NSG 202 EXAM 2 PRACTICE EXAM – QUESTIONS AND ANSWERS | VERIFIED AND
WELL DETAILED ANSWERS | PLUS RATIONALES | DOWNLOAD AND PASS |
LATEST EXAM UPDATE 2026/2027
Core Domains
Foundational Nursing Theory and Practice
Health Assessment and Physical Examination
Pharmacology and Medication Administration
Medical-Surgical Nursing and Pathophysiology
Maternal and Pediatric Nursing
Mental Health Nursing
Community and Public Health Nursing
Nursing Ethics, Law, and Regulatory Compliance
Leadership, Management, and Delegation
Critical Thinking and Clinical Decision-Making
Introduction
This comprehensive examination is designed to assess the knowledge, clinical
reasoning, and professional judgment of nursing students preparing for advanced
practice. It evaluates competency across foundational theory, applied professional
knowledge, regulatory compliance, ethical standards, and real-world clinical
scenarios. The exam utilizes multiple-choice and scenario-based questions to
simulate the complexities of modern healthcare environments. Emphasis is placed on
safe decision-making, prioritization, and the application of evidence-based practice.
This assessment ensures candidates are prepared to deliver high-quality, patient-
centered care while adhering to legal and professional nursing standards in diverse
healthcare settings.
SECTION ONE: QUESTIONS 1–50
,1. A nurse is reviewing the principles of beneficence. Which action best
demonstrates this ethical principle?
A. Respecting a patient's right to refuse treatment
B. Providing equitable care to all patients regardless of ability to pay
C. Administering pain medication to a patient in severe distress
D. Disclosing a medication error to the patient and healthcare team
🟢 Correct Answer: C. Administering pain medication to a patient in severe distress
🔴 Explanation: Beneficence is the ethical principle of doing good and acting in the
patient's best interest. Relieving pain and suffering directly promotes the patient's
well-being. Option A reflects autonomy, B reflects justice, and D reflects veracity
and fidelity.
2. Which assessment finding should a nurse prioritize when caring for a client
immediately following a cardiac catheterization?
A. Complaint of mild headache
B. Bruit heard over the femoral artery
C. Small bruise at the insertion site
D. Decreased pedal pulse on the affected extremity
🟢 Correct Answer: D. Decreased pedal pulse on the affected extremity
🔴 Explanation: A decreased pedal pulse indicates possible arterial occlusion or
hematoma formation, which is a critical emergency requiring immediate
intervention. Headache and small bruising are common and non-urgent. A bruit
may be normal but requires monitoring.
3. A nurse is preparing to administer digoxin to a client with heart failure. Which
assessment finding should the nurse report before administering the
medication?
,A. Heart rate of 58 beats per minute
B. Blood pressure of 118/76 mm Hg
C. Potassium level of 4.2 mEq/L
D. Respiratory rate of 18 breaths per minute
🟢 Correct Answer: A. Heart rate of 58 beats per minute
🔴 Explanation: Digoxin should be withheld if the apical pulse is below 60 beats
per minute in adults due to the risk of bradycardia and heart block. The other
values are within normal limits and do not contraindicate administration.
4. Which statement by a new nurse indicates a correct understanding of the
principle of autonomy?
A. "I will make sure the patient receives the best treatment regardless of cost."
B. "I will respect the patient's decision to refuse surgery even if I disagree."
C. "I will treat all patients equally without regard to their background."
D. "I will always tell the patient the truth about their diagnosis."
🟢 Correct Answer: B. "I will respect the patient's decision to refuse surgery even if
I disagree."
🔴 Explanation: Autonomy is the patient's right to make decisions about their own
healthcare. Respecting a refusal of treatment, even if the nurse disagrees, upholds
this principle. Option A reflects beneficence, C reflects justice, and D reflects
veracity.
5. A client with a new colostomy is being taught about dietary management.
Which food should the nurse instruct the client to avoid to prevent odor?
A. Yogurt
B. Parsley
C. Eggs
D. Buttermilk
, 🟢 Correct Answer: C. Eggs
🔴 Explanation: Eggs are known to produce odor in colostomy output. Yogurt,
parsley, and buttermilk are often recommended to help control odor. The nurse
should teach the client about foods that increase odor, such as eggs, fish, and
asparagus.
6. A nurse is assessing a client with suspected fluid volume deficit. Which finding
is most consistent with this condition?
A. Bounding pulse
B. Crackles in the lungs
C. Decreased urine specific gravity
D. Postural hypotension
🟢 Correct Answer: D. Postural hypotension
🔴 Explanation: Fluid volume deficit leads to decreased intravascular volume,
causing orthostatic (postural) hypotension. Bounding pulse and crackles indicate
fluid excess. Decreased urine specific gravity is associated with fluid overload, not
deficit.
7. A nurse is caring for a client receiving heparin therapy. Which laboratory value
should the nurse monitor to evaluate the effectiveness of the therapy?
A. Prothrombin time (PT)
B. International normalized ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Platelet count
🟢 Correct Answer: C. Activated partial thromboplastin time (aPTT)
🔴 Explanation: Heparin therapy is monitored using the aPTT, which should be 1.5
to 2.5 times the control value. PT and INR are used to monitor warfarin therapy.
WELL DETAILED ANSWERS | PLUS RATIONALES | DOWNLOAD AND PASS |
LATEST EXAM UPDATE 2026/2027
Core Domains
Foundational Nursing Theory and Practice
Health Assessment and Physical Examination
Pharmacology and Medication Administration
Medical-Surgical Nursing and Pathophysiology
Maternal and Pediatric Nursing
Mental Health Nursing
Community and Public Health Nursing
Nursing Ethics, Law, and Regulatory Compliance
Leadership, Management, and Delegation
Critical Thinking and Clinical Decision-Making
Introduction
This comprehensive examination is designed to assess the knowledge, clinical
reasoning, and professional judgment of nursing students preparing for advanced
practice. It evaluates competency across foundational theory, applied professional
knowledge, regulatory compliance, ethical standards, and real-world clinical
scenarios. The exam utilizes multiple-choice and scenario-based questions to
simulate the complexities of modern healthcare environments. Emphasis is placed on
safe decision-making, prioritization, and the application of evidence-based practice.
This assessment ensures candidates are prepared to deliver high-quality, patient-
centered care while adhering to legal and professional nursing standards in diverse
healthcare settings.
SECTION ONE: QUESTIONS 1–50
,1. A nurse is reviewing the principles of beneficence. Which action best
demonstrates this ethical principle?
A. Respecting a patient's right to refuse treatment
B. Providing equitable care to all patients regardless of ability to pay
C. Administering pain medication to a patient in severe distress
D. Disclosing a medication error to the patient and healthcare team
🟢 Correct Answer: C. Administering pain medication to a patient in severe distress
🔴 Explanation: Beneficence is the ethical principle of doing good and acting in the
patient's best interest. Relieving pain and suffering directly promotes the patient's
well-being. Option A reflects autonomy, B reflects justice, and D reflects veracity
and fidelity.
2. Which assessment finding should a nurse prioritize when caring for a client
immediately following a cardiac catheterization?
A. Complaint of mild headache
B. Bruit heard over the femoral artery
C. Small bruise at the insertion site
D. Decreased pedal pulse on the affected extremity
🟢 Correct Answer: D. Decreased pedal pulse on the affected extremity
🔴 Explanation: A decreased pedal pulse indicates possible arterial occlusion or
hematoma formation, which is a critical emergency requiring immediate
intervention. Headache and small bruising are common and non-urgent. A bruit
may be normal but requires monitoring.
3. A nurse is preparing to administer digoxin to a client with heart failure. Which
assessment finding should the nurse report before administering the
medication?
,A. Heart rate of 58 beats per minute
B. Blood pressure of 118/76 mm Hg
C. Potassium level of 4.2 mEq/L
D. Respiratory rate of 18 breaths per minute
🟢 Correct Answer: A. Heart rate of 58 beats per minute
🔴 Explanation: Digoxin should be withheld if the apical pulse is below 60 beats
per minute in adults due to the risk of bradycardia and heart block. The other
values are within normal limits and do not contraindicate administration.
4. Which statement by a new nurse indicates a correct understanding of the
principle of autonomy?
A. "I will make sure the patient receives the best treatment regardless of cost."
B. "I will respect the patient's decision to refuse surgery even if I disagree."
C. "I will treat all patients equally without regard to their background."
D. "I will always tell the patient the truth about their diagnosis."
🟢 Correct Answer: B. "I will respect the patient's decision to refuse surgery even if
I disagree."
🔴 Explanation: Autonomy is the patient's right to make decisions about their own
healthcare. Respecting a refusal of treatment, even if the nurse disagrees, upholds
this principle. Option A reflects beneficence, C reflects justice, and D reflects
veracity.
5. A client with a new colostomy is being taught about dietary management.
Which food should the nurse instruct the client to avoid to prevent odor?
A. Yogurt
B. Parsley
C. Eggs
D. Buttermilk
, 🟢 Correct Answer: C. Eggs
🔴 Explanation: Eggs are known to produce odor in colostomy output. Yogurt,
parsley, and buttermilk are often recommended to help control odor. The nurse
should teach the client about foods that increase odor, such as eggs, fish, and
asparagus.
6. A nurse is assessing a client with suspected fluid volume deficit. Which finding
is most consistent with this condition?
A. Bounding pulse
B. Crackles in the lungs
C. Decreased urine specific gravity
D. Postural hypotension
🟢 Correct Answer: D. Postural hypotension
🔴 Explanation: Fluid volume deficit leads to decreased intravascular volume,
causing orthostatic (postural) hypotension. Bounding pulse and crackles indicate
fluid excess. Decreased urine specific gravity is associated with fluid overload, not
deficit.
7. A nurse is caring for a client receiving heparin therapy. Which laboratory value
should the nurse monitor to evaluate the effectiveness of the therapy?
A. Prothrombin time (PT)
B. International normalized ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Platelet count
🟢 Correct Answer: C. Activated partial thromboplastin time (aPTT)
🔴 Explanation: Heparin therapy is monitored using the aPTT, which should be 1.5
to 2.5 times the control value. PT and INR are used to monitor warfarin therapy.
