NU 216 Adult Health I
Complete Final Exam (Qns & Ans)
2025
1. Scenario: A newly licensed nurse working in the emergency
department assesses a 55-year-old patient with chest pain,
shortness of breath, and diaphoresis. The patient’s vital signs
reveal hypotension and tachycardia. Which finding should the
nurse prioritize for immediate intervention?
Options:
A) The patient’s self-reported severe chest pain
B) Presence of diaphoresis
C) Abnormal vital signs indicating hemodynamic instability
D) The patient’s high level of anxiety
ANS: C) Abnormal vital signs indicating hemodynamic
instability
©2025
, Rationale: While all findings are noteworthy, the presence of
hypotension and tachycardia strongly suggests hemodynamic
instability, which takes priority because it may indicate shock or
acute cardiac compromise and requires immediate intervention.
2. Scenario: During postoperative care on a surgical unit, a
nurse discovers that a patient’s incision site is slightly red with
serosanguineous drainage. Which action should the nurse take
first?
Options:
A) Apply a topical antibiotic immediately
B) Reassess the wound and gather additional infection signs
(fever, leukocytosis)
C) Report to the surgeon without further assessment
D) Cover the incision with a new sterile dressing without
documentation
ANS: B) Reassess the wound and gather additional infection
signs (fever, leukocytosis)
Rationale: Gathering more data about possible infection is
necessary. A thorough reassessment (including temperature and
lab values) helps to determine whether the findings indicate an
early infection that requires further evaluation or intervention.
©2025
,3. Scenario: A nurse performing a neurological exam on a
trauma patient calculates a Glasgow Coma Scale (GCS) score of
7. What should be the nurse’s immediate action?
Options:
A) Continue routine monitoring
B) Prepare for intubation and advanced airway management
C) Reassess the score in one hour
D) Administer analgesics to relieve discomfort
ANS: B) Prepare for intubation and advanced airway
management
Rationale: A GCS score of 7 indicates severe impairment of
consciousness and a high risk for airway compromise. Protecting
the airway is a critical immediate step in such patients.
4. Scenario: In a culturally diverse community clinic, a nurse
learns that many patients rely on traditional herbal remedies
alongside prescribed treatments. What is the best response by the
nurse?
Options:
A) Advise discontinuation of all herbal remedies
B) Document the patient’s health beliefs and explore ways to
integrate them with conventional care
C) Insist on evidence-based conventional medications only
©2025
, D) Refer the patient to alternative medicine exclusively
ANS: B) Document the patient’s health beliefs and explore
ways to integrate them with conventional care
Rationale: Respecting patients’ cultural practices and
integrating them (when safe) with conventional care promotes
patient-centered care and trust. This approach acknowledges the
importance of cultural beliefs in health outcomes.
5. Scenario: A nurse educator explains the concept of evidence-
based practice (EBP) during a lecture. Which statement best
describes EBP?
Options:
A) Clinical decisions should be based solely on results from
randomized controlled trials.
B) EBP integrates the best research evidence, clinical expertise,
and patient preferences.
C) Traditional practices should automatically be replaced by
new findings.
D) Implementation of institutional policies is the sole
determinant of quality care.
ANS: B) EBP integrates the best research evidence, clinical
expertise, and patient preferences.
©2025
Complete Final Exam (Qns & Ans)
2025
1. Scenario: A newly licensed nurse working in the emergency
department assesses a 55-year-old patient with chest pain,
shortness of breath, and diaphoresis. The patient’s vital signs
reveal hypotension and tachycardia. Which finding should the
nurse prioritize for immediate intervention?
Options:
A) The patient’s self-reported severe chest pain
B) Presence of diaphoresis
C) Abnormal vital signs indicating hemodynamic instability
D) The patient’s high level of anxiety
ANS: C) Abnormal vital signs indicating hemodynamic
instability
©2025
, Rationale: While all findings are noteworthy, the presence of
hypotension and tachycardia strongly suggests hemodynamic
instability, which takes priority because it may indicate shock or
acute cardiac compromise and requires immediate intervention.
2. Scenario: During postoperative care on a surgical unit, a
nurse discovers that a patient’s incision site is slightly red with
serosanguineous drainage. Which action should the nurse take
first?
Options:
A) Apply a topical antibiotic immediately
B) Reassess the wound and gather additional infection signs
(fever, leukocytosis)
C) Report to the surgeon without further assessment
D) Cover the incision with a new sterile dressing without
documentation
ANS: B) Reassess the wound and gather additional infection
signs (fever, leukocytosis)
Rationale: Gathering more data about possible infection is
necessary. A thorough reassessment (including temperature and
lab values) helps to determine whether the findings indicate an
early infection that requires further evaluation or intervention.
©2025
,3. Scenario: A nurse performing a neurological exam on a
trauma patient calculates a Glasgow Coma Scale (GCS) score of
7. What should be the nurse’s immediate action?
Options:
A) Continue routine monitoring
B) Prepare for intubation and advanced airway management
C) Reassess the score in one hour
D) Administer analgesics to relieve discomfort
ANS: B) Prepare for intubation and advanced airway
management
Rationale: A GCS score of 7 indicates severe impairment of
consciousness and a high risk for airway compromise. Protecting
the airway is a critical immediate step in such patients.
4. Scenario: In a culturally diverse community clinic, a nurse
learns that many patients rely on traditional herbal remedies
alongside prescribed treatments. What is the best response by the
nurse?
Options:
A) Advise discontinuation of all herbal remedies
B) Document the patient’s health beliefs and explore ways to
integrate them with conventional care
C) Insist on evidence-based conventional medications only
©2025
, D) Refer the patient to alternative medicine exclusively
ANS: B) Document the patient’s health beliefs and explore
ways to integrate them with conventional care
Rationale: Respecting patients’ cultural practices and
integrating them (when safe) with conventional care promotes
patient-centered care and trust. This approach acknowledges the
importance of cultural beliefs in health outcomes.
5. Scenario: A nurse educator explains the concept of evidence-
based practice (EBP) during a lecture. Which statement best
describes EBP?
Options:
A) Clinical decisions should be based solely on results from
randomized controlled trials.
B) EBP integrates the best research evidence, clinical expertise,
and patient preferences.
C) Traditional practices should automatically be replaced by
new findings.
D) Implementation of institutional policies is the sole
determinant of quality care.
ANS: B) EBP integrates the best research evidence, clinical
expertise, and patient preferences.
©2025
