NUR 3300 Exam 2 – Nursing Practice II (Advanced M… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 3300 Exam 2 – Nursing Practice II (Advanced
Medical-Surgical Nursing) 2026/2027 UPDATE – WPU
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 3300 Exam 2 – Nursing Practice II (Advanced M… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient’s ABG results are pH 7.28, PaCO2 55 mm Hg, and HCO3 26 mEq/L. Which acid-
base imbalance is the patient experiencing?
A. Metabolic acidosis
B. Respiratory alkalosis
C. Respiratory acidosis
D. Metabolic alkalosis
Answer: C
Rationale: A pH below 7.35 indicates acidosis. A PaCO2 above 45 mm Hg indicates a respiratory
cause, while the HCO3 is within normal range (22-26), indicating no compensation. This knowledge
supports safe care and helps the nurse teach the client and family clearly and simply. Clear teaching
improves cooperation and reduces anxiety. Knowing the reason behind the correct answer makes it
easier to rule out the wrong options quickly. Look for the choice that protects the client and matches
the priority need.
2. A patient with heart failure is receiving Digoxin. Which electrolyte imbalance should the
nurse monitor most closely to prevent toxicity?
A. Hypernatremia
B. Hypokalemia
C. Hypocalcemia
D. Hypermagnesemia
Answer: B
Rationale: Hypokalemia increases the risk of Digoxin toxicity because low potassium levels enhance
the effects of the drug on the heart. Exam questions often test whether you can pick the most practical
and safe choice for the client in real situations. Focus on what the nurse can actually do right now.
Knowing the reason behind the correct answer makes it easier to rule out the wrong options quickly.
Look for the choice that protects the client and matches the priority need.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 3300 Exam 2 – Nursing Practice II (Advanced M… 2026/2027 • Verified • Assured Grade A+
3. In the early stage of Septic Shock, which hemodynamic finding is typically expected?
A. Decreased Cardiac Output
B. Increased Cardiac Output
C. Increased Systemic Vascular Resistance (SVR)
D. Severe Bradycardia
Answer: B
Rationale: Early (hyperdynamic/warm) septic shock is characterized by high cardiac output and low
SVR due to massive vasodilation. This knowledge supports safe care and helps the nurse teach the
client and family clearly and simply. Clear teaching improves cooperation and reduces anxiety. Exam
questions often test whether you can pick the most practical and safe choice for the client in real
situations. Focus on what the nurse can actually do right now.
4. A patient weighing 70kg has sustained full-thickness burns to 40% of their body. Using the
Parkland Formula (4mL/kg/%TBSA), how much fluid should be administered in the first 8
hours?
A. , how much fluid should be administered in the first 8 hours?
B. 11,200 mL
C. 2,800 mL
D. 5,600 mL
Answer: D
Rationale: Total fluid = 4mL x 70kg x 40 = 11,200 mL. Half of this (5,600 mL) is given in the first 8
hours. Clear understanding of this concept improves both test performance and everyday clinical
judgment. Practice applying it to short case scenarios to lock the idea in place. This knowledge
supports safe care and helps the nurse teach the client and family clearly and simply. Clear teaching
improves cooperation and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 3300 Exam 2 – Nursing Practice II (Advanced
Medical-Surgical Nursing) 2026/2027 UPDATE – WPU
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 3300 Exam 2 – Nursing Practice II (Advanced M… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient’s ABG results are pH 7.28, PaCO2 55 mm Hg, and HCO3 26 mEq/L. Which acid-
base imbalance is the patient experiencing?
A. Metabolic acidosis
B. Respiratory alkalosis
C. Respiratory acidosis
D. Metabolic alkalosis
Answer: C
Rationale: A pH below 7.35 indicates acidosis. A PaCO2 above 45 mm Hg indicates a respiratory
cause, while the HCO3 is within normal range (22-26), indicating no compensation. This knowledge
supports safe care and helps the nurse teach the client and family clearly and simply. Clear teaching
improves cooperation and reduces anxiety. Knowing the reason behind the correct answer makes it
easier to rule out the wrong options quickly. Look for the choice that protects the client and matches
the priority need.
2. A patient with heart failure is receiving Digoxin. Which electrolyte imbalance should the
nurse monitor most closely to prevent toxicity?
A. Hypernatremia
B. Hypokalemia
C. Hypocalcemia
D. Hypermagnesemia
Answer: B
Rationale: Hypokalemia increases the risk of Digoxin toxicity because low potassium levels enhance
the effects of the drug on the heart. Exam questions often test whether you can pick the most practical
and safe choice for the client in real situations. Focus on what the nurse can actually do right now.
Knowing the reason behind the correct answer makes it easier to rule out the wrong options quickly.
Look for the choice that protects the client and matches the priority need.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 3300 Exam 2 – Nursing Practice II (Advanced M… 2026/2027 • Verified • Assured Grade A+
3. In the early stage of Septic Shock, which hemodynamic finding is typically expected?
A. Decreased Cardiac Output
B. Increased Cardiac Output
C. Increased Systemic Vascular Resistance (SVR)
D. Severe Bradycardia
Answer: B
Rationale: Early (hyperdynamic/warm) septic shock is characterized by high cardiac output and low
SVR due to massive vasodilation. This knowledge supports safe care and helps the nurse teach the
client and family clearly and simply. Clear teaching improves cooperation and reduces anxiety. Exam
questions often test whether you can pick the most practical and safe choice for the client in real
situations. Focus on what the nurse can actually do right now.
4. A patient weighing 70kg has sustained full-thickness burns to 40% of their body. Using the
Parkland Formula (4mL/kg/%TBSA), how much fluid should be administered in the first 8
hours?
A. , how much fluid should be administered in the first 8 hours?
B. 11,200 mL
C. 2,800 mL
D. 5,600 mL
Answer: D
Rationale: Total fluid = 4mL x 70kg x 40 = 11,200 mL. Half of this (5,600 mL) is given in the first 8
hours. Clear understanding of this concept improves both test performance and everyday clinical
judgment. Practice applying it to short case scenarios to lock the idea in place. This knowledge
supports safe care and helps the nurse teach the client and family clearly and simply. Clear teaching
improves cooperation and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 3
