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NSG 3600 EXAM 1 (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+ UPDATED
NSG 3600 Exam 1
1–10: Cardiac
Q1: A patient has chest pain radiating to the jaw, diaphoresis, and nausea. Most appropriate first
action?
A: Assess airway, breathing, circulation (ABCs) and call rapid response.
Rationale: Life-threatening MI requires immediate evaluation and intervention.
Q2: Common symptom of left-sided heart failure?
A: Pulmonary congestion (dyspnea, crackles)
Rationale: Left ventricle fails → blood backs up into lungs.
Q3: BNP is elevated in:
A: Heart failure
Rationale: B-type natriuretic peptide is released in response to ventricular stretch.
Q4: A patient on digoxin develops nausea, vomiting, and visual changes. Likely cause?
A: Digoxin toxicity
Rationale: Early signs include GI and visual disturbances; monitor serum levels.
Q5: Priority nursing assessment for patient with hypotension after MI?
A: Monitor for signs of cardiogenic shock
Rationale: Hypotension indicates decreased cardiac output.
Q6: A patient with STEMI is receiving nitroglycerin. Monitor for:
A: Hypotension and headache
Rationale: Vasodilation can lower BP and cause headache.
Q7: Classic symptom of right-sided heart failure?
A: Peripheral edema and jugular vein distention
Rationale: Right ventricle fails → blood backs up systemically.
Q8: A patient is receiving thrombolytics. Nursing priority?
A: Monitor for bleeding
Rationale: Thrombolytics increase hemorrhage risk.
practice exam 2026
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Q9: First intervention for ventricular tachycardia with a pulse?
A: Prepare for synchronized cardioversion
Rationale: Hemodynamically unstable rhythm requires prompt correction.
Q10: What ECG change indicates hypokalemia?
A: Flattened T waves, U waves
Rationale: Low potassium affects cardiac conduction.
11–20: Respiratory
Q11: 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.
Q12: Expected ABG in chronic bronchitis?
A: Mild respiratory acidosis
Rationale: CO₂ retention leads to compensated respiratory acidosis.
Q13: Sudden dyspnea, pleuritic chest pain, and hemoptysis suggest:
A: Pulmonary embolism
Rationale: Classic triad for PE.
Q14: Priority for patient with airway obstruction?
A: Ensure patency with suction or airway adjunct
Rationale: Airway is always the first priority.
Q15: A patient with pneumonia has confusion and SpO₂ 88%. Nursing priority?
A: Administer oxygen and assess airway
Rationale: Hypoxia affects cerebral function; correct oxygenation.
Q16: Stridor is an indicator of:
A: Upper airway obstruction
Rationale: High-pitched inspiratory sound requires immediate attention.
Q17: Incentive spirometry is used to:
A: Prevent atelectasis
Rationale: Encourages deep breaths and lung expansion.
Q18: Early sign of hypoxemia in adults?
A: Restlessness and anxiety
Rationale: Brain sensitive to low O₂, early detection crucial.
Q19: Nursing action for patient post-lobectomy with chest tube?
A: Monitor drainage and maintain suction
Rationale: Prevents pneumothorax and ensures lung re-expansion.
practice exam 2026
NSG 3600 EXAM 1 (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+ UPDATED
NSG 3600 Exam 1
1–10: Cardiac
Q1: A patient has chest pain radiating to the jaw, diaphoresis, and nausea. Most appropriate first
action?
A: Assess airway, breathing, circulation (ABCs) and call rapid response.
Rationale: Life-threatening MI requires immediate evaluation and intervention.
Q2: Common symptom of left-sided heart failure?
A: Pulmonary congestion (dyspnea, crackles)
Rationale: Left ventricle fails → blood backs up into lungs.
Q3: BNP is elevated in:
A: Heart failure
Rationale: B-type natriuretic peptide is released in response to ventricular stretch.
Q4: A patient on digoxin develops nausea, vomiting, and visual changes. Likely cause?
A: Digoxin toxicity
Rationale: Early signs include GI and visual disturbances; monitor serum levels.
Q5: Priority nursing assessment for patient with hypotension after MI?
A: Monitor for signs of cardiogenic shock
Rationale: Hypotension indicates decreased cardiac output.
Q6: A patient with STEMI is receiving nitroglycerin. Monitor for:
A: Hypotension and headache
Rationale: Vasodilation can lower BP and cause headache.
Q7: Classic symptom of right-sided heart failure?
A: Peripheral edema and jugular vein distention
Rationale: Right ventricle fails → blood backs up systemically.
Q8: A patient is receiving thrombolytics. Nursing priority?
A: Monitor for bleeding
Rationale: Thrombolytics increase hemorrhage risk.
practice exam 2026
, 2|Page
Q9: First intervention for ventricular tachycardia with a pulse?
A: Prepare for synchronized cardioversion
Rationale: Hemodynamically unstable rhythm requires prompt correction.
Q10: What ECG change indicates hypokalemia?
A: Flattened T waves, U waves
Rationale: Low potassium affects cardiac conduction.
11–20: Respiratory
Q11: 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.
Q12: Expected ABG in chronic bronchitis?
A: Mild respiratory acidosis
Rationale: CO₂ retention leads to compensated respiratory acidosis.
Q13: Sudden dyspnea, pleuritic chest pain, and hemoptysis suggest:
A: Pulmonary embolism
Rationale: Classic triad for PE.
Q14: Priority for patient with airway obstruction?
A: Ensure patency with suction or airway adjunct
Rationale: Airway is always the first priority.
Q15: A patient with pneumonia has confusion and SpO₂ 88%. Nursing priority?
A: Administer oxygen and assess airway
Rationale: Hypoxia affects cerebral function; correct oxygenation.
Q16: Stridor is an indicator of:
A: Upper airway obstruction
Rationale: High-pitched inspiratory sound requires immediate attention.
Q17: Incentive spirometry is used to:
A: Prevent atelectasis
Rationale: Encourages deep breaths and lung expansion.
Q18: Early sign of hypoxemia in adults?
A: Restlessness and anxiety
Rationale: Brain sensitive to low O₂, early detection crucial.
Q19: Nursing action for patient post-lobectomy with chest tube?
A: Monitor drainage and maintain suction
Rationale: Prevents pneumothorax and ensures lung re-expansion.
practice exam 2026
