NSG 3250 EXAM 3 – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
CORE DOMAINS*
• Medical-Surgical Nursing
• Cardiovascular Disorders
• Respiratory Disorders
• Neurological Nursing Care
• Endocrine and Metabolic Disorders
• Renal and Genitourinary Nursing
• Pharmacology and Medication Safety
• Infection Prevention and Control
• Ethical and Legal Nursing Practice
• Critical Care and Emergency Nursing
INTRODUCTION*
,This examination assesses the learner’s understanding of advanced nursing concepts
commonly encountered in clinical practice. The exam evaluates foundational knowledge,
clinical judgment, patient safety principles, pharmacologic management, and evidence-
based nursing interventions. Questions include both direct multiple-choice items and
scenario-based clinical applications designed to strengthen critical thinking and decision-
making skills. Emphasis is placed on prioritization, interdisciplinary collaboration, ethical
responsibilities, and real-world patient care situations. Learners are expected to demonstrate
competence in assessment, intervention, patient education, medication administration, and
interpretation of clinical findings relevant to professional nursing practice across a variety of
healthcare settings.
SECTION ONE (QUESTIONS 1–50)
1. A nurse is caring for a patient with heart failure who reports increasing shortness of
breath while lying flat. Which term best describes this symptom?
A. Dyspnea
B. Orthopnea
C. Tachypnea
D. Hyperventilation
🟢 Correct Answer: B. Orthopnea
,🔴 Explanation: Orthopnea refers to shortness of breath that occurs when lying flat and is
commonly associated with heart failure.
2. Which electrolyte imbalance is most commonly associated with cardiac dysrhythmias?
A. Hypokalemia
B. Hypercalcemia
C. Hypermagnesemia
D. Hypernatremia
🟢 Correct Answer: A. Hypokalemia
🔴 Explanation: Low potassium levels can disrupt cardiac electrical conduction and
increase the risk of dysrhythmias.
3. A patient with diabetes mellitus becomes diaphoretic and confused. What is the
nurse’s priority action?
A. Administer insulin
B. Check blood glucose level
C. Encourage ambulation
D. Restrict oral fluids
🟢 Correct Answer: B. Check blood glucose level
, 🔴 Explanation: Confusion and diaphoresis may indicate hypoglycemia; confirming blood
glucose is the priority assessment.
4. Which assessment finding is most concerning in a patient receiving heparin therapy?
A. Bruising at injection site
B. Platelet count of 90,000/mm³
C. Heart rate of 88 bpm
D. Mild headache
🟢 Correct Answer: B. Platelet count of 90,000/mm³
🔴 Explanation: Thrombocytopenia may indicate heparin-induced thrombocytopenia, a
serious adverse effect.
5. A nurse is teaching a patient with chronic obstructive pulmonary disease (COPD)
about breathing techniques. Which technique helps improve ventilation?
A. Incentive coughing
B. Pursed-lip breathing
C. Chest percussion
D. Rapid inhalation
🟢 Correct Answer: B. Pursed-lip breathing
ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
CORE DOMAINS*
• Medical-Surgical Nursing
• Cardiovascular Disorders
• Respiratory Disorders
• Neurological Nursing Care
• Endocrine and Metabolic Disorders
• Renal and Genitourinary Nursing
• Pharmacology and Medication Safety
• Infection Prevention and Control
• Ethical and Legal Nursing Practice
• Critical Care and Emergency Nursing
INTRODUCTION*
,This examination assesses the learner’s understanding of advanced nursing concepts
commonly encountered in clinical practice. The exam evaluates foundational knowledge,
clinical judgment, patient safety principles, pharmacologic management, and evidence-
based nursing interventions. Questions include both direct multiple-choice items and
scenario-based clinical applications designed to strengthen critical thinking and decision-
making skills. Emphasis is placed on prioritization, interdisciplinary collaboration, ethical
responsibilities, and real-world patient care situations. Learners are expected to demonstrate
competence in assessment, intervention, patient education, medication administration, and
interpretation of clinical findings relevant to professional nursing practice across a variety of
healthcare settings.
SECTION ONE (QUESTIONS 1–50)
1. A nurse is caring for a patient with heart failure who reports increasing shortness of
breath while lying flat. Which term best describes this symptom?
A. Dyspnea
B. Orthopnea
C. Tachypnea
D. Hyperventilation
🟢 Correct Answer: B. Orthopnea
,🔴 Explanation: Orthopnea refers to shortness of breath that occurs when lying flat and is
commonly associated with heart failure.
2. Which electrolyte imbalance is most commonly associated with cardiac dysrhythmias?
A. Hypokalemia
B. Hypercalcemia
C. Hypermagnesemia
D. Hypernatremia
🟢 Correct Answer: A. Hypokalemia
🔴 Explanation: Low potassium levels can disrupt cardiac electrical conduction and
increase the risk of dysrhythmias.
3. A patient with diabetes mellitus becomes diaphoretic and confused. What is the
nurse’s priority action?
A. Administer insulin
B. Check blood glucose level
C. Encourage ambulation
D. Restrict oral fluids
🟢 Correct Answer: B. Check blood glucose level
, 🔴 Explanation: Confusion and diaphoresis may indicate hypoglycemia; confirming blood
glucose is the priority assessment.
4. Which assessment finding is most concerning in a patient receiving heparin therapy?
A. Bruising at injection site
B. Platelet count of 90,000/mm³
C. Heart rate of 88 bpm
D. Mild headache
🟢 Correct Answer: B. Platelet count of 90,000/mm³
🔴 Explanation: Thrombocytopenia may indicate heparin-induced thrombocytopenia, a
serious adverse effect.
5. A nurse is teaching a patient with chronic obstructive pulmonary disease (COPD)
about breathing techniques. Which technique helps improve ventilation?
A. Incentive coughing
B. Pursed-lip breathing
C. Chest percussion
D. Rapid inhalation
🟢 Correct Answer: B. Pursed-lip breathing
