LEGIT NURSING EXAM 2 CCC
CAPITAL COMMUNITY COLLEGE
VERIFIED EXAM QUESTIONS AND
ANSWERS - LATEST VERSION
LEGIT NURSING EXAM 2 CCC CAPITAL COMMUNITY |
Comprehensive Examination
LEGIT NURSING EXAM 2 CCC CAPITAL COMMUNITY
COLLEGE VERIFIED EXAM QUESTIONS AND
ANSWERS - LATEST VERSION 2026-2027!! actual exam
INTRODUCTION
This document is an important and very helpful preparation
resource for LEGIT NURSING EXAM 2 CCC CAPITAL
COMMUNITY COLLEGE VERIFIED EXAM QUESTIONS
AND ANSWERS - LATEST VERSION 2026-2027!!. Every item
uses a focused exam stem, four response options, a keyed
response, and a clear rationale, making it easier to understand
the subject, spot distractors, and build real exam confidence.
Page 1
, Question 1
A patient with a history of heart failure is ordered 1 L of 0.9% NaCl to infuse
over 8 hours. The drop factor is 15 gtt/mL. What is the correct flow rate in
gtt/min?
A. 21 gtt/min
B. 31 gtt/min
C. 42 gtt/min
D. 52 gtt/min
Correct Answer: B - 31 gtt/min
RATIONALE
Rate = (1000 mL × 15 gtt/mL) ÷ (8 h × 60 min) = 15,000 ÷ 480 =
31.25 31 gtt/min. Options A, C, and D result from misplacing the
decimal or using 60/15 incorrectly. Recognizing that a full liter over 8
hours is roughly 125 mL/h is essential for safe titration in heart failure.
Question 2
A patient with a new diagnosis of type 1 diabetes is prescribed insulin glargine
at bedtime and insulin lispro before meals. Which statement by the patient
indicates correct understanding?
A. "I will take the glargine right before I eat my largest meal."
B. "I will use the lispro to correct high blood sugars between meals only."
C. "I will take the glargine at the same time each night for steady
background coverage."
D. "I will mix the glargine and lispro in one syringe to reduce injections."
Correct Answer: C - "I will take the glargine at the same time
each night for steady background coverage."
Page 2
, RATIONALE
Glargine is a long-acting basal insulin given at a consistent time daily
to provide 24-hour coverage. Lispro is rapid-acting and must be given
with meals, not just for correction, and glargine must never be mixed
with other insulins. Options A, B, and D reflect unsafe
misunderstandings of insulin pharmacokinetics.
Question 3
A patient is receiving heparin via continuous IV infusion. The aPTT is 96
seconds (therapeutic range 60-80). Which action should the nurse take first?
A. Continue the infusion and recheck aPTT in 6 hours.
B. Stop the infusion and prepare to administer protamine sulfate.
C. Hold the infusion and notify the provider for further orders.
D. Increase the infusion rate to maintain therapeutic level.
Correct Answer: C - Hold the infusion and notify the provider for
further orders.
RATIONALE
An aPTT of 96 seconds exceeds the therapeutic range, indicating
increased bleeding risk; the nurse should hold the infusion and notify
the provider. Protamine sulfate is the antidote but is reserved for
serious bleeding or overdose, not routinely at this level. Continuing or
increasing the rate would worsen the coagulopathy.
Question 4
A laboring patient at 39 weeks gestation suddenly reports a sharp, tearing
abdominal pain. The fetal heart rate shows prolonged deceleration to 80 bpm.
Uterine tone is rigid and tender. Which complication should the nurse suspect?
A. Umbilical cord prolapse
B. Uterine rupture
C. Placental abruption
D. Amniotic fluid embolism
Page 3
, Correct Answer: B - Uterine rupture
RATIONALE
Sudden tearing pain, rigid tender uterus, and fetal bradycardia are
classic signs of uterine rupture, a life-threatening emergency requiring
immediate cesarean delivery. Placental abruption typically presents
with dark vaginal bleeding and a hypertonic uterus but not the same
tearing sensation. Cord prolapse causes variable decelerations without
abdominal pain, and amniotic fluid embolism presents with sudden
respiratory distress and cardiovascular collapse.
Question 5
A patient with schizophrenia is prescribed clozapine. Which laboratory result
requires immediate follow-up?
A. WBC 2,800/mm³
B. Fasting glucose 110 mg/dL
C. Hemoglobin 13.5 g/dL
D. Serum sodium 138 mEq/L
Correct Answer: A - WBC 2,800/mm³
RATIONALE
Clozapine carries a black-box warning for severe
neutropenia/agranulocytosis; a WBC below 3,000/mm³ necessitates
holding the drug and notifying the provider. The other values are
within normal limits or only mildly abnormal and do not require
immediate action related to clozapine.
Question 6
A nurse is caring for a patient with a new colostomy. Which assessment
finding indicates the stoma is healthy?
A. Stoma is pale and dry
B. Stoma is beefy red and moist
C. Stoma is dark purple and dusky
Page 4
CAPITAL COMMUNITY COLLEGE
VERIFIED EXAM QUESTIONS AND
ANSWERS - LATEST VERSION
LEGIT NURSING EXAM 2 CCC CAPITAL COMMUNITY |
Comprehensive Examination
LEGIT NURSING EXAM 2 CCC CAPITAL COMMUNITY
COLLEGE VERIFIED EXAM QUESTIONS AND
ANSWERS - LATEST VERSION 2026-2027!! actual exam
INTRODUCTION
This document is an important and very helpful preparation
resource for LEGIT NURSING EXAM 2 CCC CAPITAL
COMMUNITY COLLEGE VERIFIED EXAM QUESTIONS
AND ANSWERS - LATEST VERSION 2026-2027!!. Every item
uses a focused exam stem, four response options, a keyed
response, and a clear rationale, making it easier to understand
the subject, spot distractors, and build real exam confidence.
Page 1
, Question 1
A patient with a history of heart failure is ordered 1 L of 0.9% NaCl to infuse
over 8 hours. The drop factor is 15 gtt/mL. What is the correct flow rate in
gtt/min?
A. 21 gtt/min
B. 31 gtt/min
C. 42 gtt/min
D. 52 gtt/min
Correct Answer: B - 31 gtt/min
RATIONALE
Rate = (1000 mL × 15 gtt/mL) ÷ (8 h × 60 min) = 15,000 ÷ 480 =
31.25 31 gtt/min. Options A, C, and D result from misplacing the
decimal or using 60/15 incorrectly. Recognizing that a full liter over 8
hours is roughly 125 mL/h is essential for safe titration in heart failure.
Question 2
A patient with a new diagnosis of type 1 diabetes is prescribed insulin glargine
at bedtime and insulin lispro before meals. Which statement by the patient
indicates correct understanding?
A. "I will take the glargine right before I eat my largest meal."
B. "I will use the lispro to correct high blood sugars between meals only."
C. "I will take the glargine at the same time each night for steady
background coverage."
D. "I will mix the glargine and lispro in one syringe to reduce injections."
Correct Answer: C - "I will take the glargine at the same time
each night for steady background coverage."
Page 2
, RATIONALE
Glargine is a long-acting basal insulin given at a consistent time daily
to provide 24-hour coverage. Lispro is rapid-acting and must be given
with meals, not just for correction, and glargine must never be mixed
with other insulins. Options A, B, and D reflect unsafe
misunderstandings of insulin pharmacokinetics.
Question 3
A patient is receiving heparin via continuous IV infusion. The aPTT is 96
seconds (therapeutic range 60-80). Which action should the nurse take first?
A. Continue the infusion and recheck aPTT in 6 hours.
B. Stop the infusion and prepare to administer protamine sulfate.
C. Hold the infusion and notify the provider for further orders.
D. Increase the infusion rate to maintain therapeutic level.
Correct Answer: C - Hold the infusion and notify the provider for
further orders.
RATIONALE
An aPTT of 96 seconds exceeds the therapeutic range, indicating
increased bleeding risk; the nurse should hold the infusion and notify
the provider. Protamine sulfate is the antidote but is reserved for
serious bleeding or overdose, not routinely at this level. Continuing or
increasing the rate would worsen the coagulopathy.
Question 4
A laboring patient at 39 weeks gestation suddenly reports a sharp, tearing
abdominal pain. The fetal heart rate shows prolonged deceleration to 80 bpm.
Uterine tone is rigid and tender. Which complication should the nurse suspect?
A. Umbilical cord prolapse
B. Uterine rupture
C. Placental abruption
D. Amniotic fluid embolism
Page 3
, Correct Answer: B - Uterine rupture
RATIONALE
Sudden tearing pain, rigid tender uterus, and fetal bradycardia are
classic signs of uterine rupture, a life-threatening emergency requiring
immediate cesarean delivery. Placental abruption typically presents
with dark vaginal bleeding and a hypertonic uterus but not the same
tearing sensation. Cord prolapse causes variable decelerations without
abdominal pain, and amniotic fluid embolism presents with sudden
respiratory distress and cardiovascular collapse.
Question 5
A patient with schizophrenia is prescribed clozapine. Which laboratory result
requires immediate follow-up?
A. WBC 2,800/mm³
B. Fasting glucose 110 mg/dL
C. Hemoglobin 13.5 g/dL
D. Serum sodium 138 mEq/L
Correct Answer: A - WBC 2,800/mm³
RATIONALE
Clozapine carries a black-box warning for severe
neutropenia/agranulocytosis; a WBC below 3,000/mm³ necessitates
holding the drug and notifying the provider. The other values are
within normal limits or only mildly abnormal and do not require
immediate action related to clozapine.
Question 6
A nurse is caring for a patient with a new colostomy. Which assessment
finding indicates the stoma is healthy?
A. Stoma is pale and dry
B. Stoma is beefy red and moist
C. Stoma is dark purple and dusky
Page 4
