NRSG 3420 NURSING CARE OF
ADULTS 2 EXAM 3 (NORTHEASTERN)
LATEST 2026/2027 TEST BANK |
NURSING CARE OF ADULTS 2 FINAL
EXAM REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS | ALREADY
GRADED A+
Core Domains
• Neurological Disorders and Stroke Management
• Musculoskeletal Disorders and Orthopedic Nursing
• Perioperative Nursing and Surgical Care
• Renal and Genitourinary Disorders
• Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
• Emergency, Mass Casualty, and Disaster Nursing
• Cardiovascular Disorders and EKG Interpretation
• Dosage Calculations and Pharmacological Math
Introduction
The NRSG 3420 Nursing Care of Adults 2 Examination assesses a
candidate's mastery of complex physiological insults, high-acuity
care, and collaborative practice in adult health nursing. This
comprehensive assessment evaluates knowledge of neurological,
musculoskeletal, perioperative, renal, cardiovascular, and
,emergency nursing concepts. The multiple-choice and scenario-
based questions emphasize real-world application, critical
thinking, and decision-making skills essential for professional
nursing practice. Candidates must demonstrate competency
across all core domains to achieve academic success and clinical
readiness.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is assessing a client with suspected acute stroke. Which
finding is the priority for immediate intervention?
A. Blood pressure 180/100 mm Hg
B. Sudden onset of facial drooping and arm weakness
C. Serum glucose level of 110 mg/dL
D. Heart rate of 88 beats per minute
B. Sudden onset of facial drooping and arm weakness
RATIONALE: Sudden facial drooping and arm weakness are
classic signs of stroke and require immediate intervention to
restore cerebral blood flow. The FAST acronym (Face, Arm,
Speech, Time) guides rapid recognition.
Question 2
A client with ischemic stroke is prescribed alteplase (tPA). Which
assessment finding requires immediate notification of the
provider?
A. Blood pressure of 185/110 mm Hg
,B. National Institutes of Health Stroke Scale (NIHSS) score of 12
C. Serum glucose level of 140 mg/dL
D. Heart rate of 76 beats per minute
A. Blood pressure of 185/110 mm Hg
RATIONALE: Alteplase is contraindicated when blood pressure
exceeds 185/110 mm Hg because of the risk of hemorrhagic
transformation. Blood pressure must be controlled before
administration.
Question 3
A nurse is caring for a client with increased intracranial pressure
(ICP). Which position should the nurse maintain for the client?
A. Supine with head flat
B. Head of bed elevated 30 degrees
C. Trendelenburg position
D. Prone position
B. Head of bed elevated 30 degrees
RATIONALE: Elevating the head of the bed to 30 degrees
promotes venous drainage from the brain, reducing intracranial
pressure. This position optimizes cerebral perfusion while
preventing increases in ICP.
Question 4
A client with a hemorrhagic stroke is admitted to the intensive
care unit. Which nursing intervention is the priority?
, A. Administering anticoagulant therapy
B. Monitoring for signs of increased intracranial pressure
C. Encouraging oral fluid intake
D. Performing range-of-motion exercises
B. Monitoring for signs of increased intracranial pressure
RATIONALE: Hemorrhagic stroke involves bleeding into the
brain, and the priority is monitoring for increased ICP, which can
lead to herniation. Anticoagulants are contraindicated as they
would worsen bleeding.
Question 5
A nurse is teaching a client about modifiable risk factors for
stroke. Which statement by the client indicates understanding?
A. "I cannot change my family history of stroke."
B. "Controlling my blood pressure will reduce my risk."
C. "Being male increases my risk."
D. "My age is the most important risk factor."
B. "Controlling my blood pressure will reduce my risk."
RATIONALE: Hypertension is the primary modifiable risk factor
for stroke. Controlling blood pressure significantly reduces the
risk of both ischemic and hemorrhagic strokes.
Question 6
ADULTS 2 EXAM 3 (NORTHEASTERN)
LATEST 2026/2027 TEST BANK |
NURSING CARE OF ADULTS 2 FINAL
EXAM REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS | ALREADY
GRADED A+
Core Domains
• Neurological Disorders and Stroke Management
• Musculoskeletal Disorders and Orthopedic Nursing
• Perioperative Nursing and Surgical Care
• Renal and Genitourinary Disorders
• Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
• Emergency, Mass Casualty, and Disaster Nursing
• Cardiovascular Disorders and EKG Interpretation
• Dosage Calculations and Pharmacological Math
Introduction
The NRSG 3420 Nursing Care of Adults 2 Examination assesses a
candidate's mastery of complex physiological insults, high-acuity
care, and collaborative practice in adult health nursing. This
comprehensive assessment evaluates knowledge of neurological,
musculoskeletal, perioperative, renal, cardiovascular, and
,emergency nursing concepts. The multiple-choice and scenario-
based questions emphasize real-world application, critical
thinking, and decision-making skills essential for professional
nursing practice. Candidates must demonstrate competency
across all core domains to achieve academic success and clinical
readiness.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is assessing a client with suspected acute stroke. Which
finding is the priority for immediate intervention?
A. Blood pressure 180/100 mm Hg
B. Sudden onset of facial drooping and arm weakness
C. Serum glucose level of 110 mg/dL
D. Heart rate of 88 beats per minute
B. Sudden onset of facial drooping and arm weakness
RATIONALE: Sudden facial drooping and arm weakness are
classic signs of stroke and require immediate intervention to
restore cerebral blood flow. The FAST acronym (Face, Arm,
Speech, Time) guides rapid recognition.
Question 2
A client with ischemic stroke is prescribed alteplase (tPA). Which
assessment finding requires immediate notification of the
provider?
A. Blood pressure of 185/110 mm Hg
,B. National Institutes of Health Stroke Scale (NIHSS) score of 12
C. Serum glucose level of 140 mg/dL
D. Heart rate of 76 beats per minute
A. Blood pressure of 185/110 mm Hg
RATIONALE: Alteplase is contraindicated when blood pressure
exceeds 185/110 mm Hg because of the risk of hemorrhagic
transformation. Blood pressure must be controlled before
administration.
Question 3
A nurse is caring for a client with increased intracranial pressure
(ICP). Which position should the nurse maintain for the client?
A. Supine with head flat
B. Head of bed elevated 30 degrees
C. Trendelenburg position
D. Prone position
B. Head of bed elevated 30 degrees
RATIONALE: Elevating the head of the bed to 30 degrees
promotes venous drainage from the brain, reducing intracranial
pressure. This position optimizes cerebral perfusion while
preventing increases in ICP.
Question 4
A client with a hemorrhagic stroke is admitted to the intensive
care unit. Which nursing intervention is the priority?
, A. Administering anticoagulant therapy
B. Monitoring for signs of increased intracranial pressure
C. Encouraging oral fluid intake
D. Performing range-of-motion exercises
B. Monitoring for signs of increased intracranial pressure
RATIONALE: Hemorrhagic stroke involves bleeding into the
brain, and the priority is monitoring for increased ICP, which can
lead to herniation. Anticoagulants are contraindicated as they
would worsen bleeding.
Question 5
A nurse is teaching a client about modifiable risk factors for
stroke. Which statement by the client indicates understanding?
A. "I cannot change my family history of stroke."
B. "Controlling my blood pressure will reduce my risk."
C. "Being male increases my risk."
D. "My age is the most important risk factor."
B. "Controlling my blood pressure will reduce my risk."
RATIONALE: Hypertension is the primary modifiable risk factor
for stroke. Controlling blood pressure significantly reduces the
risk of both ischemic and hemorrhagic strokes.
Question 6
