NUR 5700 FINAL EXAM | FULL QUESTIONS
AND CORRECT ANSWERS | 2026/2027
UPDATED | MIAMI DADE COLLEGE.
140 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 5700 FINAL EXAM | FULL QUESTIONS AND CORRECT ANSWERS | 2026/2027 UPDATED | MIAMI
DADE COLLEGE.. It contains 140 carefully selected questions that reflect the most current exam content and
testing strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 140 Questions
Foundations - Application - NUR 5700 FULL AND Correct 2026/2027 Updated Miami DADE College
Nursing Advanced NUR 5700 Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Foundations OF Nursing 1-24 Acute, Severe, Kidney, Diabetes, Adverse Effect
Health Assessment AND 25-48 Appropriate, Finding, Acute, Indicative, Consistent
Physical Examination
Pharmacology AND 49-72 Appropriate, Requires, Respiratory, Primary, Atrial Fibrillation
Medication Administration
Evidence-based AND 73-96 Prescribed, Medication, Laboratory, Appropriate, Likely
Research
Leadership AND 97-120 Mechanism, Current, Guidelines, Describes, Prescribed
Management IN Nursing
Community AND Population 121-140 Mechanism, Infusion, Prescribed, Adverse, Therapy
Health
TOTAL 140 All questions include answers and detailed rationales
,Section A - Foundations OF Nursing
Q1.
Which pharmacokinetic parameter is most likely to be significantly altered in a patient with
decompensated cirrhosis, leading to a need for dose adjustment of a hepatically
metabolized drug with high extraction ratio?
A. Decreased oral bioavailability due to B. Increased volume of distribution for
reduced first-pass metabolism water-soluble drugs
C. Reduced hepatic clearance due to D. Enhanced renal excretion due to
decreased intrinsic clearance and increased cardiac output
portosystemic shunting
Correct: C - Reduced hepatic clearance due to decreased intrinsic clearance and
portosystemic shunting
Rationale:In cirrhosis, both intrinsic metabolic capacity and hepatic blood flow are
compromised, and portosystemic shunting bypasses hepatocytes, all contributing to reduced
hepatic clearance of high-extraction drugs. Bioavailability of such drugs actually increases
(not decreases) because first-pass metabolism is impaired. Volume of distribution for
water-soluble drugs is typically reduced due to decreased body mass and fluid shifts, not
increased. Renal excretion is often impaired, not enhanced, in advanced liver disease.
Why the other answers are wrong:
A. First-pass metabolism is reduced, leading to increased bioavailability, not decreased.
B. Volume of distribution for water-soluble drugs is typically decreased, not increased, in
cirrhosis.
D. Renal function is often impaired, not enhanced, in decompensated cirrhosis.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 4
Q2.
A patient with an acute exacerbation of asthma presents with severe dyspnea, silent chest
on auscultation, and a PaCO2 of 48 mm Hg. What is the most appropriate immediate
intervention?
A. Administer oral corticosteroids and B. Start non-invasive positive pressure
discharge with close follow-up ventilation (NIPPV) with continuous albuterol
nebulization
C. Prepare for immediate endotracheal D. Increase supplemental oxygen to
intubation and mechanical ventilation maintain SpO2 > 95% and reassess in 30
minutes
Correct: C - Prepare for immediate endotracheal intubation and mechanical ventilation
Page 3
, Section A - Foundations OF Nursing
Rationale: Silent chest and rising PaCO2 with severe respiratory distress indicate impending
respiratory failure; immediate intubation is required. NIPPV is generally not recommended in
severe asthma exacerbation due to high failure risk. Oral corticosteroids are too slow for
acute crisis. Supplemental oxygen alone is insufficient and delays definitive airway
management.
Why the other answers are wrong:
A. Oral corticosteroids take hours to work and do not address imminent respiratory failure.
B. NIPPV is not first-line and may delay intubation in severe asthma with silent chest.
D. Reassessment in 30 minutes is unsafe; the patient needs immediate airway intervention.
Reference: Global Initiative for Asthma (GINA) 2026 Report, Ch. 4
Q3.
When performing a comprehensive health assessment, which finding is most indicative of
a malignant melanoma rather than a benign nevus?
A. Symmetric shape with well-defined B. Color variation with multiple shades of
borders brown, black, and red
C. Diameter less than 6 mm with uniform D. Stable size and shape over several years
color
Correct: B - Color variation with multiple shades of brown, black, and red
Rationale:Color variation (multiple hues) is a hallmark of melanoma (ABCDE criteria:
Asymmetry, Border irregularity, Color variation, Diameter >6mm, Evolution). Symmetric
shape, well-defined borders, uniform color, and stability are features of benign nevi.
Why the other answers are wrong:
A. Symmetric shape and well-defined borders are characteristic of benign lesions.
C. Diameter <6mm and uniform color are more consistent with benign nevi.
D. Stability over time is a feature of benign lesions, not melanoma.
Reference: Bickley, L. (2025). Bates' Guide to Physical Examination and History Taking, 13th Ed., Ch. 12
Q4.
A systematic review of randomized controlled trials (RCTs) with meta-analysis typically
provides the highest level of evidence. Which of the following situations would most
threaten the validity of its conclusions?
A. Inclusion of studies with small sample B. Significant heterogeneity (I-squared >
sizes but consistent effect direction 75%) without adequate subgroup analysis or
meta-regression
C. Use of random-effects model for pooling D. Publication of the review in a
effect sizes peer-reviewed journal
Correct: B - Significant heterogeneity (I-squared > 75%) without adequate subgroup
Page 4
AND CORRECT ANSWERS | 2026/2027
UPDATED | MIAMI DADE COLLEGE.
140 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 5700 FINAL EXAM | FULL QUESTIONS AND CORRECT ANSWERS | 2026/2027 UPDATED | MIAMI
DADE COLLEGE.. It contains 140 carefully selected questions that reflect the most current exam content and
testing strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 140 Questions
Foundations - Application - NUR 5700 FULL AND Correct 2026/2027 Updated Miami DADE College
Nursing Advanced NUR 5700 Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Foundations OF Nursing 1-24 Acute, Severe, Kidney, Diabetes, Adverse Effect
Health Assessment AND 25-48 Appropriate, Finding, Acute, Indicative, Consistent
Physical Examination
Pharmacology AND 49-72 Appropriate, Requires, Respiratory, Primary, Atrial Fibrillation
Medication Administration
Evidence-based AND 73-96 Prescribed, Medication, Laboratory, Appropriate, Likely
Research
Leadership AND 97-120 Mechanism, Current, Guidelines, Describes, Prescribed
Management IN Nursing
Community AND Population 121-140 Mechanism, Infusion, Prescribed, Adverse, Therapy
Health
TOTAL 140 All questions include answers and detailed rationales
,Section A - Foundations OF Nursing
Q1.
Which pharmacokinetic parameter is most likely to be significantly altered in a patient with
decompensated cirrhosis, leading to a need for dose adjustment of a hepatically
metabolized drug with high extraction ratio?
A. Decreased oral bioavailability due to B. Increased volume of distribution for
reduced first-pass metabolism water-soluble drugs
C. Reduced hepatic clearance due to D. Enhanced renal excretion due to
decreased intrinsic clearance and increased cardiac output
portosystemic shunting
Correct: C - Reduced hepatic clearance due to decreased intrinsic clearance and
portosystemic shunting
Rationale:In cirrhosis, both intrinsic metabolic capacity and hepatic blood flow are
compromised, and portosystemic shunting bypasses hepatocytes, all contributing to reduced
hepatic clearance of high-extraction drugs. Bioavailability of such drugs actually increases
(not decreases) because first-pass metabolism is impaired. Volume of distribution for
water-soluble drugs is typically reduced due to decreased body mass and fluid shifts, not
increased. Renal excretion is often impaired, not enhanced, in advanced liver disease.
Why the other answers are wrong:
A. First-pass metabolism is reduced, leading to increased bioavailability, not decreased.
B. Volume of distribution for water-soluble drugs is typically decreased, not increased, in
cirrhosis.
D. Renal function is often impaired, not enhanced, in decompensated cirrhosis.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 4
Q2.
A patient with an acute exacerbation of asthma presents with severe dyspnea, silent chest
on auscultation, and a PaCO2 of 48 mm Hg. What is the most appropriate immediate
intervention?
A. Administer oral corticosteroids and B. Start non-invasive positive pressure
discharge with close follow-up ventilation (NIPPV) with continuous albuterol
nebulization
C. Prepare for immediate endotracheal D. Increase supplemental oxygen to
intubation and mechanical ventilation maintain SpO2 > 95% and reassess in 30
minutes
Correct: C - Prepare for immediate endotracheal intubation and mechanical ventilation
Page 3
, Section A - Foundations OF Nursing
Rationale: Silent chest and rising PaCO2 with severe respiratory distress indicate impending
respiratory failure; immediate intubation is required. NIPPV is generally not recommended in
severe asthma exacerbation due to high failure risk. Oral corticosteroids are too slow for
acute crisis. Supplemental oxygen alone is insufficient and delays definitive airway
management.
Why the other answers are wrong:
A. Oral corticosteroids take hours to work and do not address imminent respiratory failure.
B. NIPPV is not first-line and may delay intubation in severe asthma with silent chest.
D. Reassessment in 30 minutes is unsafe; the patient needs immediate airway intervention.
Reference: Global Initiative for Asthma (GINA) 2026 Report, Ch. 4
Q3.
When performing a comprehensive health assessment, which finding is most indicative of
a malignant melanoma rather than a benign nevus?
A. Symmetric shape with well-defined B. Color variation with multiple shades of
borders brown, black, and red
C. Diameter less than 6 mm with uniform D. Stable size and shape over several years
color
Correct: B - Color variation with multiple shades of brown, black, and red
Rationale:Color variation (multiple hues) is a hallmark of melanoma (ABCDE criteria:
Asymmetry, Border irregularity, Color variation, Diameter >6mm, Evolution). Symmetric
shape, well-defined borders, uniform color, and stability are features of benign nevi.
Why the other answers are wrong:
A. Symmetric shape and well-defined borders are characteristic of benign lesions.
C. Diameter <6mm and uniform color are more consistent with benign nevi.
D. Stability over time is a feature of benign lesions, not melanoma.
Reference: Bickley, L. (2025). Bates' Guide to Physical Examination and History Taking, 13th Ed., Ch. 12
Q4.
A systematic review of randomized controlled trials (RCTs) with meta-analysis typically
provides the highest level of evidence. Which of the following situations would most
threaten the validity of its conclusions?
A. Inclusion of studies with small sample B. Significant heterogeneity (I-squared >
sizes but consistent effect direction 75%) without adequate subgroup analysis or
meta-regression
C. Use of random-effects model for pooling D. Publication of the review in a
effect sizes peer-reviewed journal
Correct: B - Significant heterogeneity (I-squared > 75%) without adequate subgroup
Page 4
