NUR 1211 Midterm Exam Study Guide 2026/2027 Edition | 70+
Questions with Answers & Rationales | Success Guaranteed
1. A patient with heart failure develops increasing shortness of breath and
bilateral crackles. What is the nurse's priority action?
A. Administer oxygen and assess respiratory status
B. Encourage ambulation
C. Increase oral fluids
D. Delay assessment
Correct Answer: A
Rationale: Heart failure exacerbation may cause pulmonary congestion requiring
immediate respiratory assessment and support.
2. A patient experiencing chest pain is suspected of having myocardial infarction.
Which assessment finding requires immediate attention?
A. Improved appetite
B. Changes in oxygenation status
C. Request for discharge teaching
D. Mild anxiety
Correct Answer: B
Rationale: Reduced oxygenation can indicate cardiac compromise and requires priority
intervention.
3. A patient taking insulin becomes sweaty and confused. What should the nurse
suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Hypertension
D. Fluid overload
Correct Answer: B
Rationale: Sweating and confusion are common manifestations of hypoglycemia.
4. Which finding is expected in a patient experiencing diabetic ketoacidosis?
A. Metabolic acidosis and dehydration
B. Low ketone production
C. Excess insulin availability
D. Decreased glucose levels
,Correct Answer: A
Rationale: DKA results from insulin deficiency causing hyperglycemia, ketone
production, and acidosis.
5. A patient arrives with sudden facial drooping and weakness on one side. What
is the priority nursing action?
A. Determine symptom onset time
B. Provide food
C. Allow rest before assessment
D. Delay provider notification
Correct Answer: A
Rationale: Stroke treatment depends on rapid identification of symptom onset.
6. Which finding suggests increased intracranial pressure?
A. Improved consciousness
B. Decreased level of consciousness
C. Normal neurological findings
D. Increased appetite
Correct Answer: B
Rationale: Declining consciousness is a key indicator of neurological deterioration.
7. A patient with heart failure develops increasing shortness of breath and
bilateral crackles. What is the nurse's priority action?
A. Administer oxygen and assess respiratory status
B. Encourage ambulation
C. Increase oral fluids
D. Delay assessment
Correct Answer: A
Rationale: Heart failure exacerbation may cause pulmonary congestion requiring
immediate respiratory assessment and support.
8. A patient experiencing chest pain is suspected of having myocardial infarction.
Which assessment finding requires immediate attention?
A. Improved appetite
B. Changes in oxygenation status
C. Request for discharge teaching
D. Mild anxiety
Correct Answer: B
, Rationale: Reduced oxygenation can indicate cardiac compromise and requires priority
intervention.
9. A patient taking insulin becomes sweaty and confused. What should the nurse
suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Hypertension
D. Fluid overload
Correct Answer: B
Rationale: Sweating and confusion are common manifestations of hypoglycemia.
10. Which finding is expected in a patient experiencing diabetic ketoacidosis?
A. Metabolic acidosis and dehydration
B. Low ketone production
C. Excess insulin availability
D. Decreased glucose levels
Correct Answer: A
Rationale: DKA results from insulin deficiency causing hyperglycemia, ketone
production, and acidosis.
11. A patient arrives with sudden facial drooping and weakness on one side. What
is the priority nursing action?
A. Determine symptom onset time
B. Provide food
C. Allow rest before assessment
D. Delay provider notification
Correct Answer: A
Rationale: Stroke treatment depends on rapid identification of symptom onset.
12. Which finding suggests increased intracranial pressure?
A. Improved consciousness
B. Decreased level of consciousness
C. Normal neurological findings
D. Increased appetite
Correct Answer: B
Rationale: Declining consciousness is a key indicator of neurological deterioration.
Questions with Answers & Rationales | Success Guaranteed
1. A patient with heart failure develops increasing shortness of breath and
bilateral crackles. What is the nurse's priority action?
A. Administer oxygen and assess respiratory status
B. Encourage ambulation
C. Increase oral fluids
D. Delay assessment
Correct Answer: A
Rationale: Heart failure exacerbation may cause pulmonary congestion requiring
immediate respiratory assessment and support.
2. A patient experiencing chest pain is suspected of having myocardial infarction.
Which assessment finding requires immediate attention?
A. Improved appetite
B. Changes in oxygenation status
C. Request for discharge teaching
D. Mild anxiety
Correct Answer: B
Rationale: Reduced oxygenation can indicate cardiac compromise and requires priority
intervention.
3. A patient taking insulin becomes sweaty and confused. What should the nurse
suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Hypertension
D. Fluid overload
Correct Answer: B
Rationale: Sweating and confusion are common manifestations of hypoglycemia.
4. Which finding is expected in a patient experiencing diabetic ketoacidosis?
A. Metabolic acidosis and dehydration
B. Low ketone production
C. Excess insulin availability
D. Decreased glucose levels
,Correct Answer: A
Rationale: DKA results from insulin deficiency causing hyperglycemia, ketone
production, and acidosis.
5. A patient arrives with sudden facial drooping and weakness on one side. What
is the priority nursing action?
A. Determine symptom onset time
B. Provide food
C. Allow rest before assessment
D. Delay provider notification
Correct Answer: A
Rationale: Stroke treatment depends on rapid identification of symptom onset.
6. Which finding suggests increased intracranial pressure?
A. Improved consciousness
B. Decreased level of consciousness
C. Normal neurological findings
D. Increased appetite
Correct Answer: B
Rationale: Declining consciousness is a key indicator of neurological deterioration.
7. A patient with heart failure develops increasing shortness of breath and
bilateral crackles. What is the nurse's priority action?
A. Administer oxygen and assess respiratory status
B. Encourage ambulation
C. Increase oral fluids
D. Delay assessment
Correct Answer: A
Rationale: Heart failure exacerbation may cause pulmonary congestion requiring
immediate respiratory assessment and support.
8. A patient experiencing chest pain is suspected of having myocardial infarction.
Which assessment finding requires immediate attention?
A. Improved appetite
B. Changes in oxygenation status
C. Request for discharge teaching
D. Mild anxiety
Correct Answer: B
, Rationale: Reduced oxygenation can indicate cardiac compromise and requires priority
intervention.
9. A patient taking insulin becomes sweaty and confused. What should the nurse
suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Hypertension
D. Fluid overload
Correct Answer: B
Rationale: Sweating and confusion are common manifestations of hypoglycemia.
10. Which finding is expected in a patient experiencing diabetic ketoacidosis?
A. Metabolic acidosis and dehydration
B. Low ketone production
C. Excess insulin availability
D. Decreased glucose levels
Correct Answer: A
Rationale: DKA results from insulin deficiency causing hyperglycemia, ketone
production, and acidosis.
11. A patient arrives with sudden facial drooping and weakness on one side. What
is the priority nursing action?
A. Determine symptom onset time
B. Provide food
C. Allow rest before assessment
D. Delay provider notification
Correct Answer: A
Rationale: Stroke treatment depends on rapid identification of symptom onset.
12. Which finding suggests increased intracranial pressure?
A. Improved consciousness
B. Decreased level of consciousness
C. Normal neurological findings
D. Increased appetite
Correct Answer: B
Rationale: Declining consciousness is a key indicator of neurological deterioration.
