NU 180 Nursing and Healthcare II Exam 1 Prep Document |
2026/2027 Edition | 250 Verified Questions
NU 180 Nursing and Healthcare II Exam 1 2026-2027 QUESTIONS AND ANSWERS ALREADY GRADED A+.
100% Verified Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive exam preparation document contains 250 verified, exam-style questions for NU
180 Nursing and Healthcare II Exam 1, covering all major content areas. Each question includes
detailed rationales and correct answers, ensuring thorough understanding of key concepts. Designed to
mirror the actual exam format, this resource facilitates effective study and mastery of nursing
fundamentals. With a focus on evidence-based practice and critical thinking, students can confidently
prepare for success.
Key Features:
Comprehensive coverage of nursing fundamentals and healthcare II topics
250 exam-style questions with detailed rationales
100% verified answers with A+ grading standards
Updated for 2026/2027 academic year
Includes pharmacology, pathophysiology, and patient care scenarios
Designed for self-assessment and exam simulation
Updates for 2026:
- Incorporated latest NCLEX-format question styles
- Revised rationales to reflect current evidence-based guidelines
- Expanded coverage of safety and infection control
- Updated pharmacology content to include new drug classifications
Abstract:
This document presents a rigorous compilation of 250 exam-style questions meticulously crafted for NU 180
Nursing and Healthcare II Exam 1. Each question is aligned with the 2026/2027 curriculum, ensuring relevance
and accuracy. The content spans core nursing domains including medical-surgical nursing, pharmacology,
pathophysiology, and patient-centered care. Questions are designed to evaluate higher-order thinking, requiring
application, analysis, and synthesis of knowledge. Detailed answer rationales provide immediate feedback,
reinforcing correct learning and clarifying misconceptions. This resource serves as an essential tool for nursing
students seeking to achieve mastery and excel in their examinations. The integration of real-world clinical
scenarios bridges theoretical knowledge with practical application, preparing students for both exams and clinical
practice.
Keywords:
NU 180, Nursing and Healthcare II, Exam 1, 250 questions, NCLEX-style, verified answers, A+ graded,
2026-2027
Answer Format:
Each question is presented in a multiple-choice format, followed by the correct answer and a detailed rationale
explaining why it is correct. Distractor options are analyzed to address common misconceptions. Answers are
explicitly graded A+ and verified for accuracy.
Compliance Checklist:
Aligned with 2026/2027 NU 180 curriculum
100% verified answers by nursing experts
Updated per latest NCLEX guidelines
Page 1
, Includes rationales for all correct answers
Designed for self-paced study and exam readiness
Content Area Overview:
Content Area Questions Key Topics Weight
Fundamentals of Nursing 1-55 vital signs, hygiene, mobility, safety 22%
Medical-Surgical Nursing 56-120 perioperative care, wound healing, 26%
fluid/electrolytes
Pharmacology 121-170 drug calculations, medication 20%
administration, adverse effects
Pathophysiology 171-215 inflammation, infection, cellular adaptation 18%
Patient Safety & Infection 216-250 standard precautions, fall prevention, error 14%
Control reporting
Page 2
,Q1. A patient receiving long-term opioid therapy for chronic pain is scheduled for
elective surgery. The perioperative nurse is developing a pain management plan.
Which principle should guide the plan?
A. Discontinue all opioids 24 hours before surgery to prevent respiratory depression.
B. Continue the usual daily opioid dose and supplement with multimodal non-opioid
analgesics.
C. Switch to a different full opioid agonist to overcome tolerance.
D. Use only non-opioid analgesics after surgery to minimize addiction risk.
Correct Answer: B. Continue the usual daily opioid dose and supplement with
multimodal non-opioid analgesics.
Rationale: Continuing baseline opioids prevents withdrawal and provides stable
analgesia. Multimodal adjuncts (NSAIDs, acetaminophen, regional blocks) enhance pain
control and reduce opioid requirements.
Why Wrong:
A - Abrupt cessation can precipitate withdrawal and worsen pain; opioids should be
continued perioperatively.
C - Tolerance is managed by dose adjustment, not switching agents empirically; the
current opioid should be maintained.
D - Non-opioids alone are insufficient for moderate-to-severe postoperative pain;
opioids are part of balanced analgesia.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 10th Ed., Ch. 24; Pasero,
C. & McCaffery, M. (2018). Pain Assessment and Pharmacologic
Management.
Q2. During a laparoscopic procedure, the anesthesia provider notes a sudden
decrease in end-tidal CO2 from 35 to 18 mmHg and SpO2 drops to 89%. Venous air
embolism is suspected. What is the nurse's priority action?
A. Increase the IV fluid rate.
B. Position the patient in steep Trendelenburg with left side down.
C. Administer 100% oxygen via the ventilator.
D. Prepare for emergent chest tube insertion.
Correct Answer: B. Position the patient in steep Trendelenburg with left side down.
Rationale: Trendelenburg with left lateral tilt (Durant's maneuver) traps air in the right
ventricle, preventing pulmonary outflow obstruction. Administering oxygen is secondary;
chest tube is not indicated.
Why Wrong:
A - Fluids do not address the air embolism; repositioning is the critical initial action.
C - 100% oxygen is important but not the priority; repositioning comes first to prevent
hemodynamic collapse.
Page 3
, D - Chest tube is for pneumothorax, not venous air embolism.
Reference: Odom-Forren, J. (2022). Drain's PeriAnesthesia Nursing, 8th Ed., Ch. 18;
AORN Guidelines for Venous Air Embolism.
Q3. A patient with syndrome of inappropriate antidiuretic hormone (SIADH)
presents with severe hyponatremia (serum Na 115 mEq/L) and confusion. Which
intervention is NOT appropriate?
A. Administer 3% hypertonic saline intravenously.
B. Restrict oral water intake to 800 mL/day.
C. Infuse 0.9% normal saline at a maintenance rate.
D. Monitor serum sodium every 2 hours during correction.
Correct Answer: C. Infuse 0.9% normal saline at a maintenance rate.
Rationale: In SIADH, isotonic saline can worsen hyponatremia because the kidney retains
both sodium and water, leading to further dilution. Hypertonic saline is indicated for
severe symptoms; water restriction and frequent monitoring are standard.
Why Wrong:
A - Hypertonic saline is appropriate for severe symptomatic hyponatremia and should
be used cautiously.
B - Water restriction is a key non-pharmacologic intervention in SIADH.
D - Frequent monitoring is essential to avoid overcorrection and osmotic
demyelination.
Reference: Verbalis, J.G., et al. (2013). Diagnosis and treatment of hyponatremia.
American Journal of Medicine; Lewis, S.L., et al. (2026). Medical-Surgical
Nursing, 11th Ed., Ch. 16.
Q4. A patient with a 3-day history of severe vomiting has an arterial blood gas: pH
7.52, PaCO2 48 mm Hg, HCO3- 36 mEq/L. What compensatory state does this
represent?
A. Metabolic alkalosis with superimposed respiratory acidosis.
B. Metabolic alkalosis with appropriate respiratory compensation.
C. Mixed metabolic alkalosis and respiratory alkalosis.
D. Respiratory acidosis with metabolic alkalosis compensation.
Correct Answer: B. Metabolic alkalosis with appropriate respiratory compensation.
Rationale: The primary disorder is metabolic alkalosis (high HCO3, high pH). The
expected compensatory response is hypoventilation, raising PaCO2. The PaCO2 of 48 is
appropriate for the degree of metabolic alkalosis (Winters' formula: PaCO2 = 0.7 × HCO3
+ 20 ± 5, here 0.7×36+20 = 45.2, within range).
Why Wrong:
A - The PaCO2 is appropriately elevated, not a second primary acidosis; PaCO2 is
Page 4
2026/2027 Edition | 250 Verified Questions
NU 180 Nursing and Healthcare II Exam 1 2026-2027 QUESTIONS AND ANSWERS ALREADY GRADED A+.
100% Verified Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive exam preparation document contains 250 verified, exam-style questions for NU
180 Nursing and Healthcare II Exam 1, covering all major content areas. Each question includes
detailed rationales and correct answers, ensuring thorough understanding of key concepts. Designed to
mirror the actual exam format, this resource facilitates effective study and mastery of nursing
fundamentals. With a focus on evidence-based practice and critical thinking, students can confidently
prepare for success.
Key Features:
Comprehensive coverage of nursing fundamentals and healthcare II topics
250 exam-style questions with detailed rationales
100% verified answers with A+ grading standards
Updated for 2026/2027 academic year
Includes pharmacology, pathophysiology, and patient care scenarios
Designed for self-assessment and exam simulation
Updates for 2026:
- Incorporated latest NCLEX-format question styles
- Revised rationales to reflect current evidence-based guidelines
- Expanded coverage of safety and infection control
- Updated pharmacology content to include new drug classifications
Abstract:
This document presents a rigorous compilation of 250 exam-style questions meticulously crafted for NU 180
Nursing and Healthcare II Exam 1. Each question is aligned with the 2026/2027 curriculum, ensuring relevance
and accuracy. The content spans core nursing domains including medical-surgical nursing, pharmacology,
pathophysiology, and patient-centered care. Questions are designed to evaluate higher-order thinking, requiring
application, analysis, and synthesis of knowledge. Detailed answer rationales provide immediate feedback,
reinforcing correct learning and clarifying misconceptions. This resource serves as an essential tool for nursing
students seeking to achieve mastery and excel in their examinations. The integration of real-world clinical
scenarios bridges theoretical knowledge with practical application, preparing students for both exams and clinical
practice.
Keywords:
NU 180, Nursing and Healthcare II, Exam 1, 250 questions, NCLEX-style, verified answers, A+ graded,
2026-2027
Answer Format:
Each question is presented in a multiple-choice format, followed by the correct answer and a detailed rationale
explaining why it is correct. Distractor options are analyzed to address common misconceptions. Answers are
explicitly graded A+ and verified for accuracy.
Compliance Checklist:
Aligned with 2026/2027 NU 180 curriculum
100% verified answers by nursing experts
Updated per latest NCLEX guidelines
Page 1
, Includes rationales for all correct answers
Designed for self-paced study and exam readiness
Content Area Overview:
Content Area Questions Key Topics Weight
Fundamentals of Nursing 1-55 vital signs, hygiene, mobility, safety 22%
Medical-Surgical Nursing 56-120 perioperative care, wound healing, 26%
fluid/electrolytes
Pharmacology 121-170 drug calculations, medication 20%
administration, adverse effects
Pathophysiology 171-215 inflammation, infection, cellular adaptation 18%
Patient Safety & Infection 216-250 standard precautions, fall prevention, error 14%
Control reporting
Page 2
,Q1. A patient receiving long-term opioid therapy for chronic pain is scheduled for
elective surgery. The perioperative nurse is developing a pain management plan.
Which principle should guide the plan?
A. Discontinue all opioids 24 hours before surgery to prevent respiratory depression.
B. Continue the usual daily opioid dose and supplement with multimodal non-opioid
analgesics.
C. Switch to a different full opioid agonist to overcome tolerance.
D. Use only non-opioid analgesics after surgery to minimize addiction risk.
Correct Answer: B. Continue the usual daily opioid dose and supplement with
multimodal non-opioid analgesics.
Rationale: Continuing baseline opioids prevents withdrawal and provides stable
analgesia. Multimodal adjuncts (NSAIDs, acetaminophen, regional blocks) enhance pain
control and reduce opioid requirements.
Why Wrong:
A - Abrupt cessation can precipitate withdrawal and worsen pain; opioids should be
continued perioperatively.
C - Tolerance is managed by dose adjustment, not switching agents empirically; the
current opioid should be maintained.
D - Non-opioids alone are insufficient for moderate-to-severe postoperative pain;
opioids are part of balanced analgesia.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 10th Ed., Ch. 24; Pasero,
C. & McCaffery, M. (2018). Pain Assessment and Pharmacologic
Management.
Q2. During a laparoscopic procedure, the anesthesia provider notes a sudden
decrease in end-tidal CO2 from 35 to 18 mmHg and SpO2 drops to 89%. Venous air
embolism is suspected. What is the nurse's priority action?
A. Increase the IV fluid rate.
B. Position the patient in steep Trendelenburg with left side down.
C. Administer 100% oxygen via the ventilator.
D. Prepare for emergent chest tube insertion.
Correct Answer: B. Position the patient in steep Trendelenburg with left side down.
Rationale: Trendelenburg with left lateral tilt (Durant's maneuver) traps air in the right
ventricle, preventing pulmonary outflow obstruction. Administering oxygen is secondary;
chest tube is not indicated.
Why Wrong:
A - Fluids do not address the air embolism; repositioning is the critical initial action.
C - 100% oxygen is important but not the priority; repositioning comes first to prevent
hemodynamic collapse.
Page 3
, D - Chest tube is for pneumothorax, not venous air embolism.
Reference: Odom-Forren, J. (2022). Drain's PeriAnesthesia Nursing, 8th Ed., Ch. 18;
AORN Guidelines for Venous Air Embolism.
Q3. A patient with syndrome of inappropriate antidiuretic hormone (SIADH)
presents with severe hyponatremia (serum Na 115 mEq/L) and confusion. Which
intervention is NOT appropriate?
A. Administer 3% hypertonic saline intravenously.
B. Restrict oral water intake to 800 mL/day.
C. Infuse 0.9% normal saline at a maintenance rate.
D. Monitor serum sodium every 2 hours during correction.
Correct Answer: C. Infuse 0.9% normal saline at a maintenance rate.
Rationale: In SIADH, isotonic saline can worsen hyponatremia because the kidney retains
both sodium and water, leading to further dilution. Hypertonic saline is indicated for
severe symptoms; water restriction and frequent monitoring are standard.
Why Wrong:
A - Hypertonic saline is appropriate for severe symptomatic hyponatremia and should
be used cautiously.
B - Water restriction is a key non-pharmacologic intervention in SIADH.
D - Frequent monitoring is essential to avoid overcorrection and osmotic
demyelination.
Reference: Verbalis, J.G., et al. (2013). Diagnosis and treatment of hyponatremia.
American Journal of Medicine; Lewis, S.L., et al. (2026). Medical-Surgical
Nursing, 11th Ed., Ch. 16.
Q4. A patient with a 3-day history of severe vomiting has an arterial blood gas: pH
7.52, PaCO2 48 mm Hg, HCO3- 36 mEq/L. What compensatory state does this
represent?
A. Metabolic alkalosis with superimposed respiratory acidosis.
B. Metabolic alkalosis with appropriate respiratory compensation.
C. Mixed metabolic alkalosis and respiratory alkalosis.
D. Respiratory acidosis with metabolic alkalosis compensation.
Correct Answer: B. Metabolic alkalosis with appropriate respiratory compensation.
Rationale: The primary disorder is metabolic alkalosis (high HCO3, high pH). The
expected compensatory response is hypoventilation, raising PaCO2. The PaCO2 of 48 is
appropriate for the degree of metabolic alkalosis (Winters' formula: PaCO2 = 0.7 × HCO3
+ 20 ± 5, here 0.7×36+20 = 45.2, within range).
Why Wrong:
A - The PaCO2 is appropriately elevated, not a second primary acidosis; PaCO2 is
Page 4
