NSG 430 Exam 4 – Adult Health Nursing II 2026 UPDATE GC… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 430 Exam 4 – Adult Health Nursing II 2026
UPDATE GCU
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 430 Exam 4 – Adult Health Nursing II 2026 UPDATE GC… 2026 Update • Verified Answers
Questions & Verified Answers
1. A patient is in the compensatory stage of shock. Which clinical manifestation should the
nurse expect to observe?
A. Narrowing pulse pressure and tachycardia
B. Metabolic acidosis and hyperkalemia
C. Anuria and cold, mottled skin
D. Decreased level of consciousness and bradycardia
Answer: A
Rationale: In the compensatory stage of shock, the body attempts to maintain homeostasis. Clinical signs
include tachycardia, peripheral vasoconstriction, and a narrowing pulse pressure as the body redirects blood
flow to vital organs. Applying this knowledge in clinical settings supports safe, evidence-based practice and
improves patient outcomes.
2. Which assessment finding is most indicative of the progressive stage of shock?
A. Increased urinary output
B. Increased bowel sounds
C. Respiratory alkalosis
D. Weak, thready peripheral pulses
Answer: D
Rationale: In the progressive stage, compensatory mechanisms fail. Decreased cardiac output leads to poor
tissue perfusion, evidenced by weak peripheral pulses, hypotension, and altered mental status. Exam
questions often test the ability to distinguish this concept from closely related distractors, making a clear
rationale essential for mastery.
3. A patient with septic shock has a MAP of 55 mmHg despite fluid resuscitation. Which
medication should the nurse anticipate administering first?
A. Norepinephrine
B. Nitroprusside
C. Furosemide
D. Amiodarone
Answer: A
Rationale: Norepinephrine is the first-line vasopressor for septic shock that is unresponsive to fluid
resuscitation, aiming to maintain a MAP of at least 65 mmHg. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery. Applying
this knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 430 Exam 4 – Adult Health Nursing II 2026 UPDATE GC… 2026 Update • Verified Answers
4. During a disaster triage, a patient with a sucking chest wound is assigned which color tag?
A. Green
B. Red
C. Yellow
D. Black
Answer: B
Rationale: A red tag (Immediate) is used for life-threatening injuries that are treatable, such as airway
obstruction, tension pneumothorax, or a sucking chest wound. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes. This is an important clinical concept
because selecting the correct answer (B) requires understanding both the pathophysiology and the practical
nursing implications.
5. What is the primary goal of the ‘Primary Survey’ in trauma nursing?
A. Obtain a full medical history
B. Identify and treat life-threatening injuries
C. Perform a head-to-toe physical assessment
D. Coordinate transfer to a tertiary care center
Answer: B
Rationale: The primary survey follows the ABCDE mnemonic (Airway, Breathing, Circulation, Disability,
Exposure) to rapidly identify and manage life-threatening conditions. Recognizing this principle allows the nurse
to prioritize care, anticipate complications, and provide accurate patient education.
6. A patient presents with burns to the entire left arm and the anterior trunk. Using the Rule of
Nines, what is the estimated TBSA?
A. 18%
B. 27%
C. 36%
D. 45%
Answer: B
Rationale: According to the Rule of Nines, the entire arm is 9% and the anterior trunk is 18%. 9 + 18 = 27%.
This is an important clinical concept because selecting the correct answer (B) requires understanding both the
pathophysiology and the practical nursing implications. Recognizing this principle allows the nurse to prioritize
care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 430 Exam 4 – Adult Health Nursing II 2026
UPDATE GCU
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 430 Exam 4 – Adult Health Nursing II 2026 UPDATE GC… 2026 Update • Verified Answers
Questions & Verified Answers
1. A patient is in the compensatory stage of shock. Which clinical manifestation should the
nurse expect to observe?
A. Narrowing pulse pressure and tachycardia
B. Metabolic acidosis and hyperkalemia
C. Anuria and cold, mottled skin
D. Decreased level of consciousness and bradycardia
Answer: A
Rationale: In the compensatory stage of shock, the body attempts to maintain homeostasis. Clinical signs
include tachycardia, peripheral vasoconstriction, and a narrowing pulse pressure as the body redirects blood
flow to vital organs. Applying this knowledge in clinical settings supports safe, evidence-based practice and
improves patient outcomes.
2. Which assessment finding is most indicative of the progressive stage of shock?
A. Increased urinary output
B. Increased bowel sounds
C. Respiratory alkalosis
D. Weak, thready peripheral pulses
Answer: D
Rationale: In the progressive stage, compensatory mechanisms fail. Decreased cardiac output leads to poor
tissue perfusion, evidenced by weak peripheral pulses, hypotension, and altered mental status. Exam
questions often test the ability to distinguish this concept from closely related distractors, making a clear
rationale essential for mastery.
3. A patient with septic shock has a MAP of 55 mmHg despite fluid resuscitation. Which
medication should the nurse anticipate administering first?
A. Norepinephrine
B. Nitroprusside
C. Furosemide
D. Amiodarone
Answer: A
Rationale: Norepinephrine is the first-line vasopressor for septic shock that is unresponsive to fluid
resuscitation, aiming to maintain a MAP of at least 65 mmHg. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery. Applying
this knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 430 Exam 4 – Adult Health Nursing II 2026 UPDATE GC… 2026 Update • Verified Answers
4. During a disaster triage, a patient with a sucking chest wound is assigned which color tag?
A. Green
B. Red
C. Yellow
D. Black
Answer: B
Rationale: A red tag (Immediate) is used for life-threatening injuries that are treatable, such as airway
obstruction, tension pneumothorax, or a sucking chest wound. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes. This is an important clinical concept
because selecting the correct answer (B) requires understanding both the pathophysiology and the practical
nursing implications.
5. What is the primary goal of the ‘Primary Survey’ in trauma nursing?
A. Obtain a full medical history
B. Identify and treat life-threatening injuries
C. Perform a head-to-toe physical assessment
D. Coordinate transfer to a tertiary care center
Answer: B
Rationale: The primary survey follows the ABCDE mnemonic (Airway, Breathing, Circulation, Disability,
Exposure) to rapidly identify and manage life-threatening conditions. Recognizing this principle allows the nurse
to prioritize care, anticipate complications, and provide accurate patient education.
6. A patient presents with burns to the entire left arm and the anterior trunk. Using the Rule of
Nines, what is the estimated TBSA?
A. 18%
B. 27%
C. 36%
D. 45%
Answer: B
Rationale: According to the Rule of Nines, the entire arm is 9% and the anterior trunk is 18%. 9 + 18 = 27%.
This is an important clinical concept because selecting the correct answer (B) requires understanding both the
pathophysiology and the practical nursing implications. Recognizing this principle allows the nurse to prioritize
care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 3
