NRSG 3420 FINAL EXAM
(NORTHEASTERN) – QUESTIONS AND
ANSWERS | VERIFIED AND WELL
DETAILED ANSWERS | PLUS
RATIONALES | GUARANTEED PASS |
LATEST EXAM UPDATE
CORE DOMAINS
1. Oncology and Hematology
2. Cardiovascular Disorders and EKG Interpretation
3. Respiratory Disorders and Mechanical Ventilation
4. Renal and Genitourinary Disorders
5. Neurological Disorders and ICP Management
6. Endocrine Disorders and Diabetes Management
7. Musculoskeletal and Perioperative Nursing
8. Shock, Sepsis, and Emergency Care
INTRODUCTION
The NRSG 3420 Nursing Care of Adults 2 Final Exam assesses the knowledge and
skills required for nursing students to provide safe, evidence-based care to adults
experiencing complex physiological insults across the lifespan. The examination
covers oncology and hematology, cardiovascular disorders, respiratory failure,
renal and genitourinary disorders, neurological emergencies, endocrine
management, musculoskeletal and perioperative care, and shock states. The
multiple-choice and scenario-based structure emphasizes clinical judgment, real-
world application, and decision-making in high-acuity settings. This assessment
prepares candidates for the responsibilities of professional nursing practice in
complex adult health.
SECTION ONE: QUESTIONS 1–100
,Question 1
A nurse is caring for a client newly diagnosed with cancer. Which therapies are
used to treat cancer? Select all that apply.
A. Electroconvulsive therapy
B. Hyperthermia
C. Surgery
D. Chemotherapy
E. Radiation therapy
Correct answer:
B. Hyperthermia
C. Surgery
D. Chemotherapy
E. Radiation therapy
RATIONALE:
Cancer is frequently treated with a combination of therapies using standardized
protocols. The basic methods used to treat cancer are surgery, radiation therapy,
hyperthermia, and chemotherapy. Electroconvulsive therapy is a method of
treatment for mental distress or illness, not cancer.
Question 2
A nurse is teaching a client about the functions of the larynx. What should the
nurse include in the teaching?
A. It warms and humidifies inspired air
B. It produces sound
C. It filters debris from inspired air
D. It facilitates gas exchange
Correct answer:
B. It produces sound
RATIONALE:
The larynx is responsible for sound production through the vibration of the vocal
,cords. Warming, humidifying, and filtering inspired air occur in the upper
respiratory tract, and gas exchange occurs in the alveoli.
Question 3
A nurse is assessing a client with a suspected stroke. Which finding is most
consistent with a stroke involving the left hemisphere?
A. Left-sided hemiplegia
B. Right-sided hemiplegia and aphasia
C. Neglect of the left side of the body
D. Impulsivity and poor judgment
Correct answer:
B. Right-sided hemiplegia and aphasia
RATIONALE:
The left hemisphere controls the right side of the body and is responsible for
language. A left hemisphere stroke typically causes right-sided hemiplegia and
aphasia. Right hemisphere strokes cause left-sided neglect and impulsivity.
Question 4
A client with a stroke is experiencing difficulty articulating words but understands
what is being said. This is known as:
A. Expressive aphasia
B. Receptive aphasia
C. Dysarthria
D. Apraxia
Correct answer:
C. Dysarthria
RATIONALE:
Dysarthria is a motor speech disorder characterized by difficulty articulating words
due to muscle weakness or incoordination, while comprehension remains intact.
, Expressive aphasia involves difficulty producing language, receptive aphasia
involves difficulty understanding language, and apraxia is difficulty performing
learned movements.
Question 5
A patient with increased intracranial pressure (ICP) is agitated and restless. What is
the nurse's priority action?
A. Reassure the patient verbally
B. Raise the head of the bed to 45 degrees
C. Administer oral fluids
D. Encourage the patient to sleep
Correct answer:
B. Raise the head of the bed to 45 degrees
RATIONALE:
Elevating the head of the bed promotes venous drainage, which helps reduce ICP.
Verbal reassurance may agitate the patient further, oral fluids are contraindicated in
patients with altered consciousness, and encouraging sleep does not address the
underlying ICP elevation.
Question 6
A nurse observes decerebrate posturing in a patient with a traumatic brain injury.
What does this indicate?
A. Brainstem dysfunction
B. Improvement in neurological function
C. Mild brain injury
D. Decreased spinal reflexes
Correct answer:
A. Brainstem dysfunction
(NORTHEASTERN) – QUESTIONS AND
ANSWERS | VERIFIED AND WELL
DETAILED ANSWERS | PLUS
RATIONALES | GUARANTEED PASS |
LATEST EXAM UPDATE
CORE DOMAINS
1. Oncology and Hematology
2. Cardiovascular Disorders and EKG Interpretation
3. Respiratory Disorders and Mechanical Ventilation
4. Renal and Genitourinary Disorders
5. Neurological Disorders and ICP Management
6. Endocrine Disorders and Diabetes Management
7. Musculoskeletal and Perioperative Nursing
8. Shock, Sepsis, and Emergency Care
INTRODUCTION
The NRSG 3420 Nursing Care of Adults 2 Final Exam assesses the knowledge and
skills required for nursing students to provide safe, evidence-based care to adults
experiencing complex physiological insults across the lifespan. The examination
covers oncology and hematology, cardiovascular disorders, respiratory failure,
renal and genitourinary disorders, neurological emergencies, endocrine
management, musculoskeletal and perioperative care, and shock states. The
multiple-choice and scenario-based structure emphasizes clinical judgment, real-
world application, and decision-making in high-acuity settings. This assessment
prepares candidates for the responsibilities of professional nursing practice in
complex adult health.
SECTION ONE: QUESTIONS 1–100
,Question 1
A nurse is caring for a client newly diagnosed with cancer. Which therapies are
used to treat cancer? Select all that apply.
A. Electroconvulsive therapy
B. Hyperthermia
C. Surgery
D. Chemotherapy
E. Radiation therapy
Correct answer:
B. Hyperthermia
C. Surgery
D. Chemotherapy
E. Radiation therapy
RATIONALE:
Cancer is frequently treated with a combination of therapies using standardized
protocols. The basic methods used to treat cancer are surgery, radiation therapy,
hyperthermia, and chemotherapy. Electroconvulsive therapy is a method of
treatment for mental distress or illness, not cancer.
Question 2
A nurse is teaching a client about the functions of the larynx. What should the
nurse include in the teaching?
A. It warms and humidifies inspired air
B. It produces sound
C. It filters debris from inspired air
D. It facilitates gas exchange
Correct answer:
B. It produces sound
RATIONALE:
The larynx is responsible for sound production through the vibration of the vocal
,cords. Warming, humidifying, and filtering inspired air occur in the upper
respiratory tract, and gas exchange occurs in the alveoli.
Question 3
A nurse is assessing a client with a suspected stroke. Which finding is most
consistent with a stroke involving the left hemisphere?
A. Left-sided hemiplegia
B. Right-sided hemiplegia and aphasia
C. Neglect of the left side of the body
D. Impulsivity and poor judgment
Correct answer:
B. Right-sided hemiplegia and aphasia
RATIONALE:
The left hemisphere controls the right side of the body and is responsible for
language. A left hemisphere stroke typically causes right-sided hemiplegia and
aphasia. Right hemisphere strokes cause left-sided neglect and impulsivity.
Question 4
A client with a stroke is experiencing difficulty articulating words but understands
what is being said. This is known as:
A. Expressive aphasia
B. Receptive aphasia
C. Dysarthria
D. Apraxia
Correct answer:
C. Dysarthria
RATIONALE:
Dysarthria is a motor speech disorder characterized by difficulty articulating words
due to muscle weakness or incoordination, while comprehension remains intact.
, Expressive aphasia involves difficulty producing language, receptive aphasia
involves difficulty understanding language, and apraxia is difficulty performing
learned movements.
Question 5
A patient with increased intracranial pressure (ICP) is agitated and restless. What is
the nurse's priority action?
A. Reassure the patient verbally
B. Raise the head of the bed to 45 degrees
C. Administer oral fluids
D. Encourage the patient to sleep
Correct answer:
B. Raise the head of the bed to 45 degrees
RATIONALE:
Elevating the head of the bed promotes venous drainage, which helps reduce ICP.
Verbal reassurance may agitate the patient further, oral fluids are contraindicated in
patients with altered consciousness, and encouraging sleep does not address the
underlying ICP elevation.
Question 6
A nurse observes decerebrate posturing in a patient with a traumatic brain injury.
What does this indicate?
A. Brainstem dysfunction
B. Improvement in neurological function
C. Mild brain injury
D. Decreased spinal reflexes
Correct answer:
A. Brainstem dysfunction
