Page 1 of 127
NHISS GROUP C PATIENTS 1-6 PREP EXAM
2026 WITH COMPLETE SOLUTIONS (A NEW
UPDATED VERSION) |GUARANTEED PASS
A+ | PASS THE ACTUAL EXAM MUCH
EASIER
Q1. A nurse assesses Mr. Costa. Which finding is most
concerning?
A) Respiratory rate 24/min
B) SpO2 89% on 2L NC
C) Use of sternocleidomastoid muscles
D) Productive cough with green sputum
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Answer: C – Accessory muscle use indicates respiratory
failure. SpO2 89% expected in COPD.
Q2. Provider orders BiPAP. Which initial settings are
appropriate?
A) IPAP 8 / EPAP 4
B) IPAP 20 / EPAP 18
C) IPAP 4 / EPAP 8
D) IPAP 15 / EPAP 5
Answer: A – Low IPAP/EPAP improve tolerance. High
pressures cause barotrauma.
Q3. Blood glucose 250 mg/dL. Lantus given. Correct action?
A) Hold all insulin
B) Give regular insulin per sliding scale
C) Give 50% dextrose IV
D) Recheck in 4 hours
Answer: B – Stress hyperglycemia requires correction. D50 for
hypoglycemia.
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Q4. Spouse asks why O2 is only 2L. Best response:
A) “He needs higher O2 but doctor is conservative.”
B) “High oxygen can stop his drive to breathe.”
C) “We will increase it right away.”
D) “His lungs are damaged permanently.”
Answer: B – COPD patients may rely on hypoxic drive; high
FiO2 causes hypercapnia.
Q5. Which ABG finding supports BiPAP?
A) pH 7.38, PaCO2 48, PaO2 70
B) pH 7.31, PaCO2 62, PaO2 55
C) pH 7.45, PaCO2 38, PaO2 90
D) pH 7.35, PaCO2 45, PaO2 80
Answer: B – Acute respiratory acidosis (pH<7.35,
PaCO2>45) + hypoxemia.
Q6. Nebulized albuterol + ipratropium given. Finding
indicates effectiveness?
A) HR 88→110
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B) SpO2 drops to 84%
C) Wheezing decreases, RR 32→18
D) Dry mouth
Answer: C – Decreased wheezing and RR indicates
bronchodilation.
Q7. New-onset confusion. Priority action?
A) Reorient
B) Check ABG, ask for BiPAP adjustment
C) Haloperidol
D) Increase O2 to 4L
Answer: B – Confusion suggests hypercapnia/hypoxemia.
ABG guides treatment.
Q8. BP 85/50. Which med should be held?
A) Albuterol neb
B) Lantus
C) Lisinopril
NHISS GROUP C PATIENTS 1-6 PREP EXAM
2026 WITH COMPLETE SOLUTIONS (A NEW
UPDATED VERSION) |GUARANTEED PASS
A+ | PASS THE ACTUAL EXAM MUCH
EASIER
Q1. A nurse assesses Mr. Costa. Which finding is most
concerning?
A) Respiratory rate 24/min
B) SpO2 89% on 2L NC
C) Use of sternocleidomastoid muscles
D) Productive cough with green sputum
,Page 2 of 127
Answer: C – Accessory muscle use indicates respiratory
failure. SpO2 89% expected in COPD.
Q2. Provider orders BiPAP. Which initial settings are
appropriate?
A) IPAP 8 / EPAP 4
B) IPAP 20 / EPAP 18
C) IPAP 4 / EPAP 8
D) IPAP 15 / EPAP 5
Answer: A – Low IPAP/EPAP improve tolerance. High
pressures cause barotrauma.
Q3. Blood glucose 250 mg/dL. Lantus given. Correct action?
A) Hold all insulin
B) Give regular insulin per sliding scale
C) Give 50% dextrose IV
D) Recheck in 4 hours
Answer: B – Stress hyperglycemia requires correction. D50 for
hypoglycemia.
,Page 3 of 127
Q4. Spouse asks why O2 is only 2L. Best response:
A) “He needs higher O2 but doctor is conservative.”
B) “High oxygen can stop his drive to breathe.”
C) “We will increase it right away.”
D) “His lungs are damaged permanently.”
Answer: B – COPD patients may rely on hypoxic drive; high
FiO2 causes hypercapnia.
Q5. Which ABG finding supports BiPAP?
A) pH 7.38, PaCO2 48, PaO2 70
B) pH 7.31, PaCO2 62, PaO2 55
C) pH 7.45, PaCO2 38, PaO2 90
D) pH 7.35, PaCO2 45, PaO2 80
Answer: B – Acute respiratory acidosis (pH<7.35,
PaCO2>45) + hypoxemia.
Q6. Nebulized albuterol + ipratropium given. Finding
indicates effectiveness?
A) HR 88→110
, Page 4 of 127
B) SpO2 drops to 84%
C) Wheezing decreases, RR 32→18
D) Dry mouth
Answer: C – Decreased wheezing and RR indicates
bronchodilation.
Q7. New-onset confusion. Priority action?
A) Reorient
B) Check ABG, ask for BiPAP adjustment
C) Haloperidol
D) Increase O2 to 4L
Answer: B – Confusion suggests hypercapnia/hypoxemia.
ABG guides treatment.
Q8. BP 85/50. Which med should be held?
A) Albuterol neb
B) Lantus
C) Lisinopril
