: B
Classic acute presentation of PE.
5. Priority intervention for a patient in anaphylactic shock is:
A. Antihistamines
B. Epinephrine
C. Diuretics
D. Oxygen only
Answer: B
Epinephrine reverses airway swelling and vasodilation.
6. A patient with DKA is expected to have:
A. Alkalosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Normal pH
Answer: B
Ketone production causes acidosis.
7. Which finding indicates increased intracranial pressure?
A. Hypotension
B. Cushing’s triad
C. Bradycardia only
D. Fever
Answer: B
Hypertension, bradycardia, irregular respirations.
8. A patient with hyperkalemia is at risk for:
, A. Stroke
B. Cardiac dysrhythmias
C. Infection
D. Hypoglycemia
Answer: B
Potassium affects cardiac conduction.
9. A patient with hypoglycemia becomes unconscious. What is priority?
A. Oral juice
B. IV dextrose
C. Insulin
D. Water
Answer: B
Immediate glucose replacement needed.
10. A post-op patient with calf pain and swelling likely has:
A. MI
B. DVT
C. Stroke
D. Pneumonia
Answer: B
Venous clot formation.
11. A patient in cardiogenic shock will show:
A. Warm skin
B. Pulmonary edema
C. Increased urine output
D. Fever
Answer: B
Heart failure causes lung congestion.
12. A ventilated patient alarm sounds. First action:
