NUR 417 EXAM 1, 2, 3 & FINAL EXAM Care of Adult II at
Concordia, St. Paul Actual Questions and Answers - 190
Questions and Answers Already Graded A+ Premium Exam
Tested And Verified
Subject Area Care of Adult II
Description This comprehensive examination covers advanced concepts in adult
medical-surgical nursing, including complex multisystem disorders, critical care,
perioperative nursing, and evidence-based interventions. It integrates
pathophysiology, pharmacology, and nursing management for high-acuity adult
patients.
Expected Grade A+
Total Questions 190
Duration 3 hours
Learning Outcomes 1. Synthesize pathophysiology and nursing management for complex adult health
alterations.
2. Apply evidence-based clinical reasoning in prioritizing care for critically ill
patients.
3. Evaluate pharmacological and non-pharmacological interventions for
multisystem disorders.
4. Interpret diagnostic data to guide nursing decisions in acute care settings.
Accreditation This exam meets the standards of the Commission on Collegiate Nursing
Education (CCNE) and reflects current AACN Essentials for Baccalaureate
Education.
Page 1
,ati. NUR 417 EXAM 1, 2, 3 & FINAL EXAM Care of Adult II at Concordia, St. Paul Actual
Questions and Answers - 190 Questions and Answers Already Graded A+ Premium
Question: 1 of 190
A patient with septic shock develops acute respiratory distress syndrome (ARDS).
Despite lung-protective ventilation, PaO2/FiO2 ratio remains 150. The provider
considers prone positioning. Which hemodynamic parameter must be stable before
initiating prone positioning?
Central venous pressure (CVP) > 12 mmHg
Mean arterial pressure (MAP) 65 mmHg without escalating vasopressors
Cardiac index (CI) 2.5 L/min/m²
Pulmonary artery wedge pressure (PAWP) < 18 mmHg
PREVIOUS
Question: 2 of 190
In managing a patient with acute decompensated heart failure (ADHF) presenting with
pulmonary edema and a blood pressure of 90/60 mmHg, which intervention should the
nurse question?
Initiate noninvasive positive pressure ventilation (NIPPV)
Administer intravenous furosemide 40 mg bolus
Start intravenous nitroprusside at 0.5 mcg/kg/min
Place the patient in high Fowler's position
PREVIOUS
Page 2
,ati. NUR 417 EXAM 1, 2, 3 & FINAL EXAM Care of Adult II at Concordia, St. Paul Actual
Questions and Answers - 190 Questions and Answers Already Graded A+ Premium
Question: 3 of 190
A patient with cirrhosis and ascites develops acute kidney injury (AKI) after
large-volume paracentesis. Urinalysis shows no proteinuria or hematuria, and urine
sodium is <10 mEq/L. Which type of AKI is most likely?
Acute tubular necrosis (ATN)
Prerenal azotemia due to hepatorenal syndrome (HRS)
Postrenal obstruction
Acute interstitial nephritis (AIN)
PREVIOUS
Question: 4 of 190
A patient on vancomycin for MRSA pneumonia develops acute kidney injury (AKI) with
a serum creatinine rise from 0.8 to 1.5 mg/dL over 48 hours. The trough vancomycin
level is 22 mcg/mL. Which action is most appropriate?
Continue current dose and monitor creatinine daily
Hold next dose and recalculate dosing interval based on renal function
Switch to linezolid immediately
Administer a bolus of normal saline before next dose
PREVIOUS
Page 3
, ati. NUR 417 EXAM 1, 2, 3 & FINAL EXAM Care of Adult II at Concordia, St. Paul Actual
Questions and Answers - 190 Questions and Answers Already Graded A+ Premium
Question: 5 of 190
A patient with a history of COPD presents with acute respiratory failure. Arterial blood
gas (ABG) on room air: pH 7.25, PaCO2 65 mmHg, PaO2 50 mmHg, HCO3 26 mEq/L.
The nurse initiates noninvasive ventilation (NIV). Which setting best addresses the
primary acid-base disorder?
IPAP 10 cm H2O, EPAP 5 cm H2O
IPAP 20 cm H2O, EPAP 10 cm H2O
IPAP 15 cm H2O, EPAP 8 cm H2O
IPAP 25 cm H2O, EPAP 5 cm H2O
PREVIOUS
Question: 6 of 190
A patient receiving total parenteral nutrition (TPN) via a peripherally inserted central
catheter (PICC) develops sudden dyspnea, chest pain, and hypotension. The nurse
suspects air embolism. What is the priority action?
Place the patient in Trendelenburg position on the left side
Clamp the PICC line and administer 100% oxygen
Remove the PICC line immediately
Prepare for emergent chest tube insertion
PREVIOUS
Page 4
Concordia, St. Paul Actual Questions and Answers - 190
Questions and Answers Already Graded A+ Premium Exam
Tested And Verified
Subject Area Care of Adult II
Description This comprehensive examination covers advanced concepts in adult
medical-surgical nursing, including complex multisystem disorders, critical care,
perioperative nursing, and evidence-based interventions. It integrates
pathophysiology, pharmacology, and nursing management for high-acuity adult
patients.
Expected Grade A+
Total Questions 190
Duration 3 hours
Learning Outcomes 1. Synthesize pathophysiology and nursing management for complex adult health
alterations.
2. Apply evidence-based clinical reasoning in prioritizing care for critically ill
patients.
3. Evaluate pharmacological and non-pharmacological interventions for
multisystem disorders.
4. Interpret diagnostic data to guide nursing decisions in acute care settings.
Accreditation This exam meets the standards of the Commission on Collegiate Nursing
Education (CCNE) and reflects current AACN Essentials for Baccalaureate
Education.
Page 1
,ati. NUR 417 EXAM 1, 2, 3 & FINAL EXAM Care of Adult II at Concordia, St. Paul Actual
Questions and Answers - 190 Questions and Answers Already Graded A+ Premium
Question: 1 of 190
A patient with septic shock develops acute respiratory distress syndrome (ARDS).
Despite lung-protective ventilation, PaO2/FiO2 ratio remains 150. The provider
considers prone positioning. Which hemodynamic parameter must be stable before
initiating prone positioning?
Central venous pressure (CVP) > 12 mmHg
Mean arterial pressure (MAP) 65 mmHg without escalating vasopressors
Cardiac index (CI) 2.5 L/min/m²
Pulmonary artery wedge pressure (PAWP) < 18 mmHg
PREVIOUS
Question: 2 of 190
In managing a patient with acute decompensated heart failure (ADHF) presenting with
pulmonary edema and a blood pressure of 90/60 mmHg, which intervention should the
nurse question?
Initiate noninvasive positive pressure ventilation (NIPPV)
Administer intravenous furosemide 40 mg bolus
Start intravenous nitroprusside at 0.5 mcg/kg/min
Place the patient in high Fowler's position
PREVIOUS
Page 2
,ati. NUR 417 EXAM 1, 2, 3 & FINAL EXAM Care of Adult II at Concordia, St. Paul Actual
Questions and Answers - 190 Questions and Answers Already Graded A+ Premium
Question: 3 of 190
A patient with cirrhosis and ascites develops acute kidney injury (AKI) after
large-volume paracentesis. Urinalysis shows no proteinuria or hematuria, and urine
sodium is <10 mEq/L. Which type of AKI is most likely?
Acute tubular necrosis (ATN)
Prerenal azotemia due to hepatorenal syndrome (HRS)
Postrenal obstruction
Acute interstitial nephritis (AIN)
PREVIOUS
Question: 4 of 190
A patient on vancomycin for MRSA pneumonia develops acute kidney injury (AKI) with
a serum creatinine rise from 0.8 to 1.5 mg/dL over 48 hours. The trough vancomycin
level is 22 mcg/mL. Which action is most appropriate?
Continue current dose and monitor creatinine daily
Hold next dose and recalculate dosing interval based on renal function
Switch to linezolid immediately
Administer a bolus of normal saline before next dose
PREVIOUS
Page 3
, ati. NUR 417 EXAM 1, 2, 3 & FINAL EXAM Care of Adult II at Concordia, St. Paul Actual
Questions and Answers - 190 Questions and Answers Already Graded A+ Premium
Question: 5 of 190
A patient with a history of COPD presents with acute respiratory failure. Arterial blood
gas (ABG) on room air: pH 7.25, PaCO2 65 mmHg, PaO2 50 mmHg, HCO3 26 mEq/L.
The nurse initiates noninvasive ventilation (NIV). Which setting best addresses the
primary acid-base disorder?
IPAP 10 cm H2O, EPAP 5 cm H2O
IPAP 20 cm H2O, EPAP 10 cm H2O
IPAP 15 cm H2O, EPAP 8 cm H2O
IPAP 25 cm H2O, EPAP 5 cm H2O
PREVIOUS
Question: 6 of 190
A patient receiving total parenteral nutrition (TPN) via a peripherally inserted central
catheter (PICC) develops sudden dyspnea, chest pain, and hypotension. The nurse
suspects air embolism. What is the priority action?
Place the patient in Trendelenburg position on the left side
Clamp the PICC line and administer 100% oxygen
Remove the PICC line immediately
Prepare for emergent chest tube insertion
PREVIOUS
Page 4
