NSG 3600 EXAM 1 (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+
NSG 3600 Exam 1 – Practice Questions
Q1: Hyperthyroid patient reports palpitations and weight loss. Nursing intervention?
A: Monitor heart rate and provide beta-blocker per order
Rationale: Prevents tachyarrhythmias.
Q2: COPD patient on O₂ therapy shows increased CO₂ and drowsiness. Next action?
A: Reduce O₂ flow rate and monitor
Rationale: High O₂ can suppress hypoxic drive in CO₂ retainers.
Q3: Nursing priority post-op patient with confusion?
A: Assess oxygenation, pain, infection, and electrolytes
Rationale: Multiple reversible causes need identification.
Q4: Classic symptom of right-sided heart failure?
A: Peripheral edema and jugular vein distention
Rationale: Right ventricle fails → blood backs up systemically.
Q5: Early appendicitis symptom?
A: Periumbilical pain migrating to RLQ
Rationale: Classic progression of inflammation.
Q6: Sodium 118 mEq/L. First action?
A: Assess neurologic status
Rationale: Hyponatremia can cause confusion and seizures.
practice exam 2026
,2|Page
Q7: Priority nursing assessment for patient with hypotension after MI?
A: Monitor for signs of cardiogenic shock
Rationale: Hypotension indicates decreased cardiac output.
Q8: Stroke patient with left-sided weakness. Priority?
A: Neuro assessment and airway protection
Rationale: Airway compromise and neurologic deterioration are life-threatening.
Q9: Patient on loop diuretics develops cramps. Likely cause?
A: Hypokalemia
Rationale: Increased potassium loss through urine.
Q10: Classic symptom of DKA?
A: Hyperglycemia, ketones, fruity breath
Rationale: Insulin deficiency → fat breakdown and ketone formation.
Q11: Nursing priority for acute kidney injury?
A: Monitor urine output and daily weights
Rationale: Early detection of fluid imbalance.
Q12: Nursing priority for patient with hypotension after chest trauma?
A: Assess airway, breathing, circulation
Rationale: Trauma ABCs come first.
Q13: Nursing priority for a patient with acute abdominal pain and hypotension?
A: Assess airway, breathing, and circulation
Rationale: ABCs take precedence over diagnostic tests.
Q14: Early sign of hypoxemia in adults?
A: Restlessness and anxiety
Rationale: Brain sensitive to low O₂, early detection crucial.
practice exam 2026
,3|Page
Q15: Parkinson’s disease hallmark?
A: Resting tremor, rigidity, bradykinesia
Rationale: Dopamine deficiency affects motor control.
Q16: Nursing priority in hyperkalemia with ECG changes?
A: Place on cardiac monitor and notify provider
Rationale: Hyperkalemia can cause fatal arrhythmias.
Q17: Signs of hypoglycemia include:
A: Sweating, tachycardia, irritability
Rationale: Brain responds to low glucose, triggering autonomic symptoms.
Q18: Incentive spirometry is used to:
A: Prevent atelectasis
Rationale: Encourages deep breaths and lung expansion.
Q19: Thyroid storm priority intervention?
A: Reduce temperature and stabilize cardiovascular system
Rationale: Life-threatening hyperthyroid emergency requires rapid control.
Q20: Hypercalcemia signs?
A: Muscle weakness, nausea, constipation
Rationale: Excess calcium affects neuromuscular and GI systems.
Q21: Nursing priority post-op confusion?
A: Assess oxygenation, pain, infection, and electrolytes
Rationale: Multiple reversible causes need identification.
practice exam 2026
, 4|Page
Q22: Priority assessment for a patient with pheochromocytoma?
A: Blood pressure
Rationale: Tumor secretes catecholamines → hypertensive crisis risk.
Q23: Classic symptom of left-sided heart failure?
A: Pulmonary congestion (dyspnea, crackles)
Rationale: Left ventricle fails → blood backs up into lungs.
Q24: Early sign of increased ICP?
A: Headache, vomiting, altered LOC
Rationale: Pressure affects cerebral function first.
Q25: Late ICP sign?
A: Cushing’s triad
Rationale: Indicates impending herniation; requires emergency intervention.
Q26: CKD patient teaching: limit foods high in:
A: Potassium and phosphate
Rationale: Prevents hyperkalemia and mineral bone disorders.
Q27: Patient on insulin therapy should:
A: Rotate injection sites
Rationale: Prevents lipodystrophy and ensures consistent absorption.
Q28: Nursing priority for patient with airway obstruction?
A: Ensure patency with suction or airway adjunct
Rationale: Airway is always the first priority.
Q29: Classic symptom of DKA?
A: Hyperglycemia, ketones, fruity breath
Rationale: Insulin deficiency → fat breakdown and ketone formation.
practice exam 2026