NGN CASE STUDIES – 10 FULL PATIENT SCENARIOS 2026

NGN CASE STUDIES – 10 FULL PATIENT
SCENARIOS 2026

CASE STUDY 1: Acute Myocardial Infarction (AMI)
Patient: 58-year-old male
Chief Complaint: Chest pain radiating to left arm

Vitals:

 BP: 90/60
 HR: 110
 RR: 24
 SpO₂: 90%

Labs:

 Troponin: Elevated
 CK-MB: Elevated

Question 1 (Priority)

What is the nurse’s FIRST action?

A. Administer morphine
B. Apply oxygen
C. Start IV fluids
D. Obtain ECG

Answer: B. Apply oxygen
Rationale: Hypoxia is present (SpO₂ 90%); oxygen improves myocardial oxygen supply.



Question 2 (Clinical Judgment)

Which finding confirms AMI?

A. Hypotension
B. ST elevation

, C. Tachycardia
D. Dyspnea

Answer: B. ST elevation
Rationale: Classic sign of myocardial infarction.




CASE STUDY 2: Acute Respiratory Distress (ARDS)
Patient: 45-year-old female, sepsis history

Findings:

 Severe dyspnea
 Bilateral crackles
 SpO₂: 82%

Question

What is the priority intervention?

A. Diuretics
B. Mechanical ventilation
C. Antibiotics
D. IV fluids
B. Answer: B. Mechanical ventilation
Rationale: ARDS requires respiratory support due to severe hypoxemia.




CASE STUDY 3: Diabetic Ketoacidosis (DKA)
Patient: 22-year-old with Type 1 DM

Symptoms:

 Fruity breath
 Kussmaul respirations
 Glucose: 450 mg/dL

Question