NUR 272/NURS 272 EXAM 1 |
QUESTIONS AND ANSWERS WITH
RATIONALES | 2026/2027 UPDATED |
100% VERIFIED | DETAILED
RATIONALES – PASS GUARANTEED A+
GRADED | INSTANT DOWNLOAD
Introduction
NUR 272/NURS 272 Exam 1 at Medgar Evers College is the focus of this
comprehensive practice resource designed to support nursing students as they prepare
for their examination. The exact course syllabus, faculty-specific examination
blueprint, and current assessment format have not been provided, so this question
bank should be used as an advanced nursing review rather than a verified
reproduction of the official examination.
The practice questions emphasize clinical judgment, patient assessment, prioritization,
nursing interventions, patient safety, communication, pharmacology principles, and
evidence-based decision-making. Questions use realistic clinical scenarios that require
students to interpret findings, recognize changes in patient condition, identify
potential complications, and select the safest nursing action.
Each multiple-choice question contains four options, one best answer, and a detailed
rationale explaining why the correct option is appropriate and why the alternatives are
less appropriate. Use this resource alongside your lecture notes, assigned readings,
laboratory materials, and instructor-provided learning objectives. Practicing with the
questions, reviewing every rationale, and revisiting areas of uncertainty can
strengthen clinical reasoning and exam readiness. No practice resource can guarantee
a particular grade or confirm the contents of a future examination.
Core domains for this practice bank
Because the official NUR 272 Exam 1 blueprint is not available, the following are
provisional nursing review domains, not a confirmed list of the college's examination
objectives.
1.
Clinical judgment and prioritization: Recognizing urgent findings and
selecting appropriate first actions.
, 2.
3.
Patient assessment: Collecting subjective and objective data and identifying
clinically significant changes.
4.
5.
Patient safety: Preventing falls, medication errors, and avoidable harm.
6.
7.
Fundamental nursing interventions: Applying safe, individualized care.
8.
9.
Infection prevention: Using standard precautions and transmission-based
precautions appropriately.
10.
11.
Medication administration: Applying medication-safety principles and
monitoring for adverse effects.
12.
13.
Communication and documentation: Using therapeutic communication,
accurate records, and structured handoffs.
14.
15.
Vital signs and deterioration: Interpreting abnormal findings and escalating
care.
16.
17.
Ethics and professional practice: Protecting privacy, respecting autonomy, and
working within scope of practice.
18.
19.
, Clinical reasoning and evaluation: Assessing intervention effectiveness and
adjusting care according to patient response.
20.
QUESTIONS 1–100
Clinical judgment, assessment, and prioritization
Q1: A nurse receives handoff for four patients. Which patient requires immediate
assessment?
A) A patient with chronic arthritis reporting pain of 7/10 after physical therapy B) A
patient two days after surgery requesting assistance with bathing C) A patient
receiving opioids who is difficult to arouse and has a respiratory rate of 7/min D) A
patient with diabetes whose premeal blood glucose is 184 mg/dL
Rationale: C is correct because marked respiratory depression and reduced
consciousness may indicate opioid-induced respiratory compromise, which can
rapidly become fatal. A requires timely pain management but is not the immediate
priority without additional warning signs. B has a routine care need. D reflects
hyperglycemia that generally requires assessment and management but is less urgent
than inadequate breathing.
Q2: A patient admitted with pneumonia becomes restless and confused. Oxygen
saturation falls from 96% to 86%, and respiratory rate rises to 30/min. What should
the nurse do first?
A) Obtain a urine specimen for culture B) Assess airway and breathing, provide
oxygen as indicated by protocol, and urgently escalate care C) Administer a
prescribed sedative to reduce agitation D) Document the change and reassess in one
hour
Rationale: B is correct because acute confusion and restlessness may be early signs of
hypoxemia, and the patient is showing respiratory deterioration. A does not address
the immediate threat. C could suppress respiratory drive and mask deterioration. D
delays intervention in a potentially life-threatening situation.
Q3: A patient reports sudden crushing chest pain, diaphoresis, and nausea. The blood
pressure is 88/54 mmHg. Which action is most appropriate?
A) Encourage the patient to walk to improve circulation B) Give nitroglycerin
immediately without further assessment C) Activate the emergency response pathway,
assess ABCs, and obtain urgent clinical assistance D) Offer food to reduce nausea
before further evaluation
Rationale: C is correct because the symptoms suggest acute coronary syndrome with
possible hemodynamic instability. A increases cardiac workload. B may worsen
hypotension and should not be given without checking contraindications and the
QUESTIONS AND ANSWERS WITH
RATIONALES | 2026/2027 UPDATED |
100% VERIFIED | DETAILED
RATIONALES – PASS GUARANTEED A+
GRADED | INSTANT DOWNLOAD
Introduction
NUR 272/NURS 272 Exam 1 at Medgar Evers College is the focus of this
comprehensive practice resource designed to support nursing students as they prepare
for their examination. The exact course syllabus, faculty-specific examination
blueprint, and current assessment format have not been provided, so this question
bank should be used as an advanced nursing review rather than a verified
reproduction of the official examination.
The practice questions emphasize clinical judgment, patient assessment, prioritization,
nursing interventions, patient safety, communication, pharmacology principles, and
evidence-based decision-making. Questions use realistic clinical scenarios that require
students to interpret findings, recognize changes in patient condition, identify
potential complications, and select the safest nursing action.
Each multiple-choice question contains four options, one best answer, and a detailed
rationale explaining why the correct option is appropriate and why the alternatives are
less appropriate. Use this resource alongside your lecture notes, assigned readings,
laboratory materials, and instructor-provided learning objectives. Practicing with the
questions, reviewing every rationale, and revisiting areas of uncertainty can
strengthen clinical reasoning and exam readiness. No practice resource can guarantee
a particular grade or confirm the contents of a future examination.
Core domains for this practice bank
Because the official NUR 272 Exam 1 blueprint is not available, the following are
provisional nursing review domains, not a confirmed list of the college's examination
objectives.
1.
Clinical judgment and prioritization: Recognizing urgent findings and
selecting appropriate first actions.
, 2.
3.
Patient assessment: Collecting subjective and objective data and identifying
clinically significant changes.
4.
5.
Patient safety: Preventing falls, medication errors, and avoidable harm.
6.
7.
Fundamental nursing interventions: Applying safe, individualized care.
8.
9.
Infection prevention: Using standard precautions and transmission-based
precautions appropriately.
10.
11.
Medication administration: Applying medication-safety principles and
monitoring for adverse effects.
12.
13.
Communication and documentation: Using therapeutic communication,
accurate records, and structured handoffs.
14.
15.
Vital signs and deterioration: Interpreting abnormal findings and escalating
care.
16.
17.
Ethics and professional practice: Protecting privacy, respecting autonomy, and
working within scope of practice.
18.
19.
, Clinical reasoning and evaluation: Assessing intervention effectiveness and
adjusting care according to patient response.
20.
QUESTIONS 1–100
Clinical judgment, assessment, and prioritization
Q1: A nurse receives handoff for four patients. Which patient requires immediate
assessment?
A) A patient with chronic arthritis reporting pain of 7/10 after physical therapy B) A
patient two days after surgery requesting assistance with bathing C) A patient
receiving opioids who is difficult to arouse and has a respiratory rate of 7/min D) A
patient with diabetes whose premeal blood glucose is 184 mg/dL
Rationale: C is correct because marked respiratory depression and reduced
consciousness may indicate opioid-induced respiratory compromise, which can
rapidly become fatal. A requires timely pain management but is not the immediate
priority without additional warning signs. B has a routine care need. D reflects
hyperglycemia that generally requires assessment and management but is less urgent
than inadequate breathing.
Q2: A patient admitted with pneumonia becomes restless and confused. Oxygen
saturation falls from 96% to 86%, and respiratory rate rises to 30/min. What should
the nurse do first?
A) Obtain a urine specimen for culture B) Assess airway and breathing, provide
oxygen as indicated by protocol, and urgently escalate care C) Administer a
prescribed sedative to reduce agitation D) Document the change and reassess in one
hour
Rationale: B is correct because acute confusion and restlessness may be early signs of
hypoxemia, and the patient is showing respiratory deterioration. A does not address
the immediate threat. C could suppress respiratory drive and mask deterioration. D
delays intervention in a potentially life-threatening situation.
Q3: A patient reports sudden crushing chest pain, diaphoresis, and nausea. The blood
pressure is 88/54 mmHg. Which action is most appropriate?
A) Encourage the patient to walk to improve circulation B) Give nitroglycerin
immediately without further assessment C) Activate the emergency response pathway,
assess ABCs, and obtain urgent clinical assistance D) Offer food to reduce nausea
before further evaluation
Rationale: C is correct because the symptoms suggest acute coronary syndrome with
possible hemodynamic instability. A increases cardiac workload. B may worsen
hypotension and should not be given without checking contraindications and the
