NUR 185 FINAL EXAM TERM 4 2026/2027 | NURSING QUESTIONS & ANSWERS | COM…
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
NUR 185 Final Exam Term 4
2026/2027 | Nursing
Questions & Answers |
Comprehensive Final
Review (Rationales)
Verified Answers Exam Ready With Rationales 61 QUESTIONS
DOCUMENT OVERVIEW
This document provides 61 comprehensive nursing review questions, complete with
correct answers and detailed rationales. It covers a broad spectrum of clinical nursing
knowledge, making it an invaluable resource for in-depth study, final exam preparation, and
certification review.
TOPICS
Cardiovascular & Pulmonary Q1–Q15
Gastrointestinal & Oncology Q16–Q24
Pharmacology & Therapeutics Q25–Q36
Safety & Assessment Q37–Q48
Metabolic & Endocrine Q49–Q51
Laboratory Values & Diagnostics Q52–Q61
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 61
Patient with CHF, what lab value would you pay attention to?
RESPONSE
Potassium
RATIONALE
Congestive heart failure (CHF) management often involves diuretics that can affect electrolyte
balance. Monitoring potassium is crucial because imbalances, particularly hypokalemia, can
precipitate serious cardiac arrhythmias, which are a significant complication in CHF patients.
Q2 QUESTION 2 OF 61
Patient with stroke and R sided vision loss. You plan to do which of the following?
RESPONSE
Teach the patient to scan the environment
RATIONALE
Right-sided vision loss, often due to a stroke affecting the left hemisphere, causes hemianopsia. To
compensate for this visual field deficit, patients must be taught compensatory scanning
techniques to perceive their surroundings and promote safety. This strategy helps them identify
potential hazards and objects in their environment.
Q3 QUESTION 3 OF 61
Patient has upper GI bleeding and in moderate distress. What is your first priority?
RESPONSE
Obtain and evaluate vital signs
Page 2
, RATIONALE
In upper gastrointestinal bleeding, hemodynamic instability is a primary concern. Rapid
assessment of vital signs provides immediate objective data on the patient's circulatory status and
severity of blood loss. This information guides further interventions to stabilize the patient.
Q4 QUESTION 4 OF 61
You have a patient with pulmonary edema about to be discharged. What would you tell them
to manage and prevent complications?
RESPONSE
Daily weights
RATIONALE
Monitoring daily weight is a crucial indicator of fluid balance in patients with conditions like
pulmonary edema. A sudden increase in weight often signifies fluid retention, which can precede or
worsen pulmonary congestion. Instructing patients on this practice empowers them to detect early
signs of fluid overload and seek timely medical intervention.
Q5 QUESTION 5 OF 61
You have a patient that just vomited coffee ground emesis. 350 ML on the floor. (indicative of
GI bleed) on the cardiac floor on heparin drip. What are you going to do?
RESPONSE
Stop the heparin drip, give vitals, and provide emotional support (one answer)
RATIONALE
Coffee-ground emesis signifies digested blood from an upper gastrointestinal bleed, indicating
active hemorrhage. Heparin is an anticoagulant, and its continuation with active bleeding increases
hemorrhage risk. Therefore, immediately discontinuing the heparin infusion, assessing vital signs
to monitor hemodynamic stability, and offering emotional support are priority nursing actions.
Q6 QUESTION 6 OF 61
Patient admitted to ED with chest pain. They have several coronary artery risk factors. What
will you implement?
Page 3
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
NUR 185 Final Exam Term 4
2026/2027 | Nursing
Questions & Answers |
Comprehensive Final
Review (Rationales)
Verified Answers Exam Ready With Rationales 61 QUESTIONS
DOCUMENT OVERVIEW
This document provides 61 comprehensive nursing review questions, complete with
correct answers and detailed rationales. It covers a broad spectrum of clinical nursing
knowledge, making it an invaluable resource for in-depth study, final exam preparation, and
certification review.
TOPICS
Cardiovascular & Pulmonary Q1–Q15
Gastrointestinal & Oncology Q16–Q24
Pharmacology & Therapeutics Q25–Q36
Safety & Assessment Q37–Q48
Metabolic & Endocrine Q49–Q51
Laboratory Values & Diagnostics Q52–Q61
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 61
Patient with CHF, what lab value would you pay attention to?
RESPONSE
Potassium
RATIONALE
Congestive heart failure (CHF) management often involves diuretics that can affect electrolyte
balance. Monitoring potassium is crucial because imbalances, particularly hypokalemia, can
precipitate serious cardiac arrhythmias, which are a significant complication in CHF patients.
Q2 QUESTION 2 OF 61
Patient with stroke and R sided vision loss. You plan to do which of the following?
RESPONSE
Teach the patient to scan the environment
RATIONALE
Right-sided vision loss, often due to a stroke affecting the left hemisphere, causes hemianopsia. To
compensate for this visual field deficit, patients must be taught compensatory scanning
techniques to perceive their surroundings and promote safety. This strategy helps them identify
potential hazards and objects in their environment.
Q3 QUESTION 3 OF 61
Patient has upper GI bleeding and in moderate distress. What is your first priority?
RESPONSE
Obtain and evaluate vital signs
Page 2
, RATIONALE
In upper gastrointestinal bleeding, hemodynamic instability is a primary concern. Rapid
assessment of vital signs provides immediate objective data on the patient's circulatory status and
severity of blood loss. This information guides further interventions to stabilize the patient.
Q4 QUESTION 4 OF 61
You have a patient with pulmonary edema about to be discharged. What would you tell them
to manage and prevent complications?
RESPONSE
Daily weights
RATIONALE
Monitoring daily weight is a crucial indicator of fluid balance in patients with conditions like
pulmonary edema. A sudden increase in weight often signifies fluid retention, which can precede or
worsen pulmonary congestion. Instructing patients on this practice empowers them to detect early
signs of fluid overload and seek timely medical intervention.
Q5 QUESTION 5 OF 61
You have a patient that just vomited coffee ground emesis. 350 ML on the floor. (indicative of
GI bleed) on the cardiac floor on heparin drip. What are you going to do?
RESPONSE
Stop the heparin drip, give vitals, and provide emotional support (one answer)
RATIONALE
Coffee-ground emesis signifies digested blood from an upper gastrointestinal bleed, indicating
active hemorrhage. Heparin is an anticoagulant, and its continuation with active bleeding increases
hemorrhage risk. Therefore, immediately discontinuing the heparin infusion, assessing vital signs
to monitor hemodynamic stability, and offering emotional support are priority nursing actions.
Q6 QUESTION 6 OF 61
Patient admitted to ED with chest pain. They have several coronary artery risk factors. What
will you implement?
Page 3
