RNSG 2539 (HEALTH CARE CONCEPTS IV) EXAMINATION COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED

RNSG 2539 (HEALTH CARE CONCEPTS
IV) EXAMINATION COMPLETE
QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED

RNSG 2539 is generally a senior-level Associate Degree
Nursing course emphasizing advanced healthcare
concepts, clinical judgment, prioritization, nursing
management, leadership, and care of patients with
complex multisystem disorders. Major concepts include
cognition, immunity, clotting, fluid and electrolyte
balance, gas exchange, metabolism, nutrition, perfusion,
tissue integrity, and interpersonal relationships. Students
are expected to integrate pathophysiology, pharmacology,
assessment findings, evidence-based interventions, and
clinical decision-making across the lifespan.
Examination Coverage


 Advanced patient assessment and clinical judgment
 Prioritization and delegation
 Shock and multisystem organ dysfunction

, Sepsis and systemic inflammatory response
 Dysrhythmias and myocardial infarction
 Heart failure and perfusion disorders
 Acid-base imbalances
 Fluid and electrolyte disturbances
 Respiratory failure and pulmonary embolism
 Burns and tissue integrity
 Liver failure and pancreatitis
 Endocrine disorders (Addison's, Cushing's)
 HIV and immunological disorders
 Organ transplantation
 DIC and coagulation disorders
 Neurological emergencies
 Psychiatric nursing considerations
 Ethical and legal nursing practice
 Leadership and patient management
 Interdisciplinary collaboration
 Critical care nursing interventions
 NCLEX-style clinical prioritization questions


,  1.
A patient admitted with septic shock develops
hypotension despite fluid resuscitation and broad-
spectrum antibiotics. Which nursing action should receive
highest priority?
A. Encourage oral fluids
B. Initiate vasopressor therapy as prescribed
C. Restrict activity
D. Administer stool softeners
Answer: B
Rationale: Persistent hypotension after fluids requires
vasopressor support to maintain organ perfusion.


2.
A nurse assesses a patient receiving furosemide who
develops muscle weakness and ventricular ectopy. Which
electrolyte imbalance should the nurse suspect?
A. Hypernatremia
B. Hypercalcemia
C. Hypokalemia
D. Hypermagnesemia
Answer: C

, Rationale: Loop diuretics commonly cause potassium loss
leading to dysrhythmias.


3.
Following a myocardial infarction, which assessment
finding requires immediate intervention by the nurse?
A. Heart rate 78 bpm
B. Mild fatigue
C. New onset chest pain with diaphoresis
D. Decreased appetite
Answer: C
Rationale: Recurrent ischemia may indicate infarction
extension.


4.
A patient with pulmonary embolism suddenly develops
severe dyspnea and oxygen saturation of 84%. What is the
nurse's priority action?
A. Administer prescribed oxygen
B. Encourage ambulation
C. Increase oral intake
D. Obtain weight