NSG 430 FINAL EXAM NEWEST 2026 ACTUAL EXAM
TEST BANK| NSG430 ADULT HEALTH NURSING II
FINAL EXAM REVIEW WITH COMPLETE 400 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (BRAND NEW!!)
1. The nurse is caring for four clients on a medical-surgical
unit. Which client should the nurse assess first?
A. A client with heart failure who has 2+ pitting edema and
crackles in the lung bases
B. A client with diabetes mellitus who has a blood glucose of 180
mg/dL and reports thirst
C. A client post-operative day 1 with a temperature of 99.8°F
(37.7°C) and mild incisional pain
D. A client with pneumonia who has an oxygen saturation of 88%
on room air and is confused
Answer: D
1
,Rationale: Using prioritization frameworks (ABCs + Maslow), the
client with oxygen saturation of 88% and confusion is
demonstrating hypoxemia and potential impending respiratory
failure. This is an immediate life-threatening issue requiring rapid
response activation. The other findings are abnormal but not
immediately life-threatening .
2. The rapid response team (RRT) is activated for a client
whose condition is deteriorating. Which assessment finding
most likely triggered the RRT call?
A. Blood pressure 110/70 mm Hg, heart rate 90 bpm,
respirations 22/min
B. Client reports pain level 4/10 and requests pain medication
C. Respiratory rate 32/min with oxygen saturation 85% on 4 L
nasal cannula
D. Urine output 40 mL/hour for the past 4 hours
Answer: C
2
,Rationale: Rapid response criteria include respiratory rate
>30/min, oxygen saturation <90% despite supplemental
oxygen, heart rate >140 or <40 bpm, systolic BP <90 mm Hg,
and acute change in mental status. This client has both tachypnea
and hypoxemia, indicating respiratory compromise .
3. A client with end-stage chronic obstructive pulmonary
disease (COPD) is receiving palliative care. Which intervention
is most appropriate?
A. Aggressive chemotherapy for newly diagnosed lung cancer
B. Withholding all pain medications to prevent respiratory
depression
C. Providing comfort measures and symptom management at the
end of life
D. Initiating full code status and transferring to the intensive care
unit
Answer: C
3
, Rationale: Palliative care focuses on symptom management,
comfort, and quality of life for clients with life-altering or
terminal illnesses. It does not exclude curative treatments but
rather adds comfort measures. Pain management with opioids is
appropriate even at the end of life .
4. The nurse is delegating tasks to an unlicensed assistive
personnel (UAP). Which task is appropriate to delegate?
A. Assessing a client's lung sounds after a respiratory treatment
B. Evaluating the effectiveness of pain medication
C. Measuring vital signs on a stable postoperative client
D. Teaching a client how to use an incentive spirometer
Answer: C
Rationale: UAPs can perform routine tasks for stable clients,
including vital signs measurement, bathing, ambulation, and
intake/output recording. Assessment, evaluation, and teaching
4
TEST BANK| NSG430 ADULT HEALTH NURSING II
FINAL EXAM REVIEW WITH COMPLETE 400 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (BRAND NEW!!)
1. The nurse is caring for four clients on a medical-surgical
unit. Which client should the nurse assess first?
A. A client with heart failure who has 2+ pitting edema and
crackles in the lung bases
B. A client with diabetes mellitus who has a blood glucose of 180
mg/dL and reports thirst
C. A client post-operative day 1 with a temperature of 99.8°F
(37.7°C) and mild incisional pain
D. A client with pneumonia who has an oxygen saturation of 88%
on room air and is confused
Answer: D
1
,Rationale: Using prioritization frameworks (ABCs + Maslow), the
client with oxygen saturation of 88% and confusion is
demonstrating hypoxemia and potential impending respiratory
failure. This is an immediate life-threatening issue requiring rapid
response activation. The other findings are abnormal but not
immediately life-threatening .
2. The rapid response team (RRT) is activated for a client
whose condition is deteriorating. Which assessment finding
most likely triggered the RRT call?
A. Blood pressure 110/70 mm Hg, heart rate 90 bpm,
respirations 22/min
B. Client reports pain level 4/10 and requests pain medication
C. Respiratory rate 32/min with oxygen saturation 85% on 4 L
nasal cannula
D. Urine output 40 mL/hour for the past 4 hours
Answer: C
2
,Rationale: Rapid response criteria include respiratory rate
>30/min, oxygen saturation <90% despite supplemental
oxygen, heart rate >140 or <40 bpm, systolic BP <90 mm Hg,
and acute change in mental status. This client has both tachypnea
and hypoxemia, indicating respiratory compromise .
3. A client with end-stage chronic obstructive pulmonary
disease (COPD) is receiving palliative care. Which intervention
is most appropriate?
A. Aggressive chemotherapy for newly diagnosed lung cancer
B. Withholding all pain medications to prevent respiratory
depression
C. Providing comfort measures and symptom management at the
end of life
D. Initiating full code status and transferring to the intensive care
unit
Answer: C
3
, Rationale: Palliative care focuses on symptom management,
comfort, and quality of life for clients with life-altering or
terminal illnesses. It does not exclude curative treatments but
rather adds comfort measures. Pain management with opioids is
appropriate even at the end of life .
4. The nurse is delegating tasks to an unlicensed assistive
personnel (UAP). Which task is appropriate to delegate?
A. Assessing a client's lung sounds after a respiratory treatment
B. Evaluating the effectiveness of pain medication
C. Measuring vital signs on a stable postoperative client
D. Teaching a client how to use an incentive spirometer
Answer: C
Rationale: UAPs can perform routine tasks for stable clients,
including vital signs measurement, bathing, ambulation, and
intake/output recording. Assessment, evaluation, and teaching
4
