NUR 3946L
Individual Clinical Practice
FINALS READINESS EXAM
Q&S
©2024/2025
,1. A 65-year-old male presents with new-onset confusion
and a history of atrial fibrillation. Which diagnostic test is
most appropriate to evaluate the suspected cause of his
condition?
- A) MRI of the brain
- B) Chest X-ray
- C) ECG
- D) Serum sodium level
- Correct Answer: A) MRI of the brain
- Rationale: MRI will help identify ischemic or
hemorrhagic stroke, which is a common complication of
atrial fibrillation.
2. A patient on warfarin is scheduled for surgery. Which
lab finding is crucial to evaluate perioperative bleeding risk?
- A) Complete blood count (CBC)
- B) PT/INR
- C) PTT
- D) D-dimer
- Correct Answer: B) PT/INR
- Rationale: PT/INR specifically monitors the
anticoagulation effect of warfarin and helps assess bleeding
risk.
3. When managing a patient's pain using a Patient-
Controlled Analgesia (PCA) pump, which principle is most
important to maintain safety?
- A) Regularly check the infusion pump settings
- B) Allow family members to control the PCA for the
patient
- C) Administer additional oral pain medications routinely
- D) Set the PCA to maximum dosage limits to ensure
©2024/2025
, pain relief
- Correct Answer: A) Regularly check the infusion pump
settings
- Rationale: Ensuring the PCA settings are correct is
essential for secure and effective pain management.
4. Which intervention is prioritized for a patient
experiencing an acute asthma exacerbation?
- A) Administer oral corticosteroids
- B) Provide supplemental oxygen
- C) Initiate intravenous fluids
- D) Administer inhaled bronchodilators
- Correct Answer: D) Administer inhaled bronchodilators
- Rationale: Bronchodilators quickly open airways,
making them crucial in an acute asthma exacerbation.
### Fill-in-the-Blank
5. The treatment protocol for a patient experiencing
diabetic ketoacidosis involves the administration of
intravenous _______ to correct acidosis.
- Correct Answer: insulin
- Rationale: Insulin helps lower blood glucose levels and
correct metabolic acidosis in diabetic ketoacidosis.
6. Elevated _______ levels in a young adult could indicate
a genetic predisposition to hyperlipidemia, requiring further
cardiovascular evaluation.
- Correct Answer: LDL cholesterol
- Rationale: LDL cholesterol is a key marker for
cardiovascular risk screening.
7. In a patient with a history of chronic kidney disease,
©2024/2025
Individual Clinical Practice
FINALS READINESS EXAM
Q&S
©2024/2025
,1. A 65-year-old male presents with new-onset confusion
and a history of atrial fibrillation. Which diagnostic test is
most appropriate to evaluate the suspected cause of his
condition?
- A) MRI of the brain
- B) Chest X-ray
- C) ECG
- D) Serum sodium level
- Correct Answer: A) MRI of the brain
- Rationale: MRI will help identify ischemic or
hemorrhagic stroke, which is a common complication of
atrial fibrillation.
2. A patient on warfarin is scheduled for surgery. Which
lab finding is crucial to evaluate perioperative bleeding risk?
- A) Complete blood count (CBC)
- B) PT/INR
- C) PTT
- D) D-dimer
- Correct Answer: B) PT/INR
- Rationale: PT/INR specifically monitors the
anticoagulation effect of warfarin and helps assess bleeding
risk.
3. When managing a patient's pain using a Patient-
Controlled Analgesia (PCA) pump, which principle is most
important to maintain safety?
- A) Regularly check the infusion pump settings
- B) Allow family members to control the PCA for the
patient
- C) Administer additional oral pain medications routinely
- D) Set the PCA to maximum dosage limits to ensure
©2024/2025
, pain relief
- Correct Answer: A) Regularly check the infusion pump
settings
- Rationale: Ensuring the PCA settings are correct is
essential for secure and effective pain management.
4. Which intervention is prioritized for a patient
experiencing an acute asthma exacerbation?
- A) Administer oral corticosteroids
- B) Provide supplemental oxygen
- C) Initiate intravenous fluids
- D) Administer inhaled bronchodilators
- Correct Answer: D) Administer inhaled bronchodilators
- Rationale: Bronchodilators quickly open airways,
making them crucial in an acute asthma exacerbation.
### Fill-in-the-Blank
5. The treatment protocol for a patient experiencing
diabetic ketoacidosis involves the administration of
intravenous _______ to correct acidosis.
- Correct Answer: insulin
- Rationale: Insulin helps lower blood glucose levels and
correct metabolic acidosis in diabetic ketoacidosis.
6. Elevated _______ levels in a young adult could indicate
a genetic predisposition to hyperlipidemia, requiring further
cardiovascular evaluation.
- Correct Answer: LDL cholesterol
- Rationale: LDL cholesterol is a key marker for
cardiovascular risk screening.
7. In a patient with a history of chronic kidney disease,
©2024/2025
