Style Practice Questions & Rationales
Description:
Struggling to prepare for your NUR2243 Final Exam? This comprehensive 2026 Nursing Final
Exam Review is your ultimate study partner. We provide a curated set of NCLEX-style
practice questions covering critical topics like autonomic dysreflexia, heart failure management,
cirrhosis, acid-base imbalances, and emergency cardiac rhythms. Each question includes
detailed rationales and explanations to deepen your understanding and help you master clinical
judgment—exactly what you need to excel on your test and build confidence for the NCLEX.
Stop stressing and start mastering. Download your free study guide now and walk into your final
exam prepared to pass!
, NUR2243 Final Exam Review 2026: NCLEX-Style Questions &
Answers
Instructions: Please read each question carefully. Select the best answer for each multiple-
choice question.
1. A patient with a spinal cord injury at the T4 level is experiencing a sudden, severe headache and
hypertension. The nurse suspects autonomic dysreflexia. What is the most appropriate initial
nursing action?
a. Administer a prescribed PRN antihypertensive medication.
b. Assess for fecal impaction.
c. Check for and relieve bladder distension.
d. Place the patient in a supine position with legs elevated.
Answer: c
Explanation: In autonomic dysreflexia, the initial priority is to identify and remove the noxious
stimulus. The most common trigger is bladder distension. Immediate assessment and
intervention for this (e.g., catheterizing a blocked urinary catheter) can resolve the hypertensive
crisis.
2. A public health nurse is providing education about communicable diseases. Which statement
accurately describes the transmission of Hepatitis A?
a. It is primarily spread through contact with infected blood.
b. It is commonly acquired from consuming contaminated food or water.
c. Transmission requires direct sexual contact or sharing needles.
d. It can be spread through casual contact like sharing utensils.
Answer: b
Explanation: Hepatitis A is transmitted via the fecal-oral route, often through ingestion of food
or water contaminated with the virus, or through close personal contact with an infected person.
3. Which patient profile presents the highest risk for contracting Hepatitis B?
a. A 65-year-old retiree who enjoys gardening.
b. A 40-year-old office worker with a history of travel.