NRSG 327 FINAL TEST – QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
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*CORE DOMAINS*
*• Pathophysiology and Disease Management*
*• Pharmacological Interventions and Safety*
*• Acute and Chronic Care Nursing Interventions*
*• Evidence-Based Clinical Decision Making*
*• Legal and Ethical Standards in Nursing Practice*
*• Patient Education and Health Promotion*
*• Leadership and Management in Healthcare*
*• Collaborative Care and Interdisciplinary Teams*
*INTRODUCTION*
*The purpose of this comprehensive assessment is to evaluate the student’s mastery of advanced
clinical concepts and nursing practice standards essential for professional licensure and
practice. This exam assesses high-level skills in diagnostic reasoning, pharmacological
safety, and the implementation of holistic patient care plans. Utilizing a mix of
foundational multiple-choice questions and complex scenario-based inquiries, the
assessment mirrors the challenges found in real-world clinical environments. There is a
strong emphasis on critical thinking, legal compliance, and the ability to make
time-sensitive decisions that prioritize patient safety and positive health outcomes
across diverse populations.*
SECTION ONE
1. A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2 L/min via nasal cannula. Which finding is the most
critical to report to the healthcare provider?
A. Respiratory rate of 22 breaths per minute
B. Pulse oximetry reading of 91%
C. Increased somnolence and confusion
D. Productive cough with clear sputum
,🟢 Correct answer: C. Increased somnolence and confusion
🔴 RATIONALE: In patients with COPD, increased somnolence and confusion can indicate CO2 narcosis, a condition where high levels of carbon
dioxide cause central nervous system depression. This is a medical emergency.
2. A nurse is preparing to administer digoxin to a patient with heart failure. Which action should the nurse take first?
A. Check the patient’s serum potassium level
B. Assess the apical pulse for one full minute
C. Review the patient's most recent echocardiogram
D. Administer the medication with a full glass of water
🟢 Correct answer: B. Assess the apical pulse for one full minute
🔴 RATIONALE: Digoxin should be withheld if the apical heart rate is below 60 beats per minute. Checking the heart rate is the priority assessment
before administration to prevent bradycardia.
3. Which acid-base imbalance should the nurse anticipate in a patient who has been experiencing prolonged vomiting?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
🟢 Correct answer: B. Metabolic alkalosis
🔴 RATIONALE: Gastric secretions are highly acidic. The loss of hydrochloric acid through vomiting results in a relative increase in bicarbonate in
the blood, leading to metabolic alkalosis.
4. A nurse is caring for a patient who is 24 hours postoperative following an abdominal hysterectomy. Which intervention is most effective in
preventing deep vein thrombosis (DVT)?
A. Massaging the lower extremities twice daily
B. Maintaining strict bed rest for 48 hours
C. Encouraging frequent early ambulation
D. Limiting fluid intake to prevent edema
🟢 Correct answer: C. Encouraging frequent early ambulation
🔴 RATIONALE: Early ambulation is the most effective nursing intervention to promote venous return and prevent the stasis of blood that leads to
DVT formation in postoperative patients.
, 5. When teaching a patient about a new prescription for warfarin, which food should the nurse instruct the patient to consume in consistent
amounts?
A. Bananas
B. Red meat
C. Spinach
D. Dairy products
🟢 Correct answer: C. Spinach
🔴 RATIONALE: Spinach is high in Vitamin K, which is the antagonist for warfarin. Drastic changes in Vitamin K intake can alter the effectiveness of
the medication and the patient's INR.
6. A patient is admitted with a diagnosis of bacterial meningitis. Which type of isolation precautions should the nurse implement?
A. Airborne
B. Contact
C. Droplet
D. Standard only
🟢 Correct answer: C. Droplet
🔴 RATIONALE: Bacterial meningitis is transmitted through large-particle droplets from the respiratory tract. Droplet precautions are required until
the patient has received 24 hours of appropriate antibiotic therapy.
7. A nurse is assessing a patient with suspected hyperthyroidism. Which clinical manifestation is most consistent with this diagnosis?
A. Weight gain
B. Bradycardia
C. Cold intolerance
D. Exophthalmos
🟢 Correct answer: D. Exophthalmos
🔴 RATIONALE: Exophthalmos (protruding eyeballs) is a classic sign of Graves' disease, the most common cause of hyperthyroidism. Other signs
include weight loss, tachycardia, and heat intolerance.
8. A nurse is assigned to a patient who is experiencing an acute manic episode. Which environment is most appropriate for this patient?
A. A room near the nurse's station for close observation
B. A semi-private room with a quiet roommate
DOWNLOAD PDF.
*CORE DOMAINS*
*• Pathophysiology and Disease Management*
*• Pharmacological Interventions and Safety*
*• Acute and Chronic Care Nursing Interventions*
*• Evidence-Based Clinical Decision Making*
*• Legal and Ethical Standards in Nursing Practice*
*• Patient Education and Health Promotion*
*• Leadership and Management in Healthcare*
*• Collaborative Care and Interdisciplinary Teams*
*INTRODUCTION*
*The purpose of this comprehensive assessment is to evaluate the student’s mastery of advanced
clinical concepts and nursing practice standards essential for professional licensure and
practice. This exam assesses high-level skills in diagnostic reasoning, pharmacological
safety, and the implementation of holistic patient care plans. Utilizing a mix of
foundational multiple-choice questions and complex scenario-based inquiries, the
assessment mirrors the challenges found in real-world clinical environments. There is a
strong emphasis on critical thinking, legal compliance, and the ability to make
time-sensitive decisions that prioritize patient safety and positive health outcomes
across diverse populations.*
SECTION ONE
1. A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2 L/min via nasal cannula. Which finding is the most
critical to report to the healthcare provider?
A. Respiratory rate of 22 breaths per minute
B. Pulse oximetry reading of 91%
C. Increased somnolence and confusion
D. Productive cough with clear sputum
,🟢 Correct answer: C. Increased somnolence and confusion
🔴 RATIONALE: In patients with COPD, increased somnolence and confusion can indicate CO2 narcosis, a condition where high levels of carbon
dioxide cause central nervous system depression. This is a medical emergency.
2. A nurse is preparing to administer digoxin to a patient with heart failure. Which action should the nurse take first?
A. Check the patient’s serum potassium level
B. Assess the apical pulse for one full minute
C. Review the patient's most recent echocardiogram
D. Administer the medication with a full glass of water
🟢 Correct answer: B. Assess the apical pulse for one full minute
🔴 RATIONALE: Digoxin should be withheld if the apical heart rate is below 60 beats per minute. Checking the heart rate is the priority assessment
before administration to prevent bradycardia.
3. Which acid-base imbalance should the nurse anticipate in a patient who has been experiencing prolonged vomiting?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
🟢 Correct answer: B. Metabolic alkalosis
🔴 RATIONALE: Gastric secretions are highly acidic. The loss of hydrochloric acid through vomiting results in a relative increase in bicarbonate in
the blood, leading to metabolic alkalosis.
4. A nurse is caring for a patient who is 24 hours postoperative following an abdominal hysterectomy. Which intervention is most effective in
preventing deep vein thrombosis (DVT)?
A. Massaging the lower extremities twice daily
B. Maintaining strict bed rest for 48 hours
C. Encouraging frequent early ambulation
D. Limiting fluid intake to prevent edema
🟢 Correct answer: C. Encouraging frequent early ambulation
🔴 RATIONALE: Early ambulation is the most effective nursing intervention to promote venous return and prevent the stasis of blood that leads to
DVT formation in postoperative patients.
, 5. When teaching a patient about a new prescription for warfarin, which food should the nurse instruct the patient to consume in consistent
amounts?
A. Bananas
B. Red meat
C. Spinach
D. Dairy products
🟢 Correct answer: C. Spinach
🔴 RATIONALE: Spinach is high in Vitamin K, which is the antagonist for warfarin. Drastic changes in Vitamin K intake can alter the effectiveness of
the medication and the patient's INR.
6. A patient is admitted with a diagnosis of bacterial meningitis. Which type of isolation precautions should the nurse implement?
A. Airborne
B. Contact
C. Droplet
D. Standard only
🟢 Correct answer: C. Droplet
🔴 RATIONALE: Bacterial meningitis is transmitted through large-particle droplets from the respiratory tract. Droplet precautions are required until
the patient has received 24 hours of appropriate antibiotic therapy.
7. A nurse is assessing a patient with suspected hyperthyroidism. Which clinical manifestation is most consistent with this diagnosis?
A. Weight gain
B. Bradycardia
C. Cold intolerance
D. Exophthalmos
🟢 Correct answer: D. Exophthalmos
🔴 RATIONALE: Exophthalmos (protruding eyeballs) is a classic sign of Graves' disease, the most common cause of hyperthyroidism. Other signs
include weight loss, tachycardia, and heat intolerance.
8. A nurse is assigned to a patient who is experiencing an acute manic episode. Which environment is most appropriate for this patient?
A. A room near the nurse's station for close observation
B. A semi-private room with a quiet roommate
