Nursing Practice II - NUR 3300 Advanced Examinati… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
Nursing Practice II - NUR 3300 Advanced Examination 1
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
,Nursing Practice II - NUR 3300 Advanced Examinati… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient’s arterial blood gas (ABG) results show pH 7.30, PaCO2 52 mmHg, and HCO3 25
mEq/L. Which condition does this indicate?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Respiratory Acidosis
Answer: D
Rationale: A pH below 7.35 indicates acidosis. The elevated PaCO2 (above 45 mmHg) confirms a
respiratory origin, while the normal HCO3 suggests no compensation has occurred yet. This is
important because the nurse must choose the action that keeps the client safest while still meeting
their basic needs. Always think about safety first when answering these questions. In practice, this
guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities.
2. When assessing a patient with a potassium level of 2.8 mEq/L, which electrocardiogram
(ECG) change should the nurse anticipate?
A. Peaked T waves
B. Widened QRS complex
C. Presence of U waves
D. Shortened QT interval
Answer: C
Rationale: Hypokalemia (K+ < 3.5) causes characteristic ECG changes including the development of
U waves, ST-segment depression, and flat or inverted T waves. This knowledge supports safe care
and helps the nurse teach the client and family clearly and simply. Clear teaching improves
cooperation and reduces anxiety. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, Nursing Practice II - NUR 3300 Advanced Examinati… 2026/2027 • Verified • Assured Grade A+
3. A patient is scheduled for surgery and has signed the informed consent. What is the
nurse’s primary responsibility regarding the consent form?
A. Explaining the risks and benefits of the procedure
B. Discussing alternative treatment options with the patient
C. Witnessing the patient’s signature and ensuring voluntary consent
D. Describing the surgical technique to the family
Answer: C
Rationale: The nurse’s role is to witness the signature, verify the patient is competent, and ensure the
signature is voluntary. The surgeon is responsible for explaining the procedure, risks, and alternatives.
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. This knowledge supports safe
care and helps the nurse teach the client and family clearly and simply. Clear teaching improves
cooperation and reduces anxiety.
4. Which assessment finding is the most sensitive early indicator of fluid volume deficit in an
older adult?
A. Decreased skin turgor over the sternum
B. Increased heart rate
C. Dry mucous membranes
D. Flattened neck veins
Answer: C
Rationale: Skin turgor is less reliable in older adults due to loss of elasticity. Dry mucous membranes
and longitudinal furrows on the tongue are more accurate early indicators of dehydration in this
population. 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. 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.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
Nursing Practice II - NUR 3300 Advanced Examination 1
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
,Nursing Practice II - NUR 3300 Advanced Examinati… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient’s arterial blood gas (ABG) results show pH 7.30, PaCO2 52 mmHg, and HCO3 25
mEq/L. Which condition does this indicate?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Respiratory Acidosis
Answer: D
Rationale: A pH below 7.35 indicates acidosis. The elevated PaCO2 (above 45 mmHg) confirms a
respiratory origin, while the normal HCO3 suggests no compensation has occurred yet. This is
important because the nurse must choose the action that keeps the client safest while still meeting
their basic needs. Always think about safety first when answering these questions. In practice, this
guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities.
2. When assessing a patient with a potassium level of 2.8 mEq/L, which electrocardiogram
(ECG) change should the nurse anticipate?
A. Peaked T waves
B. Widened QRS complex
C. Presence of U waves
D. Shortened QT interval
Answer: C
Rationale: Hypokalemia (K+ < 3.5) causes characteristic ECG changes including the development of
U waves, ST-segment depression, and flat or inverted T waves. This knowledge supports safe care
and helps the nurse teach the client and family clearly and simply. Clear teaching improves
cooperation and reduces anxiety. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, Nursing Practice II - NUR 3300 Advanced Examinati… 2026/2027 • Verified • Assured Grade A+
3. A patient is scheduled for surgery and has signed the informed consent. What is the
nurse’s primary responsibility regarding the consent form?
A. Explaining the risks and benefits of the procedure
B. Discussing alternative treatment options with the patient
C. Witnessing the patient’s signature and ensuring voluntary consent
D. Describing the surgical technique to the family
Answer: C
Rationale: The nurse’s role is to witness the signature, verify the patient is competent, and ensure the
signature is voluntary. The surgeon is responsible for explaining the procedure, risks, and alternatives.
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. This knowledge supports safe
care and helps the nurse teach the client and family clearly and simply. Clear teaching improves
cooperation and reduces anxiety.
4. Which assessment finding is the most sensitive early indicator of fluid volume deficit in an
older adult?
A. Decreased skin turgor over the sternum
B. Increased heart rate
C. Dry mucous membranes
D. Flattened neck veins
Answer: C
Rationale: Skin turgor is less reliable in older adults due to loss of elasticity. Dry mucous membranes
and longitudinal furrows on the tongue are more accurate early indicators of dehydration in this
population. 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. 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.
Exam (Elaborations) • Detailed Rationales Page 3
