NU 673 Exam 2 Actual Exam 2026/2027 –
Complete Exam-Style Questions with
Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
1. A patient reports sudden onset of shortness of breath. What should the nurse assess first?
A. Dietary history
B. Airway and breathing
C. Sleep pattern
D. Family history
CORRECT ANSWER: B
Rationale:
Acute shortness of breath can indicate a life-threatening respiratory problem. The nurse should
immediately assess airway patency and breathing.
2. Which finding is most concerning in a patient with respiratory disease?
A. Respiratory rate of 18/min
B. Mild chronic cough
C. Increasing work of breathing with cyanosis
D. Clear speech
, CORRECT ANSWER: C
Rationale:
Increasing respiratory effort and cyanosis can indicate significant oxygenation impairment and
require immediate intervention.
3. A patient with pneumonia develops confusion and a rapidly increasing respiratory rate. What
is the priority?
A. Assess oxygenation and respiratory status
B. Offer a snack
C. Encourage ambulation
D. Delay assessment until laboratory results are available
CORRECT ANSWER: A
Rationale:
Confusion and tachypnea may indicate worsening hypoxemia or systemic deterioration.
Respiratory status should be assessed immediately.
4. Which finding is commonly associated with fluid volume excess?
A. Dry mucous membranes
B. Peripheral edema
C. Decreased body weight
D. Poor skin turgor
, CORRECT ANSWER: B
Rationale:
Excess fluid may accumulate in the interstitial spaces, producing peripheral edema and weight
gain.
5. Which finding is consistent with fluid volume deficit?
A. Jugular venous distention
B. Pulmonary edema
C. Dry mucous membranes and decreased urine output
D. Rapid weight gain
CORRECT ANSWER: C
Rationale:
Fluid-volume deficit commonly causes reduced urine output, dry mucous membranes, thirst,
and orthostatic symptoms.
6. Which assessment finding may indicate poor tissue perfusion?
A. Warm skin and strong pulses
B. Cool extremities and delayed capillary refill
C. Normal mental status
D. Strong bilateral pulses
, CORRECT ANSWER: B
Rationale:
Cool extremities and delayed capillary refill may indicate reduced peripheral perfusion.
7. Which patient should the nurse assess first?
A. Patient with stable chronic arthritis
B. Patient with sudden chest pressure and diaphoresis
C. Patient requesting assistance with bathing
D. Patient waiting for discharge paperwork
CORRECT ANSWER: B
Rationale:
Chest pressure with diaphoresis may indicate acute coronary syndrome and requires immediate
assessment.
8. Which symptom is commonly associated with hypoglycemia?
A. Diaphoresis and tremors
B. Polyuria only
C. Increased thirst only
D. Dry skin
Complete Exam-Style Questions with
Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
1. A patient reports sudden onset of shortness of breath. What should the nurse assess first?
A. Dietary history
B. Airway and breathing
C. Sleep pattern
D. Family history
CORRECT ANSWER: B
Rationale:
Acute shortness of breath can indicate a life-threatening respiratory problem. The nurse should
immediately assess airway patency and breathing.
2. Which finding is most concerning in a patient with respiratory disease?
A. Respiratory rate of 18/min
B. Mild chronic cough
C. Increasing work of breathing with cyanosis
D. Clear speech
, CORRECT ANSWER: C
Rationale:
Increasing respiratory effort and cyanosis can indicate significant oxygenation impairment and
require immediate intervention.
3. A patient with pneumonia develops confusion and a rapidly increasing respiratory rate. What
is the priority?
A. Assess oxygenation and respiratory status
B. Offer a snack
C. Encourage ambulation
D. Delay assessment until laboratory results are available
CORRECT ANSWER: A
Rationale:
Confusion and tachypnea may indicate worsening hypoxemia or systemic deterioration.
Respiratory status should be assessed immediately.
4. Which finding is commonly associated with fluid volume excess?
A. Dry mucous membranes
B. Peripheral edema
C. Decreased body weight
D. Poor skin turgor
, CORRECT ANSWER: B
Rationale:
Excess fluid may accumulate in the interstitial spaces, producing peripheral edema and weight
gain.
5. Which finding is consistent with fluid volume deficit?
A. Jugular venous distention
B. Pulmonary edema
C. Dry mucous membranes and decreased urine output
D. Rapid weight gain
CORRECT ANSWER: C
Rationale:
Fluid-volume deficit commonly causes reduced urine output, dry mucous membranes, thirst,
and orthostatic symptoms.
6. Which assessment finding may indicate poor tissue perfusion?
A. Warm skin and strong pulses
B. Cool extremities and delayed capillary refill
C. Normal mental status
D. Strong bilateral pulses
, CORRECT ANSWER: B
Rationale:
Cool extremities and delayed capillary refill may indicate reduced peripheral perfusion.
7. Which patient should the nurse assess first?
A. Patient with stable chronic arthritis
B. Patient with sudden chest pressure and diaphoresis
C. Patient requesting assistance with bathing
D. Patient waiting for discharge paperwork
CORRECT ANSWER: B
Rationale:
Chest pressure with diaphoresis may indicate acute coronary syndrome and requires immediate
assessment.
8. Which symptom is commonly associated with hypoglycemia?
A. Diaphoresis and tremors
B. Polyuria only
C. Increased thirst only
D. Dry skin
