A+ GRADED 1
NSG 527 Final Exam –
Questions and Verified
Answers (Latest
2025/2026, Rated A)
Instructions
• Select the best answer for each multiple-choice question.
• Each question has four options (A–D).
• Each question is worth 1 point.
• Ensure answers are based on current 2025/2026 nursing
curriculum
Secti standards.
• Review rationales for correct answers to enhance
understanding.
, 2
Question 1
A client with chronic heart failure is prescribed furosemide. What is the priority
nursing assessment?
A. Blood pressure
B. Potassium levels
C. Respiratory rate
D. Blood glucose
B. Potassium levels
Rationale: Furosemide, a loop diuretic, increases potassium excretion, risking
hypokalemia, which can cause arrhythmias. Monitoring potassium levels is critical,
per 2025 ACC/AHA heart failure guidelines. Blood pressure and respiratory rate
are important but secondary, and glucose is unrelated.
Question 2
A client post-myocardial infarction reports chest pain. What is the nurse’s first
action?
A. Administer aspirin
B. Perform a 12-lead ECG
C. Administer nitroglycerin as prescribed
D. Notify the healthcare provider
C. Administer nitroglycerin as prescribed
Rationale: Nitroglycerin relieves angina by dilating coronary arteries. Per 2025
AHA guidelines, sublingual nitroglycerin is given first (up to three doses, 5
minutes apart), followed by ECG or provider notification if pain persists.
Question 3
A client with type 2 diabetes has a blood glucose of 450 mg/dL. What is the
priority nursing action?
A. Administer regular insulin as prescribed
B. Encourage oral fluid intake
, 3
C. Check for ketone levels
D. Administer oral hypoglycemic agents
C. Check for ketone levels
Rationale: A blood glucose of 450 mg/dL suggests hyperglycemia, potentially
diabetic ketoacidosis (DKA). Checking ketones guides treatment urgency, per
2025 ADA guidelines. Insulin is secondary, and oral agents are inappropriate for
acute hyperglycemia.
Question 4
A client with a new colostomy reports leakage around the appliance. What should
the nurse do first?
A. Change the appliance immediately
B. Assess the stoma and peristomal skin
C. Administer an antidiarrheal
D. Refer to a wound care specialist
B. Assess the stoma and peristomal skin
Rationale: Leakage may indicate an ill-fitting appliance or skin breakdown.
Assessment identifies the cause (e.g., improper sizing, irritation), guiding
intervention, per 2025 WOCN guidelines. Changing without assessment or
antidiarrheals are premature.
Question 5
A client with pneumonia is experiencing dyspnea. What is the nurse’s priority
action?
A. Administer antibiotics
B. Assess oxygen saturation and apply oxygen if needed
C. Encourage bed rest
D. Increase fluid intake
B. Assess oxygen saturation and apply oxygen if needed
Rationale: Dyspnea indicates impaired gas exchange. Assessing oxygen saturation
(SpO2) and providing oxygen address airway and breathing priorities, per 2025
NSG 527 Final Exam –
Questions and Verified
Answers (Latest
2025/2026, Rated A)
Instructions
• Select the best answer for each multiple-choice question.
• Each question has four options (A–D).
• Each question is worth 1 point.
• Ensure answers are based on current 2025/2026 nursing
curriculum
Secti standards.
• Review rationales for correct answers to enhance
understanding.
, 2
Question 1
A client with chronic heart failure is prescribed furosemide. What is the priority
nursing assessment?
A. Blood pressure
B. Potassium levels
C. Respiratory rate
D. Blood glucose
B. Potassium levels
Rationale: Furosemide, a loop diuretic, increases potassium excretion, risking
hypokalemia, which can cause arrhythmias. Monitoring potassium levels is critical,
per 2025 ACC/AHA heart failure guidelines. Blood pressure and respiratory rate
are important but secondary, and glucose is unrelated.
Question 2
A client post-myocardial infarction reports chest pain. What is the nurse’s first
action?
A. Administer aspirin
B. Perform a 12-lead ECG
C. Administer nitroglycerin as prescribed
D. Notify the healthcare provider
C. Administer nitroglycerin as prescribed
Rationale: Nitroglycerin relieves angina by dilating coronary arteries. Per 2025
AHA guidelines, sublingual nitroglycerin is given first (up to three doses, 5
minutes apart), followed by ECG or provider notification if pain persists.
Question 3
A client with type 2 diabetes has a blood glucose of 450 mg/dL. What is the
priority nursing action?
A. Administer regular insulin as prescribed
B. Encourage oral fluid intake
, 3
C. Check for ketone levels
D. Administer oral hypoglycemic agents
C. Check for ketone levels
Rationale: A blood glucose of 450 mg/dL suggests hyperglycemia, potentially
diabetic ketoacidosis (DKA). Checking ketones guides treatment urgency, per
2025 ADA guidelines. Insulin is secondary, and oral agents are inappropriate for
acute hyperglycemia.
Question 4
A client with a new colostomy reports leakage around the appliance. What should
the nurse do first?
A. Change the appliance immediately
B. Assess the stoma and peristomal skin
C. Administer an antidiarrheal
D. Refer to a wound care specialist
B. Assess the stoma and peristomal skin
Rationale: Leakage may indicate an ill-fitting appliance or skin breakdown.
Assessment identifies the cause (e.g., improper sizing, irritation), guiding
intervention, per 2025 WOCN guidelines. Changing without assessment or
antidiarrheals are premature.
Question 5
A client with pneumonia is experiencing dyspnea. What is the nurse’s priority
action?
A. Administer antibiotics
B. Assess oxygen saturation and apply oxygen if needed
C. Encourage bed rest
D. Increase fluid intake
B. Assess oxygen saturation and apply oxygen if needed
Rationale: Dyspnea indicates impaired gas exchange. Assessing oxygen saturation
(SpO2) and providing oxygen address airway and breathing priorities, per 2025
