NUR 307 Final Exam (PDF) | Latest 2026/27 Practice
Questions & Study Guide
Graded A+ | Guaranteed Pass
1. Explain why monitoring electrolyte levels is critical in the context of pre-operative
.. .. .. .. .. .. . .. .. .. ..
care.
.
. . It helps in diagnosing chronic diseases
.. .. .. .. ..
. . It ensures proper medication administration
.. .. .. ..
. . It prevents complications during and after surgery
.. .. .. .. .. .
. . It assesses the patient's nutritional status
.. .. .. .. ..
2. Which of the following actions is essential for ensuring patient safety during the
.. .. .. .. .. .. . .. .. .. . ..
preoperative period?
. .
.. .. Administering preoperative medications without consent . . . . .. ..
. . Conducting thorough assessments and obtaining informed consent .. .. .. .. .. ..
. . Allowing patients to keep their valuables during surgery
.. .. .. .. . .. ..
. . Ignoring vital signs monitoring .. .. ..
3. A patient presents with muscle twitching and increased deep tendon
.. .. .. .. .. .. .. .. ..
reflexes. Based on these symptoms, what immediate nursing intervention should be prioritized to
.. .. .. .. .. .. .. .. .. . . .
address potential alkalosis?
. . .
. . Administer a bronchodilator .. ..
. . Encourage deep breathing exercises .. .. ..
.. Initiate IV fluid therapy .. . ..
. . Monitor electrolyte levels .. ..
4. What is the primary physiological change that leads to respiratory acidosis?
.. .. .. .. . .. .. .. .. .
, . . A decrease in pCO2
.. .. ..
. . An increase in pCO2
.. .. ..
. . A decrease in oxygen levels
. .. .. ..
. . An increase in blood pH
.. .. .. ..
5. What specific components do coagulation studies assess in relation to blood clotting?
.. .. .. .. .. .. .. .. .. .. ..
. . Hemoglobin levels ..
. . Platelets, PT, and PTT .. .. ..
. . White blood cell count .. .. ..
. . Electrolyte balance ..
6. Which position should a patient be in during suctioning to ensure optimal airway
. . .. . . .. . . .. .. .. ..
clearance?
.
.. Supine position ..
.. Prone position ..
. . High fowlers ..
. . Lateral position ..
7. Which components are included in a Complete Blood Count (CBC) and what do they
.. .. .. .. .. .. .. .. .. .. .. .. .
primarily assess in surgical patients?
. . .. .. .
RBCs, Hgb, Hct, WBC, and platelets; they assess hydration status and electrolyte
.. .. .. . . .. .. . . .. .. ..
balance.
.
RBCs, Hgb, Hct, MCV, MCH, MCHC, WBC, and platelets; they assess oxygen
.. . . . . . . . . . . ..
carrying capability, infection risk, and clotting ability.
.. .. .. .. .. .. ..
, RBCs, WBC, platelets, and electrolytes; they assess kidney function and liver
. . .. .. .. .. .. . .. . .. ..
enzymes.
..
.. Hgb, Hct, MCV, and MCHC; they assess blood glucose levels and metabolic rate.
.. .. .. .. .. . .. . .. .. .. .
8. What types of IV fluids are recommended for correcting hypertonic dehydration?
.. .. .. . .. .. .. . .. ..
. . Isotonic (0.9% NS) or hypotonic (0.45% Saline)
.. .. .. .. .. ..
.. Hypertonic (3% Saline) .. ..
. . Colloids
.. Dextrose solutions ..
9. What is the primary cause of metabolic alkalosis?
.. .. .. .. .. .. ..
. . Increased carbon dioxide levels .. .. . .
. . Increased bicarbonate levels .. ..
. . Decreased oxygen levels .. . .
. . Increased potassium levels .. ..
10. What physiological process does the return of bowel sounds indicate in a post-operative
.. .. . . .. .. .. . .. . . ..
patient?
.
. . Restoration of blood flow to the intestines .. .. .. .. .. ..
. . Absence of gastrointestinal complications
.. .. ..
. . Successful administration of anesthesia .. .. ..
. . Effective pain management .. ..
11. A patient scheduled for surgery has a history of chronic alcohol use. During the preoperative
. .. .. . . . . . .. . .. .. .. .
assessment, which specific considerations should the
. . . . . .
, healthcare team prioritize to ensure patient safety?
.. .. .. .. .. ..
. . Assessing the patient's dietary preferences.
.. .. .. ..
. . Evaluating the patient's respiratory function only.
.. .. .. .. ..
Monitoring for potential withdrawal symptoms and adjusting anesthesia plans
.. . . . . . . .. .
accordingly.
.
. . Focusing solely on the patient's cardiovascular status.
.. .. .. .. .. ..
12. Explain why it is important for nurses to monitor for signs of infection in a surgical
. . . .. . . . .. . . . . .. . ..
wound.
.
Infection can lead to increased hospital stays and complications, affecting
. . . .. . . .. . . . ..
.. patient recovery. ..
. . Infection is a common occurrence and does not impact patient outcomes.
.. .. .. .. .. .. .. .. .. ..
. . Monitoring for infection is only necessary if the patient shows symptoms.
.. . .. .. . . . .. .. ..
. . Infection is primarily a concern for the surgical team, not the nursing staff.
.. .. . . .. . .. . .. .. .. ..
13. Explain why the presence of a bleb during IVflushing is a concern for IV patency.
. . . . . . . . . . . . . . ..
. . It indicates the IV is functioning properly.
.. .. .. .. .. ..
. . It suggests the IV may be infiltrated or not properly placed.
.. .. .. . .. .. .. . .. ..
. . It shows that the IV is delivering medication effectively.
.. .. .. .. . .. .. ..
. . It means the IV is patent and safe to use.
.. .. .. . .. .. .. .. ..
Questions & Study Guide
Graded A+ | Guaranteed Pass
1. Explain why monitoring electrolyte levels is critical in the context of pre-operative
.. .. .. .. .. .. . .. .. .. ..
care.
.
. . It helps in diagnosing chronic diseases
.. .. .. .. ..
. . It ensures proper medication administration
.. .. .. ..
. . It prevents complications during and after surgery
.. .. .. .. .. .
. . It assesses the patient's nutritional status
.. .. .. .. ..
2. Which of the following actions is essential for ensuring patient safety during the
.. .. .. .. .. .. . .. .. .. . ..
preoperative period?
. .
.. .. Administering preoperative medications without consent . . . . .. ..
. . Conducting thorough assessments and obtaining informed consent .. .. .. .. .. ..
. . Allowing patients to keep their valuables during surgery
.. .. .. .. . .. ..
. . Ignoring vital signs monitoring .. .. ..
3. A patient presents with muscle twitching and increased deep tendon
.. .. .. .. .. .. .. .. ..
reflexes. Based on these symptoms, what immediate nursing intervention should be prioritized to
.. .. .. .. .. .. .. .. .. . . .
address potential alkalosis?
. . .
. . Administer a bronchodilator .. ..
. . Encourage deep breathing exercises .. .. ..
.. Initiate IV fluid therapy .. . ..
. . Monitor electrolyte levels .. ..
4. What is the primary physiological change that leads to respiratory acidosis?
.. .. .. .. . .. .. .. .. .
, . . A decrease in pCO2
.. .. ..
. . An increase in pCO2
.. .. ..
. . A decrease in oxygen levels
. .. .. ..
. . An increase in blood pH
.. .. .. ..
5. What specific components do coagulation studies assess in relation to blood clotting?
.. .. .. .. .. .. .. .. .. .. ..
. . Hemoglobin levels ..
. . Platelets, PT, and PTT .. .. ..
. . White blood cell count .. .. ..
. . Electrolyte balance ..
6. Which position should a patient be in during suctioning to ensure optimal airway
. . .. . . .. . . .. .. .. ..
clearance?
.
.. Supine position ..
.. Prone position ..
. . High fowlers ..
. . Lateral position ..
7. Which components are included in a Complete Blood Count (CBC) and what do they
.. .. .. .. .. .. .. .. .. .. .. .. .
primarily assess in surgical patients?
. . .. .. .
RBCs, Hgb, Hct, WBC, and platelets; they assess hydration status and electrolyte
.. .. .. . . .. .. . . .. .. ..
balance.
.
RBCs, Hgb, Hct, MCV, MCH, MCHC, WBC, and platelets; they assess oxygen
.. . . . . . . . . . . ..
carrying capability, infection risk, and clotting ability.
.. .. .. .. .. .. ..
, RBCs, WBC, platelets, and electrolytes; they assess kidney function and liver
. . .. .. .. .. .. . .. . .. ..
enzymes.
..
.. Hgb, Hct, MCV, and MCHC; they assess blood glucose levels and metabolic rate.
.. .. .. .. .. . .. . .. .. .. .
8. What types of IV fluids are recommended for correcting hypertonic dehydration?
.. .. .. . .. .. .. . .. ..
. . Isotonic (0.9% NS) or hypotonic (0.45% Saline)
.. .. .. .. .. ..
.. Hypertonic (3% Saline) .. ..
. . Colloids
.. Dextrose solutions ..
9. What is the primary cause of metabolic alkalosis?
.. .. .. .. .. .. ..
. . Increased carbon dioxide levels .. .. . .
. . Increased bicarbonate levels .. ..
. . Decreased oxygen levels .. . .
. . Increased potassium levels .. ..
10. What physiological process does the return of bowel sounds indicate in a post-operative
.. .. . . .. .. .. . .. . . ..
patient?
.
. . Restoration of blood flow to the intestines .. .. .. .. .. ..
. . Absence of gastrointestinal complications
.. .. ..
. . Successful administration of anesthesia .. .. ..
. . Effective pain management .. ..
11. A patient scheduled for surgery has a history of chronic alcohol use. During the preoperative
. .. .. . . . . . .. . .. .. .. .
assessment, which specific considerations should the
. . . . . .
, healthcare team prioritize to ensure patient safety?
.. .. .. .. .. ..
. . Assessing the patient's dietary preferences.
.. .. .. ..
. . Evaluating the patient's respiratory function only.
.. .. .. .. ..
Monitoring for potential withdrawal symptoms and adjusting anesthesia plans
.. . . . . . . .. .
accordingly.
.
. . Focusing solely on the patient's cardiovascular status.
.. .. .. .. .. ..
12. Explain why it is important for nurses to monitor for signs of infection in a surgical
. . . .. . . . .. . . . . .. . ..
wound.
.
Infection can lead to increased hospital stays and complications, affecting
. . . .. . . .. . . . ..
.. patient recovery. ..
. . Infection is a common occurrence and does not impact patient outcomes.
.. .. .. .. .. .. .. .. .. ..
. . Monitoring for infection is only necessary if the patient shows symptoms.
.. . .. .. . . . .. .. ..
. . Infection is primarily a concern for the surgical team, not the nursing staff.
.. .. . . .. . .. . .. .. .. ..
13. Explain why the presence of a bleb during IVflushing is a concern for IV patency.
. . . . . . . . . . . . . . ..
. . It indicates the IV is functioning properly.
.. .. .. .. .. ..
. . It suggests the IV may be infiltrated or not properly placed.
.. .. .. . .. .. .. . .. ..
. . It shows that the IV is delivering medication effectively.
.. .. .. .. . .. .. ..
. . It means the IV is patent and safe to use.
.. .. .. . .. .. .. .. ..
