NU 449 Integration of Concepts
Complete Midterm Exam Review (Qns & Ans)
2025
1. What is the primary nursing intervention for a patient
experiencing acute respiratory distress?
- A. Place the patient in a supine position
- B. Administer oxygen as prescribed
- C. Restrict fluid intake
- D. Perform oral suctioning immediately
ANS : B. Administer oxygen as prescribed
Rationale : Oxygen administration improves tissue
oxygenation, which is essential in acute respiratory distress.
©2025
,2. Which assessment finding indicates potential fluid volume
deficit?
- A. Peripheral edema
- B. Distended neck veins
- C. Decreased urine output
- D. Increased blood pressure
ANS : C. Decreased urine output
Rationale : Decreased urine output is a hallmark of fluid
volume deficit due to reduced renal perfusion.
3. What is the priority nursing diagnosis for a patient with a
pressure ulcer?
- A. Risk for infection
- B. Imbalanced nutrition: less than body requirements
- C. Impaired skin integrity
- D. Activity intolerance
ANS : C. Impaired skin integrity
Rationale : Addressing impaired skin integrity is critical for
wound healing and prevention of complications.
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©2025
, Fill-in-the-Blank Questions
4. The nurse prioritizes assessing a patient’s ___, when
administering opioids for pain management to monitor for adverse
effects.
ANS : Respiratory rate
Rationale : Opioids can depress respiratory function, making
respiratory rate monitoring essential.
5. The ____, is the ethical principle that obligates nurses to do
no harm.
ANS : Nonmaleficence
Rationale : Nonmaleficence ensures nurses avoid causing
harm while delivering care.
6. The priority action when caring for a patient with suspected
sepsis is to obtain ____, before initiating antibiotic therapy.
ANS : Blood cultures
Rationale : Blood cultures identify the causative organism,
guiding effective antibiotic selection.
---
©2025
Complete Midterm Exam Review (Qns & Ans)
2025
1. What is the primary nursing intervention for a patient
experiencing acute respiratory distress?
- A. Place the patient in a supine position
- B. Administer oxygen as prescribed
- C. Restrict fluid intake
- D. Perform oral suctioning immediately
ANS : B. Administer oxygen as prescribed
Rationale : Oxygen administration improves tissue
oxygenation, which is essential in acute respiratory distress.
©2025
,2. Which assessment finding indicates potential fluid volume
deficit?
- A. Peripheral edema
- B. Distended neck veins
- C. Decreased urine output
- D. Increased blood pressure
ANS : C. Decreased urine output
Rationale : Decreased urine output is a hallmark of fluid
volume deficit due to reduced renal perfusion.
3. What is the priority nursing diagnosis for a patient with a
pressure ulcer?
- A. Risk for infection
- B. Imbalanced nutrition: less than body requirements
- C. Impaired skin integrity
- D. Activity intolerance
ANS : C. Impaired skin integrity
Rationale : Addressing impaired skin integrity is critical for
wound healing and prevention of complications.
---
©2025
, Fill-in-the-Blank Questions
4. The nurse prioritizes assessing a patient’s ___, when
administering opioids for pain management to monitor for adverse
effects.
ANS : Respiratory rate
Rationale : Opioids can depress respiratory function, making
respiratory rate monitoring essential.
5. The ____, is the ethical principle that obligates nurses to do
no harm.
ANS : Nonmaleficence
Rationale : Nonmaleficence ensures nurses avoid causing
harm while delivering care.
6. The priority action when caring for a patient with suspected
sepsis is to obtain ____, before initiating antibiotic therapy.
ANS : Blood cultures
Rationale : Blood cultures identify the causative organism,
guiding effective antibiotic selection.
---
©2025
