NRG 200 FINAL EXAM – QUESTIONS AND ANSWERS | VERIFIED AND WELL
DETAILED ANSWERS |EXAM TESTBANK | PLUS RATIONALES | DOWNLOAD AND
PASS | LATEST EXAM UPDATE 2026/2027
Core Domains
• Nursing Fundamentals and Patient Care
• Pharmacology and Medication Administration
• Medical-Surgical Nursing
• Maternal and Child Health Nursing
• Mental Health and Psychiatric Nursing
• Community and Public Health Nursing
• Nursing Research and Evidence-Based Practice
• Leadership and Management in Nursing
• Legal and Ethical Issues in Nursing
Introduction
This comprehensive examination is designed to assess the knowledge, critical
thinking, and clinical decision-making skills essential for success in the NRG 200
course and the nursing profession. The exam covers a wide range of topics,
including foundational nursing theory, pharmacological principles, medical-surgical
management, maternal and child health, mental health nursing, community health,
and leadership. A variety of multiple-choice questions, including scenario-based and
application-oriented items, are included to evaluate your ability to apply theoretical
knowledge to real-world clinical situations. Emphasis is placed on safe, patient-
centered care, ethical practice, and evidence-based decision-making. This
assessment serves as a valuable tool for exam preparation and self-evaluation.
SECTION ONE: QUESTIONS 1 – 50
,1. A patient with heart failure is prescribed furosemide. Which of the following
laboratory values should the nurse monitor most closely?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum glucose
🟢 Correct Answer: B. Serum potassium
🔴 Explanation: Furosemide is a loop diuretic that can cause significant
potassium loss, leading to hypokalemia. Monitoring serum potassium is essential
to prevent cardiac arrhythmias. While other electrolytes may be affected,
potassium is the primary concern.
2. A nurse is caring for a patient with a new diagnosis of type 1 diabetes. The
patient asks why insulin is necessary. What is the best response by the nurse?
A. "Your body is producing insulin, but it is not being used effectively."
B. "Your pancreas is not producing enough insulin, so you need to take it daily."
C. "You will need insulin until your blood sugar levels are under control."
D. "This is a temporary measure to help your pancreas recover."
🟢 Correct Answer: B. "Your pancreas is not producing enough insulin, so you
need to take it daily."
🔴 Explanation: In type 1 diabetes, the pancreas produces little to no insulin due
to autoimmune destruction of beta cells. Therefore, exogenous insulin is required
for survival. The other options are incorrect.
3. A 68-year-old patient is prescribed digoxin for heart failure. Which of the
following assessment findings would indicate digoxin toxicity?
,A. Tachycardia
B. Hypertension
C. Anorexia and nausea
D. Hypokalemia
🟢 Correct Answer: C. Anorexia and nausea
🔴 Explanation: Early signs of digoxin toxicity include gastrointestinal symptoms
such as anorexia, nausea, and vomiting. These may be accompanied by visual
disturbances and bradycardia. Tachycardia and hypertension are not typical signs.
4. A nurse is preparing to administer a blood transfusion to a patient. Which of
the following actions is most important prior to initiating the transfusion?
A. Verify the patient's blood type and cross-match with the unit.
B. Premedicate the patient with an antihistamine.
C. Warm the blood product to room temperature.
D. Ensure the patient has a full bladder.
🟢 Correct Answer: A. Verify the patient's blood type and cross-match with the
unit.
🔴 Explanation: Verifying the blood type and cross-match is the most critical step
to prevent a potentially fatal hemolytic transfusion reaction. The other actions are
not the priority or may be contraindicated.
5. A patient is admitted with acute pancreatitis. Which laboratory finding would
the nurse expect to be elevated?
A. Serum amylase
B. Serum potassium
C. Serum creatinine
D. Serum albumin
, 🟢 Correct Answer: A. Serum amylase
🔴 Explanation: Serum amylase and lipase are the primary laboratory markers for
acute pancreatitis. They are elevated due to the release of pancreatic enzymes.
The other options are not specific to pancreatitis.
6. A patient on a medical-surgical unit has a nasogastric (NG) tube. The nurse
notes that the pH of the aspirate is 6.0. What is the most appropriate action?
A. Continue with the feeding.
B. Flush the tube with water.
C. Recheck the pH in 30 minutes.
D. Notify the physician and hold the feeding.
🟢 Correct Answer: D. Notify the physician and hold the feeding.
🔴 Explanation: A gastric pH of less than 4 is considered indicative of placement
in the stomach. A pH of 6.0 is above this range and could indicate the tube is in
the lungs or small intestine. The feeding should be held, and the physician should
be notified for further assessment.
7. A nurse is teaching a patient about a low-sodium diet. Which of the
following foods should the patient be instructed to avoid?
A. Fresh fruits
B. Unsalted nuts
C. Canned soups
D. Brown rice
🟢 Correct Answer: C. Canned soups
🔴 Explanation: Canned soups are typically high in sodium as a preservative and
flavor enhancer. They should be avoided on a low-sodium diet. Fresh fruits,
unsalted nuts, and brown rice are lower in sodium.
DETAILED ANSWERS |EXAM TESTBANK | PLUS RATIONALES | DOWNLOAD AND
PASS | LATEST EXAM UPDATE 2026/2027
Core Domains
• Nursing Fundamentals and Patient Care
• Pharmacology and Medication Administration
• Medical-Surgical Nursing
• Maternal and Child Health Nursing
• Mental Health and Psychiatric Nursing
• Community and Public Health Nursing
• Nursing Research and Evidence-Based Practice
• Leadership and Management in Nursing
• Legal and Ethical Issues in Nursing
Introduction
This comprehensive examination is designed to assess the knowledge, critical
thinking, and clinical decision-making skills essential for success in the NRG 200
course and the nursing profession. The exam covers a wide range of topics,
including foundational nursing theory, pharmacological principles, medical-surgical
management, maternal and child health, mental health nursing, community health,
and leadership. A variety of multiple-choice questions, including scenario-based and
application-oriented items, are included to evaluate your ability to apply theoretical
knowledge to real-world clinical situations. Emphasis is placed on safe, patient-
centered care, ethical practice, and evidence-based decision-making. This
assessment serves as a valuable tool for exam preparation and self-evaluation.
SECTION ONE: QUESTIONS 1 – 50
,1. A patient with heart failure is prescribed furosemide. Which of the following
laboratory values should the nurse monitor most closely?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum glucose
🟢 Correct Answer: B. Serum potassium
🔴 Explanation: Furosemide is a loop diuretic that can cause significant
potassium loss, leading to hypokalemia. Monitoring serum potassium is essential
to prevent cardiac arrhythmias. While other electrolytes may be affected,
potassium is the primary concern.
2. A nurse is caring for a patient with a new diagnosis of type 1 diabetes. The
patient asks why insulin is necessary. What is the best response by the nurse?
A. "Your body is producing insulin, but it is not being used effectively."
B. "Your pancreas is not producing enough insulin, so you need to take it daily."
C. "You will need insulin until your blood sugar levels are under control."
D. "This is a temporary measure to help your pancreas recover."
🟢 Correct Answer: B. "Your pancreas is not producing enough insulin, so you
need to take it daily."
🔴 Explanation: In type 1 diabetes, the pancreas produces little to no insulin due
to autoimmune destruction of beta cells. Therefore, exogenous insulin is required
for survival. The other options are incorrect.
3. A 68-year-old patient is prescribed digoxin for heart failure. Which of the
following assessment findings would indicate digoxin toxicity?
,A. Tachycardia
B. Hypertension
C. Anorexia and nausea
D. Hypokalemia
🟢 Correct Answer: C. Anorexia and nausea
🔴 Explanation: Early signs of digoxin toxicity include gastrointestinal symptoms
such as anorexia, nausea, and vomiting. These may be accompanied by visual
disturbances and bradycardia. Tachycardia and hypertension are not typical signs.
4. A nurse is preparing to administer a blood transfusion to a patient. Which of
the following actions is most important prior to initiating the transfusion?
A. Verify the patient's blood type and cross-match with the unit.
B. Premedicate the patient with an antihistamine.
C. Warm the blood product to room temperature.
D. Ensure the patient has a full bladder.
🟢 Correct Answer: A. Verify the patient's blood type and cross-match with the
unit.
🔴 Explanation: Verifying the blood type and cross-match is the most critical step
to prevent a potentially fatal hemolytic transfusion reaction. The other actions are
not the priority or may be contraindicated.
5. A patient is admitted with acute pancreatitis. Which laboratory finding would
the nurse expect to be elevated?
A. Serum amylase
B. Serum potassium
C. Serum creatinine
D. Serum albumin
, 🟢 Correct Answer: A. Serum amylase
🔴 Explanation: Serum amylase and lipase are the primary laboratory markers for
acute pancreatitis. They are elevated due to the release of pancreatic enzymes.
The other options are not specific to pancreatitis.
6. A patient on a medical-surgical unit has a nasogastric (NG) tube. The nurse
notes that the pH of the aspirate is 6.0. What is the most appropriate action?
A. Continue with the feeding.
B. Flush the tube with water.
C. Recheck the pH in 30 minutes.
D. Notify the physician and hold the feeding.
🟢 Correct Answer: D. Notify the physician and hold the feeding.
🔴 Explanation: A gastric pH of less than 4 is considered indicative of placement
in the stomach. A pH of 6.0 is above this range and could indicate the tube is in
the lungs or small intestine. The feeding should be held, and the physician should
be notified for further assessment.
7. A nurse is teaching a patient about a low-sodium diet. Which of the
following foods should the patient be instructed to avoid?
A. Fresh fruits
B. Unsalted nuts
C. Canned soups
D. Brown rice
🟢 Correct Answer: C. Canned soups
🔴 Explanation: Canned soups are typically high in sodium as a preservative and
flavor enhancer. They should be avoided on a low-sodium diet. Fresh fruits,
unsalted nuts, and brown rice are lower in sodium.
