SG 2600/2610 – ADULT HEALTH NURSING CLINICAL PRACTICUM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
- Perioperative Nursing and Surgical Asepsis
- Cardiovascular and Respiratory Disorders
- Endocrine and Metabolic Conditions
- Renal and Genitourinary Systems
- Neurological and Musculoskeletal Disorders
- Pain Management and Palliative Care
- Legal, Ethical, and Regulatory Compliance in Adult Health
- Fluid, Electrolyte, and Acid-Base Balance
- Wound Care, Infection Control, and Patient Safety
- Clinical Judgment, Prioritization, and Delegation
Introduction
*This comprehensive examination is designed for students in the SG 2600/2610 – Adult Health Nursing Clinical
Practicum. It assesses foundational theories, applied clinical knowledge, regulatory and legal compliance, ethical
standards, and real-world decision-making skills essential for safe, competent adult health nursing practice.
Each of the 200 multiple-choice and scenario-based questions emphasizes critical thinking, prioritization,
delegation, and evidence-based interventions. Questions range from easy to difficult, mimicking the
unpredictability of clinical settings. This resource prepares learners for high-stakes assessments by reinforcing
rationales for correct answers and promoting readiness for direct patient care responsibilities.*
,SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a patient post-cardiac catheterization via the femoral artery. Which assessment finding
requires immediate intervention?
A. Slight bruising at the insertion site
B. Complaints of mild back discomfort
C. Loss of palpable dorsalis pedis pulse
D. Heart rate of 88 beats per minute
🟢C
🔴 RATIONALE: Loss of the dorsalis pedis pulse indicates possible arterial occlusion or thrombus formation,
which requires immediate intervention to prevent limb ischemia. The other findings are expected or non-urgent.
Question 2
A patient with diabetes mellitus type 2 has a blood glucose level of 45 mg/dL and is unconscious. What is the
priority nursing action?
A. Administer 15 grams of oral carbohydrates
B. Give glucagon 1 mg intramuscularly
C. Start an IV infusion of normal saline
D. Recheck blood glucose in 15 minutes
🟢B
🔴 RATIONALE: For an unconscious hypoglycemic patient, oral administration is unsafe. Glucagon IM is the
,correct intervention to raise blood glucose rapidly. IV dextrose would be another option, but glucagon is
appropriate if IV access is not immediately available.
Question 3
Which finding in a patient receiving IV morphine via patient-controlled analgesia (PCA) indicates an adverse
effect requiring intervention?
A. Respiratory rate of 10 breaths per minute
B. Pain score of 3 on a 0–10 scale
C. Patient sleeping 30 minutes after dose
D. Blood pressure of 110/70 mm Hg
🟢A
🔴 RATIONALE: Opioid-induced respiratory depression (rate <12/min) is a life-threatening adverse effect. The
PCA should be paused, and naloxone considered. The other options are expected or acceptable.
Question 4
A nurse is preparing to insert an indwelling urinary catheter. Which action maintains sterile technique?
A. Opening the outer packaging and placing it on the overbed table
B. Using clean gloves to handle the catheter after sterile gloves are removed
C. Cleaning the meatus with a single antiseptic swab in a circular motion
D. Draping the perineum with sterile drapes after applying sterile gloves
🟢D
🔴 RATIONALE: Sterile drapes applied after donning sterile gloves maintain the sterile field. Opening packaging
on an unsterile surface or using clean gloves breaks sterility. Cleaning requires multiple swabs, not one.
, Question 5
A patient with chronic heart failure (HF) presents with dyspnea at rest, crackles in all lung fields, and jugular vein
distension. Which medication should the nurse administer first?
A. Metoprolol 25 mg PO
B. Digoxin 0.125 mg IV
C. Furosemide 40 mg IV
D. Lisinopril 10 mg PO
🟢C
🔴 RATIONALE: Furosemide rapidly reduces preload and pulmonary congestion in acute decompensated HF. IV
loop diuretics are first-line for volume overload with pulmonary edema. Beta-blockers are not given in acute
decompensation.
Question 6
A patient receiving a blood transfusion develops chills, fever, and lower back pain 30 minutes after the start.
What is the nurse’s priority action?
A. Slow the transfusion rate and monitor vital signs
B. Administer acetaminophen as prescribed
C. Stop the transfusion and keep the IV line open with saline
D. Collect a urine sample for hemoglobin
🟢C
🔴 RATIONALE: These symptoms suggest an acute hemolytic reaction. Stopping the transfusion immediately
and maintaining IV access with normal saline is the priority. The blood tubing and bag must be saved for
investigation.
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
- Perioperative Nursing and Surgical Asepsis
- Cardiovascular and Respiratory Disorders
- Endocrine and Metabolic Conditions
- Renal and Genitourinary Systems
- Neurological and Musculoskeletal Disorders
- Pain Management and Palliative Care
- Legal, Ethical, and Regulatory Compliance in Adult Health
- Fluid, Electrolyte, and Acid-Base Balance
- Wound Care, Infection Control, and Patient Safety
- Clinical Judgment, Prioritization, and Delegation
Introduction
*This comprehensive examination is designed for students in the SG 2600/2610 – Adult Health Nursing Clinical
Practicum. It assesses foundational theories, applied clinical knowledge, regulatory and legal compliance, ethical
standards, and real-world decision-making skills essential for safe, competent adult health nursing practice.
Each of the 200 multiple-choice and scenario-based questions emphasizes critical thinking, prioritization,
delegation, and evidence-based interventions. Questions range from easy to difficult, mimicking the
unpredictability of clinical settings. This resource prepares learners for high-stakes assessments by reinforcing
rationales for correct answers and promoting readiness for direct patient care responsibilities.*
,SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a patient post-cardiac catheterization via the femoral artery. Which assessment finding
requires immediate intervention?
A. Slight bruising at the insertion site
B. Complaints of mild back discomfort
C. Loss of palpable dorsalis pedis pulse
D. Heart rate of 88 beats per minute
🟢C
🔴 RATIONALE: Loss of the dorsalis pedis pulse indicates possible arterial occlusion or thrombus formation,
which requires immediate intervention to prevent limb ischemia. The other findings are expected or non-urgent.
Question 2
A patient with diabetes mellitus type 2 has a blood glucose level of 45 mg/dL and is unconscious. What is the
priority nursing action?
A. Administer 15 grams of oral carbohydrates
B. Give glucagon 1 mg intramuscularly
C. Start an IV infusion of normal saline
D. Recheck blood glucose in 15 minutes
🟢B
🔴 RATIONALE: For an unconscious hypoglycemic patient, oral administration is unsafe. Glucagon IM is the
,correct intervention to raise blood glucose rapidly. IV dextrose would be another option, but glucagon is
appropriate if IV access is not immediately available.
Question 3
Which finding in a patient receiving IV morphine via patient-controlled analgesia (PCA) indicates an adverse
effect requiring intervention?
A. Respiratory rate of 10 breaths per minute
B. Pain score of 3 on a 0–10 scale
C. Patient sleeping 30 minutes after dose
D. Blood pressure of 110/70 mm Hg
🟢A
🔴 RATIONALE: Opioid-induced respiratory depression (rate <12/min) is a life-threatening adverse effect. The
PCA should be paused, and naloxone considered. The other options are expected or acceptable.
Question 4
A nurse is preparing to insert an indwelling urinary catheter. Which action maintains sterile technique?
A. Opening the outer packaging and placing it on the overbed table
B. Using clean gloves to handle the catheter after sterile gloves are removed
C. Cleaning the meatus with a single antiseptic swab in a circular motion
D. Draping the perineum with sterile drapes after applying sterile gloves
🟢D
🔴 RATIONALE: Sterile drapes applied after donning sterile gloves maintain the sterile field. Opening packaging
on an unsterile surface or using clean gloves breaks sterility. Cleaning requires multiple swabs, not one.
, Question 5
A patient with chronic heart failure (HF) presents with dyspnea at rest, crackles in all lung fields, and jugular vein
distension. Which medication should the nurse administer first?
A. Metoprolol 25 mg PO
B. Digoxin 0.125 mg IV
C. Furosemide 40 mg IV
D. Lisinopril 10 mg PO
🟢C
🔴 RATIONALE: Furosemide rapidly reduces preload and pulmonary congestion in acute decompensated HF. IV
loop diuretics are first-line for volume overload with pulmonary edema. Beta-blockers are not given in acute
decompensation.
Question 6
A patient receiving a blood transfusion develops chills, fever, and lower back pain 30 minutes after the start.
What is the nurse’s priority action?
A. Slow the transfusion rate and monitor vital signs
B. Administer acetaminophen as prescribed
C. Stop the transfusion and keep the IV line open with saline
D. Collect a urine sample for hemoglobin
🟢C
🔴 RATIONALE: These symptoms suggest an acute hemolytic reaction. Stopping the transfusion immediately
and maintaining IV access with normal saline is the priority. The blood tubing and bag must be saved for
investigation.
