NUR 200 EXAM 3 (HONDROS) NEWEST 2026 ACTUAL EXAM TEST BANK
NUR200 CRITICAL THINKING EXAM 3 REVIEW WITH 300 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
150 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply the nursing process to prioritize care for complex patients
2 Interpret laboratory and diagnostic data to guide clinical decisions
3 Evaluate the safety and efficacy of pharmacological interventions
4 Demonstrate ethical and legal reasoning in challenging clinical situations
5 Synthesize evidence-based practice to prevent complications and promote patient safety
6 NUR 200 EXAM 3
7 HONDROS
8 NEWEST 2026 ACTUAL EXAM TEST BANK NUR200 CRITICAL THINKING EXAM 3 REVIEW WITH
300 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
9 VERIFIED ANSWERS
10 ALREADY GRADED A+
11 BRAND NEW!!
12 Foundations of Nursing Critical Thinking and Clinical Reasoning
13 Applied Nursing Critical Thinking and Clinical Reasoning
14 Advanced Nursing Critical Thinking and Clinical Reasoning
15 Nursing Critical Thinking and Clinical Reasoning Review
ABSTRACT
Page 1
,This study document brings together 150 carefully worded exam questions drawn from NUR 200
EXAM 3 (HONDROS) NEWEST 2026 ACTUAL EXAM TEST BANK NUR200 CRITICAL
THINKING EXAM 3 REVIEW WITH 300 REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ (BRAND NEW!!), with the strongest
emphasis placed on Apply the nursing process to prioritize care for complex patients, Interpret
laboratory and diagnostic data to guide clinical decisions and Evaluate the safety and efficacy of
pharmacological interventions. Every item follows the wording style and level of reasoning you
meet in the real paper, and each one is paired with a clear rationale so the correct choice is never
a guess. Work through the set at your own pace, mark the questions that slow you down, then
come back to them until the reasoning feels automatic. Learners who revise this way walk into the
exam room recognising the pattern behind the questions instead of meeting them for the first time.
Keep going - steady, honest practice is what turns a difficult paper into a comfortable pass.
Q1 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR COMPLEX PATIENTS
A patient with chronic kidney disease (stage 4) is prescribed both spironolactone
and lisinopril. The nurse reviews the most recent labs: potassium 5.8 mEq/L, BUN
48 mg/dL, creatinine 2.9 mg/dL. Which action is most appropriate?
A. Administer both medications as prescribed, since they are standard therapy for renal
protection.
B. Hold the spironolactone and notify the provider; the potassium is dangerously elevated.
CORRECT
C. Administer spironolactone only, as lisinopril is contraindicated in renal disease.
D. Increase fluid intake and reassess potassium in 4 hours.
RATIONALE: Hyperkalemia (K+ >5.5) is a critical finding; spironolactone is a potassium-sparing
diuretic that would worsen hyperkalemia and increase arrhythmia risk. Lisinopril also raises
potassium, but the immediate threat is the combination; holding spironolactone and notifying the
provider is the priority. Administering either drug or delaying action could precipitate cardiac
arrest.
Page 2
,Q2 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR COMPLEX PATIENTS
A nurse is caring for a patient who is receiving a continuous heparin infusion. The
aPTT result is 110 seconds (therapeutic range 60-80 seconds). The patient has no
signs of bleeding. What is the nurse's priority action?
A. Continue the infusion and recheck aPTT in 6 hours.
B. Stop the infusion and administer protamine sulfate immediately.
C. Decrease the infusion rate per protocol and recheck aPTT in 4-6 hours. CORRECT
D. Flush the line with normal saline to ensure patency.
RATIONALE: An aPTT above therapeutic range indicates an increased bleeding risk, but without
active bleeding, the standard protocol is to reduce the infusion rate and monitor. Protamine
sulfate is reserved for severe bleeding or emergency reversal. Continuing the infusion at the
same rate could lead to hemorrhage.
Q3 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR COMPLEX PATIENTS
A nurse is evaluating a patient's arterial blood gas (ABG) results: pH 7.30, PaCO2
55 mm Hg, HCO3 26 mEq/L. Which condition is most consistent with these
findings?
A. Metabolic acidosis with partial compensation
B. Respiratory acidosis, uncompensated CORRECT
C. Metabolic alkalosis with respiratory compensation
D. Respiratory alkalosis, uncompensated
RATIONALE: The pH is low (acidosis), PaCO2 is high (respiratory cause), and HCO3 is normal
(no metabolic compensation). This is acute, uncompensated respiratory acidosis. Metabolic
acidosis would show low HCO3, and alkalosis would have a high pH.
Page 3
, Q4 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR COMPLEX PATIENTS
A nurse is preparing to administer a blood transfusion. The patient's vital signs
are stable, and the blood product has been checked by two nurses. Fifteen
minutes after starting the transfusion, the patient reports chills and low back pain.
What is the nurse's first action?
A. Slow the transfusion and continue to monitor.
B. Stop the transfusion immediately and keep the IV line patent with normal saline. CORRECT
C. Administer acetaminophen for the chills.
D. Notify the provider and await further orders.
RATIONALE: Chills and low back pain are classic signs of a hemolytic transfusion reaction,
which is life-threatening. The transfusion must be stopped immediately to prevent further
reaction, and IV access maintained for emergency medications. Slowing or continuing can cause
acute kidney injury, DIC, or death.
Q5 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR COMPLEX PATIENTS
A nurse is caring for a patient with diabetes mellitus who is experiencing
diaphoresis, tachycardia, and confusion. The nurse suspects hypoglycemia.
Which action should the nurse take first?
A. Administer glucagon intramuscularly.
B. Check the blood glucose level immediately. CORRECT
C. Give 4 ounces of orange juice orally.
D. Start an IV infusion of D50W.
RATIONALE: The priority is to confirm hypoglycemia with a blood glucose measurement, as
these symptoms can also occur in other conditions. However, if the patient is unconscious or
unable to swallow, the nurse would give glucagon or IV dextrose. In a conscious patient,
checking the glucose first is standard; if it is low, oral glucose is given. The question asks for the
first action, which is to check the glucose.
Page 4
NUR200 CRITICAL THINKING EXAM 3 REVIEW WITH 300 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
150 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply the nursing process to prioritize care for complex patients
2 Interpret laboratory and diagnostic data to guide clinical decisions
3 Evaluate the safety and efficacy of pharmacological interventions
4 Demonstrate ethical and legal reasoning in challenging clinical situations
5 Synthesize evidence-based practice to prevent complications and promote patient safety
6 NUR 200 EXAM 3
7 HONDROS
8 NEWEST 2026 ACTUAL EXAM TEST BANK NUR200 CRITICAL THINKING EXAM 3 REVIEW WITH
300 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
9 VERIFIED ANSWERS
10 ALREADY GRADED A+
11 BRAND NEW!!
12 Foundations of Nursing Critical Thinking and Clinical Reasoning
13 Applied Nursing Critical Thinking and Clinical Reasoning
14 Advanced Nursing Critical Thinking and Clinical Reasoning
15 Nursing Critical Thinking and Clinical Reasoning Review
ABSTRACT
Page 1
,This study document brings together 150 carefully worded exam questions drawn from NUR 200
EXAM 3 (HONDROS) NEWEST 2026 ACTUAL EXAM TEST BANK NUR200 CRITICAL
THINKING EXAM 3 REVIEW WITH 300 REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ (BRAND NEW!!), with the strongest
emphasis placed on Apply the nursing process to prioritize care for complex patients, Interpret
laboratory and diagnostic data to guide clinical decisions and Evaluate the safety and efficacy of
pharmacological interventions. Every item follows the wording style and level of reasoning you
meet in the real paper, and each one is paired with a clear rationale so the correct choice is never
a guess. Work through the set at your own pace, mark the questions that slow you down, then
come back to them until the reasoning feels automatic. Learners who revise this way walk into the
exam room recognising the pattern behind the questions instead of meeting them for the first time.
Keep going - steady, honest practice is what turns a difficult paper into a comfortable pass.
Q1 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR COMPLEX PATIENTS
A patient with chronic kidney disease (stage 4) is prescribed both spironolactone
and lisinopril. The nurse reviews the most recent labs: potassium 5.8 mEq/L, BUN
48 mg/dL, creatinine 2.9 mg/dL. Which action is most appropriate?
A. Administer both medications as prescribed, since they are standard therapy for renal
protection.
B. Hold the spironolactone and notify the provider; the potassium is dangerously elevated.
CORRECT
C. Administer spironolactone only, as lisinopril is contraindicated in renal disease.
D. Increase fluid intake and reassess potassium in 4 hours.
RATIONALE: Hyperkalemia (K+ >5.5) is a critical finding; spironolactone is a potassium-sparing
diuretic that would worsen hyperkalemia and increase arrhythmia risk. Lisinopril also raises
potassium, but the immediate threat is the combination; holding spironolactone and notifying the
provider is the priority. Administering either drug or delaying action could precipitate cardiac
arrest.
Page 2
,Q2 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR COMPLEX PATIENTS
A nurse is caring for a patient who is receiving a continuous heparin infusion. The
aPTT result is 110 seconds (therapeutic range 60-80 seconds). The patient has no
signs of bleeding. What is the nurse's priority action?
A. Continue the infusion and recheck aPTT in 6 hours.
B. Stop the infusion and administer protamine sulfate immediately.
C. Decrease the infusion rate per protocol and recheck aPTT in 4-6 hours. CORRECT
D. Flush the line with normal saline to ensure patency.
RATIONALE: An aPTT above therapeutic range indicates an increased bleeding risk, but without
active bleeding, the standard protocol is to reduce the infusion rate and monitor. Protamine
sulfate is reserved for severe bleeding or emergency reversal. Continuing the infusion at the
same rate could lead to hemorrhage.
Q3 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR COMPLEX PATIENTS
A nurse is evaluating a patient's arterial blood gas (ABG) results: pH 7.30, PaCO2
55 mm Hg, HCO3 26 mEq/L. Which condition is most consistent with these
findings?
A. Metabolic acidosis with partial compensation
B. Respiratory acidosis, uncompensated CORRECT
C. Metabolic alkalosis with respiratory compensation
D. Respiratory alkalosis, uncompensated
RATIONALE: The pH is low (acidosis), PaCO2 is high (respiratory cause), and HCO3 is normal
(no metabolic compensation). This is acute, uncompensated respiratory acidosis. Metabolic
acidosis would show low HCO3, and alkalosis would have a high pH.
Page 3
, Q4 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR COMPLEX PATIENTS
A nurse is preparing to administer a blood transfusion. The patient's vital signs
are stable, and the blood product has been checked by two nurses. Fifteen
minutes after starting the transfusion, the patient reports chills and low back pain.
What is the nurse's first action?
A. Slow the transfusion and continue to monitor.
B. Stop the transfusion immediately and keep the IV line patent with normal saline. CORRECT
C. Administer acetaminophen for the chills.
D. Notify the provider and await further orders.
RATIONALE: Chills and low back pain are classic signs of a hemolytic transfusion reaction,
which is life-threatening. The transfusion must be stopped immediately to prevent further
reaction, and IV access maintained for emergency medications. Slowing or continuing can cause
acute kidney injury, DIC, or death.
Q5 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR COMPLEX PATIENTS
A nurse is caring for a patient with diabetes mellitus who is experiencing
diaphoresis, tachycardia, and confusion. The nurse suspects hypoglycemia.
Which action should the nurse take first?
A. Administer glucagon intramuscularly.
B. Check the blood glucose level immediately. CORRECT
C. Give 4 ounces of orange juice orally.
D. Start an IV infusion of D50W.
RATIONALE: The priority is to confirm hypoglycemia with a blood glucose measurement, as
these symptoms can also occur in other conditions. However, if the patient is unconscious or
unable to swallow, the nurse would give glucagon or IV dextrose. In a conscious patient,
checking the glucose first is standard; if it is low, oral glucose is given. The question asks for the
first action, which is to check the glucose.
Page 4
