NUR 275 FINAL EXAM | QUESTIONS AND
ANSWERS | 2026/2027 UPDATE |
COMPREHENSIVE PRACTICE BANK –
MEDGAR EVERS COLLEGE
Original practice questions with detailed rationales for nursing exam preparation.
These questions are for study purposes and are not represented as verified copies of
the college’s actual final examination.
Introduction
The NUR 275 Final Exam practice bank is designed to help nursing students
consolidate their knowledge, strengthen clinical judgment, and prepare for
challenging examination questions. Students should use their official course syllabus,
lecture notes, assigned readings, and instructor-provided learning objectives to
identify the precise content assessed in their section of NUR 275 at Medgar Evers
College.
This practice resource emphasizes application-level thinking rather than memorization
alone. Questions use clinical scenarios to help students interpret assessment findings,
prioritize patient needs, identify potential complications, select appropriate nursing
interventions, and evaluate patient outcomes. Each question includes four answer
options, one designated best answer, and a rationale explaining why that answer is
appropriate and why the alternatives are less appropriate.
The question bank is intended to support active recall, clinical reasoning, and
recognition of patient-safety priorities. Work through each question before reviewing
its explanation, then revisit incorrect answers and study the underlying concepts.
Because the exact NUR 275 syllabus and current official exam blueprint have not
been confirmed, the practice topics below are provisional rather than an authoritative
list of the college's examination domains.
Core domains tested
The official catalog describes NUR 275 as Commonly Occurring Health Problems II,
focusing on adult health conditions and integrating pharmacology, nursing assessment,
clinical reasoning, and individualized care. The following domains reflect the catalog
description and available course information.
Medgar Evers College Catalog
+1
, 1.
Gastrointestinal disorders — reflux, peptic ulcer disease, inflammatory bowel
disease, bowel obstruction, and hepatobiliary conditions.
2.
3.
Renal and urinary disorders — urinary tract infections, pyelonephritis, acute
kidney injury, and chronic kidney disease.
4.
5.
Neurological disorders — changes in consciousness, seizures, stroke, and
neurological assessment.
6.
7.
Musculoskeletal disorders — fractures, osteoporosis, arthritis, and mobility-
related complications.
8.
9.
Reproductive and sexual health — sexually transmitted infections,
reproductive disorders, and respectful, inclusive care.
10.
11.
Immune disorders — immune dysfunction, infection prevention, and
treatment-related complications.
12.
13.
Integumentary disorders — burns, pressure injuries, wound healing, and
infection.
14.
15.
Pharmacology and medication safety — adverse effects, contraindications,
monitoring, and patient education.
16.
17.
, Nursing process and clinical prioritization — assessment, implementation,
evaluation, delegation, and patient safety.
18.
19.
Chronic illness and holistic care — nutrition, psychosocial needs, family
education, and long-term disease management.
20.
QUESTIONS 1–100
Gastrointestinal disorders
Q1: A patient with a history of peptic ulcer disease suddenly develops severe,
generalized abdominal pain. The abdomen is rigid, and the patient has rebound
tenderness. Which action should the nurse prioritize?
A) Administer an oral antacid B) Encourage ambulation to relieve discomfort C)
Keep the patient NPO, initiate urgent escalation, and prepare for emergency
evaluation D) Apply a heating pad to the abdomen
Rationale: C is correct because sudden severe pain with rigidity and rebound
tenderness suggests peritonitis, potentially from a perforated ulcer. The patient
requires urgent medical and surgical evaluation. A is inappropriate because oral
treatment delays definitive care and may be unsafe. B can worsen discomfort and does
not address the emergency. D may delay treatment and is not appropriate for a
suspected acute abdominal emergency.
Q2: A patient with cirrhosis becomes confused, has asterixis, and demonstrates a
declining level of alertness. Which intervention is most appropriate?
A) Increase dietary protein without restriction B) Administer a sedative to promote
sleep C) Restrict all fluids regardless of laboratory findings D) Assess airway and
neurological status, notify the provider, and anticipate treatment for hepatic
encephalopathy
Rationale: D is correct because confusion and asterixis in cirrhosis suggest hepatic
encephalopathy, which can progress to coma. Airway protection, prompt assessment,
and treatment of precipitating causes are priorities. A is not an immediate intervention
and protein needs should be individualized. B may worsen mental-status depression.
C is not universally indicated and should depend on the patient's clinical condition.
Q3: A patient with acute pancreatitis has severe epigastric pain radiating to the back,
persistent vomiting, and tachycardia. Which assessment finding most strongly
suggests developing hypovolemia?
ANSWERS | 2026/2027 UPDATE |
COMPREHENSIVE PRACTICE BANK –
MEDGAR EVERS COLLEGE
Original practice questions with detailed rationales for nursing exam preparation.
These questions are for study purposes and are not represented as verified copies of
the college’s actual final examination.
Introduction
The NUR 275 Final Exam practice bank is designed to help nursing students
consolidate their knowledge, strengthen clinical judgment, and prepare for
challenging examination questions. Students should use their official course syllabus,
lecture notes, assigned readings, and instructor-provided learning objectives to
identify the precise content assessed in their section of NUR 275 at Medgar Evers
College.
This practice resource emphasizes application-level thinking rather than memorization
alone. Questions use clinical scenarios to help students interpret assessment findings,
prioritize patient needs, identify potential complications, select appropriate nursing
interventions, and evaluate patient outcomes. Each question includes four answer
options, one designated best answer, and a rationale explaining why that answer is
appropriate and why the alternatives are less appropriate.
The question bank is intended to support active recall, clinical reasoning, and
recognition of patient-safety priorities. Work through each question before reviewing
its explanation, then revisit incorrect answers and study the underlying concepts.
Because the exact NUR 275 syllabus and current official exam blueprint have not
been confirmed, the practice topics below are provisional rather than an authoritative
list of the college's examination domains.
Core domains tested
The official catalog describes NUR 275 as Commonly Occurring Health Problems II,
focusing on adult health conditions and integrating pharmacology, nursing assessment,
clinical reasoning, and individualized care. The following domains reflect the catalog
description and available course information.
Medgar Evers College Catalog
+1
, 1.
Gastrointestinal disorders — reflux, peptic ulcer disease, inflammatory bowel
disease, bowel obstruction, and hepatobiliary conditions.
2.
3.
Renal and urinary disorders — urinary tract infections, pyelonephritis, acute
kidney injury, and chronic kidney disease.
4.
5.
Neurological disorders — changes in consciousness, seizures, stroke, and
neurological assessment.
6.
7.
Musculoskeletal disorders — fractures, osteoporosis, arthritis, and mobility-
related complications.
8.
9.
Reproductive and sexual health — sexually transmitted infections,
reproductive disorders, and respectful, inclusive care.
10.
11.
Immune disorders — immune dysfunction, infection prevention, and
treatment-related complications.
12.
13.
Integumentary disorders — burns, pressure injuries, wound healing, and
infection.
14.
15.
Pharmacology and medication safety — adverse effects, contraindications,
monitoring, and patient education.
16.
17.
, Nursing process and clinical prioritization — assessment, implementation,
evaluation, delegation, and patient safety.
18.
19.
Chronic illness and holistic care — nutrition, psychosocial needs, family
education, and long-term disease management.
20.
QUESTIONS 1–100
Gastrointestinal disorders
Q1: A patient with a history of peptic ulcer disease suddenly develops severe,
generalized abdominal pain. The abdomen is rigid, and the patient has rebound
tenderness. Which action should the nurse prioritize?
A) Administer an oral antacid B) Encourage ambulation to relieve discomfort C)
Keep the patient NPO, initiate urgent escalation, and prepare for emergency
evaluation D) Apply a heating pad to the abdomen
Rationale: C is correct because sudden severe pain with rigidity and rebound
tenderness suggests peritonitis, potentially from a perforated ulcer. The patient
requires urgent medical and surgical evaluation. A is inappropriate because oral
treatment delays definitive care and may be unsafe. B can worsen discomfort and does
not address the emergency. D may delay treatment and is not appropriate for a
suspected acute abdominal emergency.
Q2: A patient with cirrhosis becomes confused, has asterixis, and demonstrates a
declining level of alertness. Which intervention is most appropriate?
A) Increase dietary protein without restriction B) Administer a sedative to promote
sleep C) Restrict all fluids regardless of laboratory findings D) Assess airway and
neurological status, notify the provider, and anticipate treatment for hepatic
encephalopathy
Rationale: D is correct because confusion and asterixis in cirrhosis suggest hepatic
encephalopathy, which can progress to coma. Airway protection, prompt assessment,
and treatment of precipitating causes are priorities. A is not an immediate intervention
and protein needs should be individualized. B may worsen mental-status depression.
C is not universally indicated and should depend on the patient's clinical condition.
Q3: A patient with acute pancreatitis has severe epigastric pain radiating to the back,
persistent vomiting, and tachycardia. Which assessment finding most strongly
suggests developing hypovolemia?
