NUR 3300 Exam 4 – Nursing Practice II 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 3300 Exam 4 – Nursing Practice II 2026/2027 UPDATE
WPU
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 3300 Exam 4 – Nursing Practice II 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient is admitted with severe burns covering 40% of their body. Using the Parkland
formula (4mL/kg/%TBSA), what is the initial fluid requirement for the first 8 hours for a
patient weighing 80kg?
A. , what is the initial fluid requirement for the first 8 hours for a patient weighing 80kg?
B. 12,800 mL
C. 6,400 mL
D. 9,600 mL
Answer: C
Rationale: The Parkland formula is 4mL x kg x %TBSA. Total = 4 x 80 x 40 = 12,800 mL. Half is given
in the first 8 hours (6,400 mL) and the other half over the next 16 hours. Understanding this helps the
nurse notice early warning signs and act before the problem gets worse. Early action often prevents
bigger complications for the client. Understanding this helps the nurse notice early warning signs and
act before the problem gets worse. Early action often prevents bigger complications for the client.
2. A patient’s ABG results are: pH 7.31, PaCO2 52, HCO3 28. Which interpretation is most
accurate?
A. Uncompensated metabolic acidosis
B. Fully compensated respiratory acidosis
C. Partially compensated respiratory acidosis
D. Partially compensated metabolic alkalosis
Answer: C
Rationale: The pH is acidic (<7.35), PaCO2 is high (>45, respiratory), and HCO3 is high (>26,
compensating). Since the pH is not back in the normal range, it is partially compensated. Exam
questions often test whether you can pick the most practical and safe choice for the client in real
situations. Focus on what the nurse can actually do right now. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 3300 Exam 4 – Nursing Practice II 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
3. When assessing a patient with increased intracranial pressure (ICP), which clinical
manifestation is known as Cushing’s Triad?
A. Tachycardia, hypotension, and tachypnea
B. Tachycardia, hypertension, and Kussmaul respirations
C. Bradycardia, hypotension, and Cheyne-Stokes respirations
D. Bradycardia, hypertension with widened pulse pressure, and irregular respirations
Answer: D
Rationale: Cushing’s Triad consists of bradycardia, hypertension (widened pulse pressure), and
irregular respirations, signaling late-stage increased ICP and potential herniation. Clear understanding
of this concept improves both test performance and everyday clinical judgment. Practice applying it to
short case scenarios to lock the idea in place. Clear understanding of this concept improves both test
performance and everyday clinical judgment. Practice applying it to short case scenarios to lock the
idea in place.
4. A patient with a T6 spinal cord injury reports a sudden pounding headache and nasal
congestion. Their BP is 190/100. What is the priority nursing action?
A. Administer prescribed PRN hydralazine
B. Check the patient’s bladder for distension
C. Place the patient in a supine position
D. Perform a digital rectal exam to check for impaction
Answer: B
Rationale: These are signs of Autonomic Dysreflexia. The priority is to sit the patient up (to lower BP)
and then identify/remove the stimulus, most commonly a distended bladder. Remembering this point
will help you decide the best nursing action when similar questions appear on the exam. Link the
answer to the client’s current condition and risk level. Knowing the reason behind the correct answer
makes it easier to rule out the wrong options quickly. Look for the choice that protects the client and
matches the priority need.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 3300 Exam 4 – Nursing Practice II 2026/2027 UPDATE
WPU
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 3300 Exam 4 – Nursing Practice II 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient is admitted with severe burns covering 40% of their body. Using the Parkland
formula (4mL/kg/%TBSA), what is the initial fluid requirement for the first 8 hours for a
patient weighing 80kg?
A. , what is the initial fluid requirement for the first 8 hours for a patient weighing 80kg?
B. 12,800 mL
C. 6,400 mL
D. 9,600 mL
Answer: C
Rationale: The Parkland formula is 4mL x kg x %TBSA. Total = 4 x 80 x 40 = 12,800 mL. Half is given
in the first 8 hours (6,400 mL) and the other half over the next 16 hours. Understanding this helps the
nurse notice early warning signs and act before the problem gets worse. Early action often prevents
bigger complications for the client. Understanding this helps the nurse notice early warning signs and
act before the problem gets worse. Early action often prevents bigger complications for the client.
2. A patient’s ABG results are: pH 7.31, PaCO2 52, HCO3 28. Which interpretation is most
accurate?
A. Uncompensated metabolic acidosis
B. Fully compensated respiratory acidosis
C. Partially compensated respiratory acidosis
D. Partially compensated metabolic alkalosis
Answer: C
Rationale: The pH is acidic (<7.35), PaCO2 is high (>45, respiratory), and HCO3 is high (>26,
compensating). Since the pH is not back in the normal range, it is partially compensated. Exam
questions often test whether you can pick the most practical and safe choice for the client in real
situations. Focus on what the nurse can actually do right now. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 3300 Exam 4 – Nursing Practice II 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
3. When assessing a patient with increased intracranial pressure (ICP), which clinical
manifestation is known as Cushing’s Triad?
A. Tachycardia, hypotension, and tachypnea
B. Tachycardia, hypertension, and Kussmaul respirations
C. Bradycardia, hypotension, and Cheyne-Stokes respirations
D. Bradycardia, hypertension with widened pulse pressure, and irregular respirations
Answer: D
Rationale: Cushing’s Triad consists of bradycardia, hypertension (widened pulse pressure), and
irregular respirations, signaling late-stage increased ICP and potential herniation. Clear understanding
of this concept improves both test performance and everyday clinical judgment. Practice applying it to
short case scenarios to lock the idea in place. Clear understanding of this concept improves both test
performance and everyday clinical judgment. Practice applying it to short case scenarios to lock the
idea in place.
4. A patient with a T6 spinal cord injury reports a sudden pounding headache and nasal
congestion. Their BP is 190/100. What is the priority nursing action?
A. Administer prescribed PRN hydralazine
B. Check the patient’s bladder for distension
C. Place the patient in a supine position
D. Perform a digital rectal exam to check for impaction
Answer: B
Rationale: These are signs of Autonomic Dysreflexia. The priority is to sit the patient up (to lower BP)
and then identify/remove the stimulus, most commonly a distended bladder. Remembering this point
will help you decide the best nursing action when similar questions appear on the exam. Link the
answer to the client’s current condition and risk level. Knowing the reason behind the correct answer
makes it easier to rule out the wrong options quickly. Look for the choice that protects the client and
matches the priority need.
Exam (Elaborations) • Detailed Rationales Page 3
