NUR 307 Final Exam (PDF) | Latest 2026/27 Practice Questions & Study Guide Graded A+ | Guaranteed Pass

NUR 307 Final Exam (PDF) | Latest 2026/27 Practice
Questions & Study Guide
Graded A+ | Guaranteed Pass

1. Explain why monitoring electrolyte levels is critical in the context of pre-operative
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care.
.




. . It helps in diagnosing chronic diseases
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. . It ensures proper medication administration
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. . It prevents complications during and after surgery
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. . It assesses the patient's nutritional status
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2. Which of the following actions is essential for ensuring patient safety during the
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preoperative period?
. .




.. .. Administering preoperative medications without consent . . . . .. ..




. . Conducting thorough assessments and obtaining informed consent .. .. .. .. .. ..




. . Allowing patients to keep their valuables during surgery
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. . Ignoring vital signs monitoring .. .. ..




3. A patient presents with muscle twitching and increased deep tendon
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reflexes. Based on these symptoms, what immediate nursing intervention should be prioritized to
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address potential alkalosis?
. . .




. . Administer a bronchodilator .. ..




. . Encourage deep breathing exercises .. .. ..




.. Initiate IV fluid therapy .. . ..




. . Monitor electrolyte levels .. ..




4. What is the primary physiological change that leads to respiratory acidosis?
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, . . A decrease in pCO2
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. . An increase in pCO2
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. . A decrease in oxygen levels
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. . An increase in blood pH
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5. What specific components do coagulation studies assess in relation to blood clotting?
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. . Hemoglobin levels ..




. . Platelets, PT, and PTT .. .. ..




. . White blood cell count .. .. ..




. . Electrolyte balance ..




6. Which position should a patient be in during suctioning to ensure optimal airway
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clearance?
.




.. Supine position ..




.. Prone position ..




. . High fowlers ..




. . Lateral position ..




7. Which components are included in a Complete Blood Count (CBC) and what do they
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primarily assess in surgical patients?
. . .. .. .




RBCs, Hgb, Hct, WBC, and platelets; they assess hydration status and electrolyte
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balance.
.




RBCs, Hgb, Hct, MCV, MCH, MCHC, WBC, and platelets; they assess oxygen
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carrying capability, infection risk, and clotting ability.
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, RBCs, WBC, platelets, and electrolytes; they assess kidney function and liver
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enzymes.
..




.. Hgb, Hct, MCV, and MCHC; they assess blood glucose levels and metabolic rate.
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8. What types of IV fluids are recommended for correcting hypertonic dehydration?
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. . Isotonic (0.9% NS) or hypotonic (0.45% Saline)
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.. Hypertonic (3% Saline) .. ..




. . Colloids

.. Dextrose solutions ..




9. What is the primary cause of metabolic alkalosis?
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. . Increased carbon dioxide levels .. .. . .




. . Increased bicarbonate levels .. ..




. . Decreased oxygen levels .. . .




. . Increased potassium levels .. ..




10. What physiological process does the return of bowel sounds indicate in a post-operative
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patient?
.




. . Restoration of blood flow to the intestines .. .. .. .. .. ..




. . Absence of gastrointestinal complications
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. . Successful administration of anesthesia .. .. ..




. . Effective pain management .. ..




11. A patient scheduled for surgery has a history of chronic alcohol use. During the preoperative
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assessment, which specific considerations should the
. . . . . .

, healthcare team prioritize to ensure patient safety?
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. . Assessing the patient's dietary preferences.
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. . Evaluating the patient's respiratory function only.
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Monitoring for potential withdrawal symptoms and adjusting anesthesia plans
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accordingly.
.




. . Focusing solely on the patient's cardiovascular status.
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12. Explain why it is important for nurses to monitor for signs of infection in a surgical
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wound.
.




Infection can lead to increased hospital stays and complications, affecting
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.. patient recovery. ..




. . Infection is a common occurrence and does not impact patient outcomes.
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. . Monitoring for infection is only necessary if the patient shows symptoms.
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. . Infection is primarily a concern for the surgical team, not the nursing staff.
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13. Explain why the presence of a bleb during IVflushing is a concern for IV patency.
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. . It indicates the IV is functioning properly.
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. . It suggests the IV may be infiltrated or not properly placed.
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. . It shows that the IV is delivering medication effectively.
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. . It means the IV is patent and safe to use.
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