NUR 445 Final Exam (2025/2026) – 100 Questions with Correct Answers | Cardiac, Endocrine, Renal, Neuro, Shock Management

This comprehensive study guide for the NUR 445 Final Exam – Nursing in Complex Health Systems, includes 100 carefully reviewed questions and accurate answers, crafted for the 2025/2026 academic year at the University of Phoenix. It is designed to help students master complex clinical scenarios commonly encountered in critical care, med-surg, and emergency settings. Core topics include: Cardiac emergencies: atrial fibrillation (Afib), ventricular fibrillation (Vfib), myocardial infarction (MI), cardiogenic shock, cardiac tamponade, and Beck’s triad Respiratory and critical care: ARDS, ventilator-associated pneumonia (VAP), tension pneumothorax, and ventilator settings Endocrine crises: diabetic ketoacidosis (DKA), hyperosmolar hyperglycemic state (HHS), thyroid storm, myxedema coma, SIADH, and diabetes insipidus (DI) Renal and fluid balance: acute kidney injury (AKI), central venous pressure (CVP), and dialysis fistula assessment Neurologic and oncologic emergencies: stroke (TPA inclusion/exclusion), Guillain-Barré syndrome (GBS), spinal cord compression, leukostasis, tumor lysis syndrome (TLS), and superior vena cava syndrome Liver and GI conditions: hepatic encephalopathy, cirrhosis, and lactulose therapy Shock states: septic shock, multi-organ dysfunction syndrome (MODS), and early indicators of deterioration Also included are key principles of mass casualty triage, emergency preparedness phases, and prioritization strategies. Clinical rationale accompanies each answer to reinforce nursing judgment and critical thinking. This guide is particularly useful for: BSN and ADN students preparing for final or comprehensive exams Accelerated or RN-to-BSN students NCLEX-RN candidates Students in med-surg, ICU, or emergency nursing rotations Whether preparing for high-stakes exams or reinforcing clinical readiness, this document offers essential support in mastering complex nursing content. Keywords: cardiac nursing, endocrine emergencies, critical care exam, renal disorders, NCLEX questions, NUR 445 study guide, shock management, neuro ICU, respiratory failure, University of Phoenix