P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NSG 210 Exam 2 2026/2027 |
Updated Nursing Questions
& Answers | Exam-Focused
Review (Rationales)
Verified Answers Exam Ready With Rationales 93 QUESTIONS
DOCUMENT OVERVIEW
This document provides 93 nursing exam questions, complete with correct answers and
detailed rationales, focusing on core medical-surgical nursing principles. It is suitable for
study, review, and certification preparation, offering a comprehensive and efficient way to
master essential nursing knowledge.
TOPICS
Heart Failure Pathophysiology & Assessment Q1–Q13
Heart Failure Management & Pharmacology Q14–Q35
Lipid Management Q36–Q39
Tuberculosis Pathophysiology & Assessment Q40–Q74
Cystic Fibrosis Pathophysiology & Assessment Q75–Q81
Cystic Fibrosis Management & Genetics Q82–Q93
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, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 93
left vs right heart failure
RESPONSE
left: failure of left ventricle to pump out blood and meet demands of tissues OR failure to pump
out all blood leading to back up into the lungs
right: failure of right ventricle to pump to left side = accumulation of fluid/blood in periphery
RATIONALE
Left heart failure occurs when the left ventricle cannot adequately pump blood to systemic
circulation, leading to pulmonary congestion. Right heart failure results from the right ventricle's
inability to effectively pump blood to the lungs, causing peripheral venous congestion and fluid
accumulation.
Q2 QUESTION 2 OF 93
4 stages of heart failure
RESPONSE
Class 1: at risk
Class 2/3: current/prior symptoms
Class 4: end stage
RATIONALE
Heart failure staging categorizes patients based on risk and symptom severity. Class I identifies
individuals at risk without symptoms, while Classes II and III indicate current or prior symptomatic
disease. Class IV signifies advanced, end-stage heart failure requiring specialized management.
Q3 QUESTION 3 OF 93
BNP panic value
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, RESPONSE
>400
significant for heart failure
RATIONALE
B-type natriuretic peptide (BNP) levels exceeding 400 pg/mL are considered a panic value, strongly
indicating decompensated heart failure. This elevation reflects increased ventricular stretch and
wall tension, leading to the release of BNP from cardiomyocytes as a compensatory mechanism.
Q4 QUESTION 4 OF 93
Normal H & H
RESPONSE
Hct men >40%, women >36%
Hgb men 14.0 or greater, women 12.0 or greater
RATIONALE
Hematocrit (Hct) and Hemoglobin (Hgb) are key indicators of red blood cell concentration and
oxygen-carrying capacity. Normal Hct values are generally considered above 40% for males and
36% for females, while normal Hgb levels are 14.0 g/dL or greater for males and 12.0 g/dL or greater
for females.
Q5 QUESTION 5 OF 93
S/S of left sided heart failure
RESPONSE
L=Lungs
-Pulmonary congestion
-dyspnea
-cough
-blood-tinged frothy sputum
-paroxysmal nocturnal dyspnea
-arm heaviness
-fatigue/weakness
-chest pain and palpitations
-S3
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, RATIONALE
Left-sided heart failure results in reduced forward flow, causing blood to back up into the
pulmonary circulation. This leads to symptoms such as pulmonary congestion, dyspnea, cough with
frothy sputum, and paroxysmal nocturnal dyspnea. Associated systemic effects include fatigue,
chest pain, and the characteristic S3 heart sound.
Q6 QUESTION 6 OF 93
S/S of right sided heart failure
RESPONSE
-Jugular vein distention
-Anorexia
-N/V
-Abdominal distention
-Ascites
-Hepatomegaly
-Dependent edema, peripheral edema
-Weight gain
RATIONALE
Right-sided heart failure impairs the heart's ability to pump blood into the pulmonary circulation,
leading to systemic venous congestion. This congestion manifests as jugular vein distention,
peripheral and dependent edema, and ascites due to fluid accumulation in body cavities.
Gastrointestinal symptoms like anorexia, nausea, vomiting, abdominal distention, and
hepatomegaly also occur from venous engorgement.
Q7 QUESTION 7 OF 93
Priority assessments for HF
RESPONSE
Respiratory, cardiac, urinary
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