NUR 3300 Exam 3 – Nursing Practice II 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 3300 Exam 3 – Nursing Practice II 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 3 – Nursing Practice II 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient with heart failure is receiving Digoxin. Which finding would be most indicative of
early Digoxin toxicity?
A. Blurred yellow-green vision
B. Ventricular tachycardia
C. Anorexia and nausea
D. Severe peripheral edema
Answer: C
Rationale: Anorexia, nausea, and vomiting are typically the earliest signs of Digoxin toxicity. Visual
changes like halos and arrhythmias are later or more severe signs. 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. Remembering this point will help you decide the best nursing action
when similar questions appear on the exam. Link the answer to the client’s current condition and risk
level.
2. A client is admitted with Diabetic Ketoacidosis (DKA). Which IV fluid order should the
nurse expect once the blood glucose level drops to 250 mg/dL?
A. . Which IV fluid order should the nurse expect once the blood glucose level drops to 250 mg/dL?
B. 5% Dextrose in 0.45% Normal Saline
C. Lactated Ringer’s
D. 3% Hypertonic Saline
Answer: B
Rationale: When blood glucose reaches 250-300 mg/dL in DKA, dextrose is added to the IV fluids to
prevent hypoglycemia and cerebral edema as insulin continues to be administered. This is important
because the nurse must choose the action that keeps the client safest while still meeting their basic
needs. Always think about safety first when answering these questions. Remembering this point will
help you decide the best nursing action when similar questions appear on the exam. Link the answer
to the client’s current condition and risk level.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 3300 Exam 3 – Nursing Practice II 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
3. Which arterial blood gas (ABG) result is most consistent with a patient experiencing a
severe asthma attack and early respiratory failure?
A. pH 7.35, PaCO2 40, HCO3 28
B. pH 7.48, PaCO2 30, HCO3 22
C. pH 7.30, PaCO2 50, HCO3 24
D. pH 7.50, PaCO2 45, HCO3 30
Answer: C
Rationale: Respiratory acidosis (low pH, high CO2) indicates that the patient is fatiguing and unable to
clear CO2, marking a transition toward respiratory failure. 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. 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.
4. The nurse is caring for a patient post-thyroidectomy. Which assessment finding requires
immediate notification of the healthcare provider?
A. Positive Trousseau’s sign
B. Hoarseness of voice
C. Sore throat when swallowing
D. Pain at the incision site
Answer: A
Rationale: A positive Trousseau’s sign indicates hypocalcemia (due to potential parathyroid damage),
which can lead to tetany and laryngospasm, a medical emergency. This is important because the
nurse must choose the action that keeps the client safest while still meeting their basic needs. Always
think about safety first when answering these questions. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 3300 Exam 3 – Nursing Practice II 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 3 – Nursing Practice II 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient with heart failure is receiving Digoxin. Which finding would be most indicative of
early Digoxin toxicity?
A. Blurred yellow-green vision
B. Ventricular tachycardia
C. Anorexia and nausea
D. Severe peripheral edema
Answer: C
Rationale: Anorexia, nausea, and vomiting are typically the earliest signs of Digoxin toxicity. Visual
changes like halos and arrhythmias are later or more severe signs. 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. Remembering this point will help you decide the best nursing action
when similar questions appear on the exam. Link the answer to the client’s current condition and risk
level.
2. A client is admitted with Diabetic Ketoacidosis (DKA). Which IV fluid order should the
nurse expect once the blood glucose level drops to 250 mg/dL?
A. . Which IV fluid order should the nurse expect once the blood glucose level drops to 250 mg/dL?
B. 5% Dextrose in 0.45% Normal Saline
C. Lactated Ringer’s
D. 3% Hypertonic Saline
Answer: B
Rationale: When blood glucose reaches 250-300 mg/dL in DKA, dextrose is added to the IV fluids to
prevent hypoglycemia and cerebral edema as insulin continues to be administered. This is important
because the nurse must choose the action that keeps the client safest while still meeting their basic
needs. Always think about safety first when answering these questions. Remembering this point will
help you decide the best nursing action when similar questions appear on the exam. Link the answer
to the client’s current condition and risk level.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 3300 Exam 3 – Nursing Practice II 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
3. Which arterial blood gas (ABG) result is most consistent with a patient experiencing a
severe asthma attack and early respiratory failure?
A. pH 7.35, PaCO2 40, HCO3 28
B. pH 7.48, PaCO2 30, HCO3 22
C. pH 7.30, PaCO2 50, HCO3 24
D. pH 7.50, PaCO2 45, HCO3 30
Answer: C
Rationale: Respiratory acidosis (low pH, high CO2) indicates that the patient is fatiguing and unable to
clear CO2, marking a transition toward respiratory failure. 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. 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.
4. The nurse is caring for a patient post-thyroidectomy. Which assessment finding requires
immediate notification of the healthcare provider?
A. Positive Trousseau’s sign
B. Hoarseness of voice
C. Sore throat when swallowing
D. Pain at the incision site
Answer: A
Rationale: A positive Trousseau’s sign indicates hypocalcemia (due to potential parathyroid damage),
which can lead to tetany and laryngospasm, a medical emergency. This is important because the
nurse must choose the action that keeps the client safest while still meeting their basic needs. Always
think about safety first when answering these questions. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities.
Exam (Elaborations) • Detailed Rationales Page 3
