COMPREHENSIVE EXAM REVIEW
FOR NU 180 EXAM 2, VATI
MED-SURG, & NSG 432 EXAM 1 |
LATEST MOCK PRACTICE SET
199 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
COMPREHENSIVE EXAM REVIEW FOR NU 180 EXAM 2, VATI MED-SURG, & NSG 432 EXAM 1 | 100%
VERIFIED SOLUTIONS WITH DETAILED RATIONALES | ALREADY GRADED A+.. It contains 199 carefully
selected questions that reflect the most current exam content and testing strategies. Each question is
accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 199 Questions
Foundations - Application - Comprehensive Review FOR NU 180 2 VATI Med-surg & NSG 432 1 100
Solutions WITH Detailed Rationales Already A Nursing Medical-surgical Critical CARE Pharmacology
Undergraduate YEAR 3 / Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Comprehensive Review FOR 1-34 Acute, Finding, Syndrome, Immediate, Indicates
NU 180 2 VATI Med-surg &
NSG 432 1 100 Solutions
WITH Detailed Rationales
Already A Nursing
Medical-surgical Critical
CARE Pharmacology
Undergraduate YEAR 3 /
Graduate
Acute 35-68 Finding, Medication, Indicates, Appropriate, Chronic
Indicates 69-102 Finding, Intervention, Acute, Chronic, Kidney
Intervention 103-136 Finding, Acute, Develops, Prescribed, Chronic
Kidney 137-170 Finding, Indicates, Acute, Laboratory, Prescribed
Appropriate 171-199 Acute, Finding, Develops, Intervention, Receiving
TOTAL 199 All questions include answers and detailed rationales
,Section A - Comprehensive Review FOR NU 180 2 VATI
Med-surg & NSG 432 1 100 Solutions WITH Detailed
Rationales Already A Nursing Medical-surgical Critical
CARE Pharmacology Undergraduate YEAR 3 / Graduate
Q1.
A patient with septic shock remains hypotensive despite adequate fluid resuscitation.
Which hemodynamic parameter indicates the need for vasopressor therapy rather than
additional fluids?
A. Cardiac index 2.2 L/min/m² with CVP 12 B. Systemic vascular resistance 900
mmHg dynes/sec/cm
C. Stroke volume variation 8% D. Pulmonary artery wedge pressure 18
mmHg
Correct: B - Systemic vascular resistance 900 dynes/sec/cm
Rationale:In septic shock, persistent hypotension with low SVR (<800 dynes/sec/cm { u)
indicates vasodilation, requiring vasopressors. High CVP/PAWP suggest fluid overload, not
hypovolemia. Low CI may need inotropes. Low SVV suggests adequate preload.
Q2.
Which medication requires the nurse to assess for concurrent use of a monoamine
oxidase inhibitor (MAOI) before administration, due to the risk of serotonin syndrome?
A. Ondansetron B. Metoclopramide
C. Meperidine D. Sumatriptan
Correct: C - Meperidine
Rationale:Meperidine has serotonergic activity and can precipitate serotonin syndrome when
combined with MAOIs. Ondansetron and sumatriptan also have some risk, but meperidine is
absolutely contraindicated. Metoclopramide is less associated.
Q3.
A patient with chronic kidney disease is prescribed enoxaparin for DVT prophylaxis.
Which finding warrants immediate notification of the provider?
A. Platelet count of 150,000/mm³ B. Serum creatinine of 2.8 mg/dL
C. Activated partial thromboplastin time of D. Weight of 70 kg
35 seconds
Page 3
, Section A - Comprehensive Review FOR NU 180 2 VATI Med-surg & NSG 432 1 100 Solutions WITH Detailed Rationales Already A Nursing
Medical-surgical Critical CARE Pharmacology Undergraduate YEAR 3 / Graduate
Correct: B - Serum creatinine of 2.8 mg/dL
Rationale:Enoxaparin is renally cleared; in CKD (Cr >2.5 mg/dL), dose adjustment or
alternative anticoagulation is needed to avoid accumulation and bleeding. Platelet count 150k
is low but not critical. aPTT not used for monitoring LMWH. Weight is within normal.
Q4.
Which assessment finding in a patient with acute pancreatitis indicates the highest risk
for developing acute respiratory distress syndrome (ARDS)?
A. Oxygen saturation 94% on room air B. Crackles in lung bases
C. Respiratory rate 28 breaths/min with use D. Arterial blood gas showing mild
of accessory muscles respiratory alkalosis
Correct: C - Respiratory rate 28 breaths/min with use of accessory muscles
Rationale:Tachypnea with accessory muscle use suggests respiratory distress and
impending ARDS. Crackles may be from atelectasis or fluid overload. Mild hypoxemia and
alkalosis are early, but the clinical distress is more concerning.
Q5.
A patient with heart failure is receiving furosemide 80 mg IV push. Which laboratory value
requires immediate intervention?
A. Potassium 3.2 mEq/L B. Sodium 135 mEq/L
C. Magnesium 2.0 mEq/L D. Calcium 9.0 mg/dL
Correct: A - Potassium 3.2 mEq/L
Rationale:Hypokalemia (K <3.5) predisposes to digoxin toxicity and lethal arrhythmias,
especially with loop diuretics. Sodium 135 is borderline low. Magnesium and calcium are
normal.
Q6.
Which assessment finding is most indicative of cardiac tamponade in a patient who
underwent coronary artery bypass grafting 4 hours ago?
A. Chest tube drainage of 100 mL over the B. Muffled heart sounds and hypotension
last hour with narrow pulse pressure
C. Jugular venous distention and peripheral D. Sinus tachycardia at 110 beats per
edema minute
Correct: B - Muffled heart sounds and hypotension with narrow pulse pressure
Page 4
FOR NU 180 EXAM 2, VATI
MED-SURG, & NSG 432 EXAM 1 |
LATEST MOCK PRACTICE SET
199 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
COMPREHENSIVE EXAM REVIEW FOR NU 180 EXAM 2, VATI MED-SURG, & NSG 432 EXAM 1 | 100%
VERIFIED SOLUTIONS WITH DETAILED RATIONALES | ALREADY GRADED A+.. It contains 199 carefully
selected questions that reflect the most current exam content and testing strategies. Each question is
accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 199 Questions
Foundations - Application - Comprehensive Review FOR NU 180 2 VATI Med-surg & NSG 432 1 100
Solutions WITH Detailed Rationales Already A Nursing Medical-surgical Critical CARE Pharmacology
Undergraduate YEAR 3 / Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Comprehensive Review FOR 1-34 Acute, Finding, Syndrome, Immediate, Indicates
NU 180 2 VATI Med-surg &
NSG 432 1 100 Solutions
WITH Detailed Rationales
Already A Nursing
Medical-surgical Critical
CARE Pharmacology
Undergraduate YEAR 3 /
Graduate
Acute 35-68 Finding, Medication, Indicates, Appropriate, Chronic
Indicates 69-102 Finding, Intervention, Acute, Chronic, Kidney
Intervention 103-136 Finding, Acute, Develops, Prescribed, Chronic
Kidney 137-170 Finding, Indicates, Acute, Laboratory, Prescribed
Appropriate 171-199 Acute, Finding, Develops, Intervention, Receiving
TOTAL 199 All questions include answers and detailed rationales
,Section A - Comprehensive Review FOR NU 180 2 VATI
Med-surg & NSG 432 1 100 Solutions WITH Detailed
Rationales Already A Nursing Medical-surgical Critical
CARE Pharmacology Undergraduate YEAR 3 / Graduate
Q1.
A patient with septic shock remains hypotensive despite adequate fluid resuscitation.
Which hemodynamic parameter indicates the need for vasopressor therapy rather than
additional fluids?
A. Cardiac index 2.2 L/min/m² with CVP 12 B. Systemic vascular resistance 900
mmHg dynes/sec/cm
C. Stroke volume variation 8% D. Pulmonary artery wedge pressure 18
mmHg
Correct: B - Systemic vascular resistance 900 dynes/sec/cm
Rationale:In septic shock, persistent hypotension with low SVR (<800 dynes/sec/cm { u)
indicates vasodilation, requiring vasopressors. High CVP/PAWP suggest fluid overload, not
hypovolemia. Low CI may need inotropes. Low SVV suggests adequate preload.
Q2.
Which medication requires the nurse to assess for concurrent use of a monoamine
oxidase inhibitor (MAOI) before administration, due to the risk of serotonin syndrome?
A. Ondansetron B. Metoclopramide
C. Meperidine D. Sumatriptan
Correct: C - Meperidine
Rationale:Meperidine has serotonergic activity and can precipitate serotonin syndrome when
combined with MAOIs. Ondansetron and sumatriptan also have some risk, but meperidine is
absolutely contraindicated. Metoclopramide is less associated.
Q3.
A patient with chronic kidney disease is prescribed enoxaparin for DVT prophylaxis.
Which finding warrants immediate notification of the provider?
A. Platelet count of 150,000/mm³ B. Serum creatinine of 2.8 mg/dL
C. Activated partial thromboplastin time of D. Weight of 70 kg
35 seconds
Page 3
, Section A - Comprehensive Review FOR NU 180 2 VATI Med-surg & NSG 432 1 100 Solutions WITH Detailed Rationales Already A Nursing
Medical-surgical Critical CARE Pharmacology Undergraduate YEAR 3 / Graduate
Correct: B - Serum creatinine of 2.8 mg/dL
Rationale:Enoxaparin is renally cleared; in CKD (Cr >2.5 mg/dL), dose adjustment or
alternative anticoagulation is needed to avoid accumulation and bleeding. Platelet count 150k
is low but not critical. aPTT not used for monitoring LMWH. Weight is within normal.
Q4.
Which assessment finding in a patient with acute pancreatitis indicates the highest risk
for developing acute respiratory distress syndrome (ARDS)?
A. Oxygen saturation 94% on room air B. Crackles in lung bases
C. Respiratory rate 28 breaths/min with use D. Arterial blood gas showing mild
of accessory muscles respiratory alkalosis
Correct: C - Respiratory rate 28 breaths/min with use of accessory muscles
Rationale:Tachypnea with accessory muscle use suggests respiratory distress and
impending ARDS. Crackles may be from atelectasis or fluid overload. Mild hypoxemia and
alkalosis are early, but the clinical distress is more concerning.
Q5.
A patient with heart failure is receiving furosemide 80 mg IV push. Which laboratory value
requires immediate intervention?
A. Potassium 3.2 mEq/L B. Sodium 135 mEq/L
C. Magnesium 2.0 mEq/L D. Calcium 9.0 mg/dL
Correct: A - Potassium 3.2 mEq/L
Rationale:Hypokalemia (K <3.5) predisposes to digoxin toxicity and lethal arrhythmias,
especially with loop diuretics. Sodium 135 is borderline low. Magnesium and calcium are
normal.
Q6.
Which assessment finding is most indicative of cardiac tamponade in a patient who
underwent coronary artery bypass grafting 4 hours ago?
A. Chest tube drainage of 100 mL over the B. Muffled heart sounds and hypotension
last hour with narrow pulse pressure
C. Jugular venous distention and peripheral D. Sinus tachycardia at 110 beats per
edema minute
Correct: B - Muffled heart sounds and hypotension with narrow pulse pressure
Page 4
