NRSG 2350 EXAM 2 PRACTICE EXAM – QUESTIONS AND ANSWERS | VERIFIED AND
WELL DETAILED ANSWERS | PLUS RATIONALES | DOWNLOAD AND PASS | LATEST
EXAM UPDATE
Core Domains
Advanced Pathophysiology
Pharmacological Principles
Nursing Ethics and Legal Standards
Evidence-Based Clinical Judgment
Complex Patient Assessment
Healthcare Informatics and Safety
Therapeutic Communication
Interdisciplinary Collaborative Care
, Introduction
The purpose of this practice exam is to provide nursing students with a comprehensive tool
to evaluate their mastery of critical clinical concepts for NRSG 2350. This assessment
focuses on the integration of foundational theory, applied professional knowledge, and
ethical decision-making in high-acuity environments. The exam utilizes a multiple-choice and
scenario-based structure, mirroring professional licensure expectations to refine critical
thinking skills. By emphasizing real-world application, this material ensures students can
effectively synthesize complex data to provide safe, high-quality patient care. Success in this
assessment requires diligent analysis of each scenario and adherence to current nursing
standards of practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a patient experiencing acute respiratory distress. Which
assessment finding requires the most immediate intervention?
A. Respiratory rate of 24 breaths/minute
B. Use of accessory muscles for breathing
C. O2 saturation of 91% on room air
D. Reports of feeling anxious and restless
🟢 B. Use of accessory muscles for breathing
, 🔴 Explanation: Use of accessory muscles indicates severe respiratory distress and
increased work of breathing, which is an immediate life-threatening sign requiring rapid
intervention.
2. Which action by the nurse demonstrates adherence to the principle of beneficence?
A. Providing accurate information about a procedure's risks
B. Ensuring the patient has autonomy in choosing their treatment
C. Acting in the best interest of the patient to promote health
D. Maintaining confidentiality of all patient medical records
🟢 C. Acting in the best interest of the patient to promote health
🔴 Explanation: Beneficence is the ethical principle of acting in the best interest of the
patient to contribute to their welfare and positive health outcomes.
3. A patient is prescribed a medication with a narrow therapeutic index. Which nursing
action is most appropriate?
A. Monitor serum medication levels closely
B. Administer the medication with food
C. Increase the dosage if the desired effect is not seen
D. Instruct the patient to take the medication PRN
🟢 A. Monitor serum medication levels closely
🔴 Explanation: Medications with a narrow therapeutic index have little difference
between a therapeutic dose and a toxic dose, requiring frequent blood monitoring.
4. When assessing a patient’s peripheral circulation, the nurse notes a weak, thready
pulse. Which additional finding supports a diagnosis of poor perfusion?
, A. Warm, flushed skin
B. Capillary refill of 2 seconds
C. Cool extremities
D. Bounding pulses
🟢 C. Cool extremities
🔴 Explanation: Cool extremities are a clinical indicator of diminished peripheral blood
flow and poor perfusion.
5. A nurse observes a colleague documenting care that was not provided. According to
the Code of Ethics, what is the nurse's primary obligation?
A. Discuss the incident with the colleague privately
B. Report the incident to the nursing supervisor
C. Ignore the incident to maintain unit morale
D. Update the documentation to reflect the actual care
🟢 B. Report the incident to the nursing supervisor
🔴 Explanation: Falsifying documentation is a legal and ethical violation; reporting is
necessary to ensure patient safety and professional integrity.
6. A patient with a history of hypertension reports dizziness when standing up quickly.
What is the priority nursing intervention?
A. Instruct the patient to increase salt intake
B. Assess orthostatic blood pressure
C. Encourage the patient to ambulate more frequently
D. Administer a PRN dose of an antihypertensive
WELL DETAILED ANSWERS | PLUS RATIONALES | DOWNLOAD AND PASS | LATEST
EXAM UPDATE
Core Domains
Advanced Pathophysiology
Pharmacological Principles
Nursing Ethics and Legal Standards
Evidence-Based Clinical Judgment
Complex Patient Assessment
Healthcare Informatics and Safety
Therapeutic Communication
Interdisciplinary Collaborative Care
, Introduction
The purpose of this practice exam is to provide nursing students with a comprehensive tool
to evaluate their mastery of critical clinical concepts for NRSG 2350. This assessment
focuses on the integration of foundational theory, applied professional knowledge, and
ethical decision-making in high-acuity environments. The exam utilizes a multiple-choice and
scenario-based structure, mirroring professional licensure expectations to refine critical
thinking skills. By emphasizing real-world application, this material ensures students can
effectively synthesize complex data to provide safe, high-quality patient care. Success in this
assessment requires diligent analysis of each scenario and adherence to current nursing
standards of practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a patient experiencing acute respiratory distress. Which
assessment finding requires the most immediate intervention?
A. Respiratory rate of 24 breaths/minute
B. Use of accessory muscles for breathing
C. O2 saturation of 91% on room air
D. Reports of feeling anxious and restless
🟢 B. Use of accessory muscles for breathing
, 🔴 Explanation: Use of accessory muscles indicates severe respiratory distress and
increased work of breathing, which is an immediate life-threatening sign requiring rapid
intervention.
2. Which action by the nurse demonstrates adherence to the principle of beneficence?
A. Providing accurate information about a procedure's risks
B. Ensuring the patient has autonomy in choosing their treatment
C. Acting in the best interest of the patient to promote health
D. Maintaining confidentiality of all patient medical records
🟢 C. Acting in the best interest of the patient to promote health
🔴 Explanation: Beneficence is the ethical principle of acting in the best interest of the
patient to contribute to their welfare and positive health outcomes.
3. A patient is prescribed a medication with a narrow therapeutic index. Which nursing
action is most appropriate?
A. Monitor serum medication levels closely
B. Administer the medication with food
C. Increase the dosage if the desired effect is not seen
D. Instruct the patient to take the medication PRN
🟢 A. Monitor serum medication levels closely
🔴 Explanation: Medications with a narrow therapeutic index have little difference
between a therapeutic dose and a toxic dose, requiring frequent blood monitoring.
4. When assessing a patient’s peripheral circulation, the nurse notes a weak, thready
pulse. Which additional finding supports a diagnosis of poor perfusion?
, A. Warm, flushed skin
B. Capillary refill of 2 seconds
C. Cool extremities
D. Bounding pulses
🟢 C. Cool extremities
🔴 Explanation: Cool extremities are a clinical indicator of diminished peripheral blood
flow and poor perfusion.
5. A nurse observes a colleague documenting care that was not provided. According to
the Code of Ethics, what is the nurse's primary obligation?
A. Discuss the incident with the colleague privately
B. Report the incident to the nursing supervisor
C. Ignore the incident to maintain unit morale
D. Update the documentation to reflect the actual care
🟢 B. Report the incident to the nursing supervisor
🔴 Explanation: Falsifying documentation is a legal and ethical violation; reporting is
necessary to ensure patient safety and professional integrity.
6. A patient with a history of hypertension reports dizziness when standing up quickly.
What is the priority nursing intervention?
A. Instruct the patient to increase salt intake
B. Assess orthostatic blood pressure
C. Encourage the patient to ambulate more frequently
D. Administer a PRN dose of an antihypertensive
