NUR 3219C
Clinical Reasoning & Personalized
NC – Adult Acute Conditions
FINALS READINESS EXAM
Q&S
©2024/2025
,1. Which of the following statements best describes clinical
reasoning in the context of acute care nursing?
A. A linear process of applying medical protocols.
B. The application of evidence-based practice on a case-
by-case basis.
C. A complex, cyclical process that involves critical
thinking, intuition, and pattern recognition.
D. A straightforward technique for identifying patient
diagnoses.
Correct Answer: C
Rationale: Clinical reasoning involves not only
analytical and intuitive thinking but also pattern recognition,
making it a complex process essential in acute care
settings.
2. When assessing an adult patient with acute respiratory
distress, the priority nursing intervention is to:
A. Administer prescribed bronchodilators.
B. Obtain arterial blood gases (ABGs).
C. Position the patient in high Fowler's position to
maximize ventilation.
D. Initiate high-flow oxygen therapy.
Correct Answer: C
Rationale: Positioning the patient properly can
immediately help improve ventilation, making it a priority
intervention before proceeding with medication or
diagnostic tests.
©2024/2025
, 3. Which technology is most appropriate for continuously
monitoring a patient's cardiac rhythm in an acute care
setting?
A. Holter monitor.
B. Telemetry.
C. Electrocardiogram (ECG) machine.
D. Pulse oximeter.
Correct Answer: B
Rationale: Telemetry allows for continuous cardiac
monitoring, which is crucial for patients with acute cardiac
conditions.
4. In personalized nursing care, which of the following
factors could affect medication metabolism in adult patients
with acute conditions?
A. Gender
B. Weight
C. Genomic markers
D. All of the above
Correct Answer: D
Rationale: All the mentioned factors can influence drug
metabolism, making it essential to consider them in
personalized care.
5. A patient in acute renal failure exhibits hyperkalemia.
Which clinical feature specifically characterizes
hyperkalemia?
A. Absent T waves
©2024/2025
Clinical Reasoning & Personalized
NC – Adult Acute Conditions
FINALS READINESS EXAM
Q&S
©2024/2025
,1. Which of the following statements best describes clinical
reasoning in the context of acute care nursing?
A. A linear process of applying medical protocols.
B. The application of evidence-based practice on a case-
by-case basis.
C. A complex, cyclical process that involves critical
thinking, intuition, and pattern recognition.
D. A straightforward technique for identifying patient
diagnoses.
Correct Answer: C
Rationale: Clinical reasoning involves not only
analytical and intuitive thinking but also pattern recognition,
making it a complex process essential in acute care
settings.
2. When assessing an adult patient with acute respiratory
distress, the priority nursing intervention is to:
A. Administer prescribed bronchodilators.
B. Obtain arterial blood gases (ABGs).
C. Position the patient in high Fowler's position to
maximize ventilation.
D. Initiate high-flow oxygen therapy.
Correct Answer: C
Rationale: Positioning the patient properly can
immediately help improve ventilation, making it a priority
intervention before proceeding with medication or
diagnostic tests.
©2024/2025
, 3. Which technology is most appropriate for continuously
monitoring a patient's cardiac rhythm in an acute care
setting?
A. Holter monitor.
B. Telemetry.
C. Electrocardiogram (ECG) machine.
D. Pulse oximeter.
Correct Answer: B
Rationale: Telemetry allows for continuous cardiac
monitoring, which is crucial for patients with acute cardiac
conditions.
4. In personalized nursing care, which of the following
factors could affect medication metabolism in adult patients
with acute conditions?
A. Gender
B. Weight
C. Genomic markers
D. All of the above
Correct Answer: D
Rationale: All the mentioned factors can influence drug
metabolism, making it essential to consider them in
personalized care.
5. A patient in acute renal failure exhibits hyperkalemia.
Which clinical feature specifically characterizes
hyperkalemia?
A. Absent T waves
©2024/2025
