NUR 325 EXAM 2 (ASU) NEWEST 2026/ 2027 ACTUAL EXAM TEST BANK
NUR325 HEALTH AND ILLNESS CONCEPTS I EXAM 2 REVIEW WITH
COMPLETE 300 REAL EXAM QUESTIONS AND CORRECT VERIFIED
140 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply critical thinking to prioritize nursing interventions in complex clinical scenarios
2 Integrate knowledge of pharmacology, lab values, and pathophysiology into safe patient care
3 Evaluate the effectiveness of nursing interventions and adjust care plans based on patient responses
4 NUR 325 EXAM 2
5 NEWEST 2026
6 2027 ACTUAL EXAM TEST BANK NUR325 HEALTH AND ILLNESS CONCEPTS I EXAM 2 REVIEW
WITH COMPLETE 300 REAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS
7 ALREADY GRADED A+
8 MOST RECENT!!
9 Foundations of Health and Illness Concepts I (NUR 325)
10 Applied Health and Illness Concepts I (NUR 325)
11 Advanced Health and Illness Concepts I (NUR 325)
12 Health and Illness Concepts I (NUR 325) Review
ABSTRACT
Page 1
,This study document brings together 140 carefully worded exam questions drawn from NUR 325
EXAM 2 (ASU) NEWEST 2026/ 2027 ACTUAL EXAM TEST BANK NUR325 HEALTH AND
ILLNESS CONCEPTS I EXAM 2 REVIEW WITH COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!), with the strongest
emphasis placed on Apply critical thinking to prioritize nursing interventions in complex clinical
scenarios, Integrate knowledge of pharmacology, lab values, and pathophysiology into safe patient
care and Evaluate the effectiveness of nursing interventions and adjust care plans based on
patient responses. 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 CRITICAL THINKING TO PRIORITIZE NURSING INTERVENTIONS IN COMPLEX
CLINICAL SCENARIOS
A patient with chronic kidney disease (Stage 4) is prescribed spironolactone.
Which laboratory finding would necessitate withholding the medication and
notifying the provider?
A. Potassium 5.8 mEq/L CORRECT
B. BUN 45 mg/dL
C. Creatinine 2.1 mg/dL
D. GFR 25 mL/min
RATIONALE: Spironolactone is a potassium-sparing diuretic; hyperkalemia (K+ >5.5) is a
contraindication. Elevated BUN, creatinine, or reduced GFR indicate renal impairment but do not
alone require withholding unless potassium is elevated. The drug can worsen hyperkalemia,
leading to cardiac arrhythmias.
Page 2
,Q2 APPLY CRITICAL THINKING TO PRIORITIZE NURSING INTERVENTIONS IN COMPLEX
CLINICAL SCENARIOS
In a patient with acute decompensated heart failure, which hemodynamic
parameter best indicates that intravenous nitroprusside is achieving its
therapeutic goal?
A. Decrease in systemic vascular resistance (SVR) to 800-1200 dynes/sec/cm^-5
B. Increase in cardiac output to 4-8 L/min
C. Reduction in pulmonary capillary wedge pressure (PCWP) below 18 mm Hg CORRECT
D. Mean arterial pressure (MAP) maintained at 60-65 mm Hg
RATIONALE: Nitroprusside is a vasodilator that reduces preload and afterload; therapeutic goal
is to reduce PCWP (preload) to <18 mm Hg in heart failure. While SVR reduction and CO
increase are expected, PCWP reduction is the direct marker of improved congestion. MAP
maintenance is a safety parameter, not a therapeutic goal.
Q3 APPLY CRITICAL THINKING TO PRIORITIZE NURSING INTERVENTIONS IN COMPLEX
CLINICAL SCENARIOS
A patient on a continuous heparin infusion has an aPTT of 90 seconds. The nurse
notes new hematuria. What is the priority nursing action?
A. Administer protamine sulfate
B. Stop the heparin infusion CORRECT
C. Decrease the infusion rate by 100 units/hr
D. Obtain a stat complete blood count (CBC)
RATIONALE: Hematuria with aPTT >90 indicates heparin overdose and bleeding risk. The
immediate action is to stop the infusion to prevent further bleeding. Protamine is an antidote but
requires a provider order; decreasing rate may not be sufficient. CBC is important but not the
priority over stopping the drug.
Page 3
, Q4 APPLY CRITICAL THINKING TO PRIORITIZE NURSING INTERVENTIONS IN COMPLEX
CLINICAL SCENARIOS
Which finding in a patient with syndrome of inappropriate antidiuretic hormone
(SIADH) would indicate that fluid restriction is effective?
A. Urine sodium 20 mEq/L
B. Serum sodium 135 mEq/L CORRECT
C. Urine specific gravity 1.020
D. Body weight increase of 0.5 kg/day
RATIONALE: Effective fluid restriction in SIADH leads to a rise in serum sodium toward normal
(135-145 mEq/L). Urine sodium and specific gravity may remain elevated due to ADH excess;
weight gain indicates fluid retention, not resolution.
Q5 APPLY CRITICAL THINKING TO PRIORITIZE NURSING INTERVENTIONS IN COMPLEX
CLINICAL SCENARIOS
A patient with type 2 diabetes is started on metformin. Which instruction is
essential to prevent a life-threatening adverse effect?
A. Take the medication with meals to reduce GI upset
B. Report any episode of severe diarrhea or vomiting
C. Discontinue the drug before any imaging with iodinated contrast CORRECT
D. Monitor blood glucose levels twice daily
RATIONALE: Metformin can cause lactic acidosis, especially in renal impairment; iodinated
contrast can precipitate acute kidney injury. Therefore, metformin must be held before and after
contrast procedures. Taking with meals reduces GI upset, and reporting diarrhea/vomiting is
important but not as critical as the contrast precaution.
Page 4
NUR325 HEALTH AND ILLNESS CONCEPTS I EXAM 2 REVIEW WITH
COMPLETE 300 REAL EXAM QUESTIONS AND CORRECT VERIFIED
140 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply critical thinking to prioritize nursing interventions in complex clinical scenarios
2 Integrate knowledge of pharmacology, lab values, and pathophysiology into safe patient care
3 Evaluate the effectiveness of nursing interventions and adjust care plans based on patient responses
4 NUR 325 EXAM 2
5 NEWEST 2026
6 2027 ACTUAL EXAM TEST BANK NUR325 HEALTH AND ILLNESS CONCEPTS I EXAM 2 REVIEW
WITH COMPLETE 300 REAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS
7 ALREADY GRADED A+
8 MOST RECENT!!
9 Foundations of Health and Illness Concepts I (NUR 325)
10 Applied Health and Illness Concepts I (NUR 325)
11 Advanced Health and Illness Concepts I (NUR 325)
12 Health and Illness Concepts I (NUR 325) Review
ABSTRACT
Page 1
,This study document brings together 140 carefully worded exam questions drawn from NUR 325
EXAM 2 (ASU) NEWEST 2026/ 2027 ACTUAL EXAM TEST BANK NUR325 HEALTH AND
ILLNESS CONCEPTS I EXAM 2 REVIEW WITH COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!), with the strongest
emphasis placed on Apply critical thinking to prioritize nursing interventions in complex clinical
scenarios, Integrate knowledge of pharmacology, lab values, and pathophysiology into safe patient
care and Evaluate the effectiveness of nursing interventions and adjust care plans based on
patient responses. 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 CRITICAL THINKING TO PRIORITIZE NURSING INTERVENTIONS IN COMPLEX
CLINICAL SCENARIOS
A patient with chronic kidney disease (Stage 4) is prescribed spironolactone.
Which laboratory finding would necessitate withholding the medication and
notifying the provider?
A. Potassium 5.8 mEq/L CORRECT
B. BUN 45 mg/dL
C. Creatinine 2.1 mg/dL
D. GFR 25 mL/min
RATIONALE: Spironolactone is a potassium-sparing diuretic; hyperkalemia (K+ >5.5) is a
contraindication. Elevated BUN, creatinine, or reduced GFR indicate renal impairment but do not
alone require withholding unless potassium is elevated. The drug can worsen hyperkalemia,
leading to cardiac arrhythmias.
Page 2
,Q2 APPLY CRITICAL THINKING TO PRIORITIZE NURSING INTERVENTIONS IN COMPLEX
CLINICAL SCENARIOS
In a patient with acute decompensated heart failure, which hemodynamic
parameter best indicates that intravenous nitroprusside is achieving its
therapeutic goal?
A. Decrease in systemic vascular resistance (SVR) to 800-1200 dynes/sec/cm^-5
B. Increase in cardiac output to 4-8 L/min
C. Reduction in pulmonary capillary wedge pressure (PCWP) below 18 mm Hg CORRECT
D. Mean arterial pressure (MAP) maintained at 60-65 mm Hg
RATIONALE: Nitroprusside is a vasodilator that reduces preload and afterload; therapeutic goal
is to reduce PCWP (preload) to <18 mm Hg in heart failure. While SVR reduction and CO
increase are expected, PCWP reduction is the direct marker of improved congestion. MAP
maintenance is a safety parameter, not a therapeutic goal.
Q3 APPLY CRITICAL THINKING TO PRIORITIZE NURSING INTERVENTIONS IN COMPLEX
CLINICAL SCENARIOS
A patient on a continuous heparin infusion has an aPTT of 90 seconds. The nurse
notes new hematuria. What is the priority nursing action?
A. Administer protamine sulfate
B. Stop the heparin infusion CORRECT
C. Decrease the infusion rate by 100 units/hr
D. Obtain a stat complete blood count (CBC)
RATIONALE: Hematuria with aPTT >90 indicates heparin overdose and bleeding risk. The
immediate action is to stop the infusion to prevent further bleeding. Protamine is an antidote but
requires a provider order; decreasing rate may not be sufficient. CBC is important but not the
priority over stopping the drug.
Page 3
, Q4 APPLY CRITICAL THINKING TO PRIORITIZE NURSING INTERVENTIONS IN COMPLEX
CLINICAL SCENARIOS
Which finding in a patient with syndrome of inappropriate antidiuretic hormone
(SIADH) would indicate that fluid restriction is effective?
A. Urine sodium 20 mEq/L
B. Serum sodium 135 mEq/L CORRECT
C. Urine specific gravity 1.020
D. Body weight increase of 0.5 kg/day
RATIONALE: Effective fluid restriction in SIADH leads to a rise in serum sodium toward normal
(135-145 mEq/L). Urine sodium and specific gravity may remain elevated due to ADH excess;
weight gain indicates fluid retention, not resolution.
Q5 APPLY CRITICAL THINKING TO PRIORITIZE NURSING INTERVENTIONS IN COMPLEX
CLINICAL SCENARIOS
A patient with type 2 diabetes is started on metformin. Which instruction is
essential to prevent a life-threatening adverse effect?
A. Take the medication with meals to reduce GI upset
B. Report any episode of severe diarrhea or vomiting
C. Discontinue the drug before any imaging with iodinated contrast CORRECT
D. Monitor blood glucose levels twice daily
RATIONALE: Metformin can cause lactic acidosis, especially in renal impairment; iodinated
contrast can precipitate acute kidney injury. Therefore, metformin must be held before and after
contrast procedures. Taking with meals reduces GI upset, and reporting diarrhea/vomiting is
important but not as critical as the contrast precaution.
Page 4
